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psnet.ahrq.gov/issue/lingering-safety-menace-10-year-review-enteral-misconnection-adverse-events-and-narrative
January 06, 2017 - 16, 2024
Health tech hazards: at-home medical devices, AI governance on ECRI's new list … March 8, 2023
Home medical device safety tops ECRI'S list of healthcare technology.
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psnet.ahrq.gov/node/72711/psn-pdf
February 03, 2021 - Recommendations include revision of the NHS never events list,
identification of strong and systemic
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psnet.ahrq.gov/node/72733/psn-pdf
February 10, 2021 - The set list includes both pandemic-related hazards and common problems such as use of
abbreviations
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psnet.ahrq.gov/node/73969/psn-pdf
October 26, 2021 - psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
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psnet.ahrq.gov/node/50869/psn-pdf
February 05, 2020 - How can patient-held lists of medication enhance patient
safety? A mixed-methods study with a focus on user
experience.
February 5, 2020
Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A
mixed-methods study with a focus on user experience. BMJ Qual Saf. 2020…
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - The Institute for Safe Medication Practices (ISMP) publishes a List of Confused Drug Names ( 4 ) as a … The combined ISMP–FDA list is available at http://www.ismp.org/tools/tallmanletters.pdf . … Printing the list of prescribed medications for the patient can be useful, allowing patients to compare … the list with the dispensed medications. … ISMP's List of Confused Drug Names. Institute for Safe Medication Practices Web site. April 2014.
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psnet.ahrq.gov/node/850356/psn-pdf
June 14, 2023 - dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
https://psnet.ahrq.gov/issue/key-potentially-inappropriate-drugs-pediatrics-kids-list
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psnet.ahrq.gov/node/42264/psn-pdf
May 25, 2022 - tallman-lettering-strategy-differentiation-look-alike-sound-alike-drug-names-role-familiarity
https://psnet.ahrq.gov/issue/ismp-list-error-prone-abbreviations-symbols-and-dose-designations
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psnet.ahrq.gov/web-mm/new-oral-anticoagulants
July 01, 2011 - List best practices for individuals and institutions that may reduce the frequency of TSOAC errors. … As was his usual practice, he scanned the medication list to be sure the patient was not on enoxaparin … or warfarin or other traditional anticoagulants, but he did not review the rest of the list. … Later, when writing his note about the procedure, he glanced at the medication list and noticed the patient
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.104_slideshow.ppt
September 01, 2005 - participants should be able to:
Appreciate the incidence of adverse drug events in older persons
List … Medication Reconciliation at Transitions of Care
Reconciliation: “process of identifying the most accurate list … of all medications a patient is taking—including name, dosage, frequency, and route—and using this list
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psnet.ahrq.gov/issue/long-term-follow-evaluation-electronic-health-record-prescribing-safety
November 26, 2014 - November 12, 2014
Problem list completeness in electronic health records: a multi-site … January 29, 2018
Problem list completeness in electronic health records: a multi-site
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psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - /double-trouble
Case Objectives
Appreciate the incidence of adverse drug events in older persons
List … Medication reconciliation is a “process of identifying the
most accurate list of all medications a patient … is taking—including name, dosage, frequency, and
route—and using this list to provide correct medications … should review with the patient and/or responsible family member previous medication lists alongside the list … should review with the patient and/or responsible family member previous
medication lists alongside the list
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psnet.ahrq.gov/web-mm/correct-treatment-plan-incorrect-diagnosis-pharmacist-intervention
May 01, 2011 - reduce errors during transitions in and out of the hospital, decrease mortality, enhance medication list … case, the pharmacist's decision to review the patient's medical record, and not just the medication list … pharmacists in transitions of care is beneficial and should extend beyond simply keeping the medication list … are active users of and contributors to the electronic health record, going beyond simple medication list … Evaluation of medication list completeness, safety, and annotations.
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psnet.ahrq.gov/node/36713/psn-pdf
April 29, 2018 - https://psnet.ahrq.gov/issue/reducing-patient-harm-opiates
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.101_slideshow.ppt
July 01, 2005 - initiating warfarin therapy in hospitalized patients
Understand the fundamental pharmacology of warfarin
List … Warfarin
Warfarin is among the most commonly prescribed drugs
Near the top of list of drugs that lead … List is not all-inclusive; INR should be monitored after initiating or modifying any drug therapy. … List is not all-inclusive; INR should be monitored after initiating or modifying any drug therapy. … more accurate than routine dosing by physicians
Or use a validated nomogram
(See notes section for list
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psnet.ahrq.gov/node/42801/psn-pdf
February 13, 2014 - Predictors of completeness of patients' self-reported
personal medication lists and discrepancies with clinic
medication lists.
February 13, 2014
Lee KP, Nishimura K, Ngu B, et al. Predictors of completeness of patients' self-reported personal
medication lists and discrepancies with clinic medication lists. Ann Ph…
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psnet.ahrq.gov/node/33899/psn-pdf
April 16, 2018 - Research Research and Quality; AHRQ
https://psnet.ahrq.gov/issue/quick-tips-when-planning-surgery
A list
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psnet.ahrq.gov/issue/how-can-patient-held-lists-medication-enhance-patient-safety-mixed-methods-study-focus-user
February 16, 2022 - Study
How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.
Citation Text:
Garfield S, Furniss D, Husson F, et al. How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user…
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psnet.ahrq.gov/node/74202/psn-pdf
December 22, 2021 - Prevalence of potentially harmful multidrug interactions
on medication lists of elderly ambulatory patients.
December 22, 2021
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication
lists of elderly ambulatory patients. BMC Geriatr. 2021;21(1):648. doi:10.1186/s12877-…
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psnet.ahrq.gov/issue/cognitive-tests-predict-real-world-errors-relationship-between-drug-name-confusion-rates
April 12, 2017 - September 1, 2016
Indication alerts to improve problem list documentation. … May 29, 2019
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Related Resources
ISMP updates its list