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psnet.ahrq.gov/node/45334/psn-pdf
September 07, 2016 - Why 'Universal Precautions' are needed for medication
lists.
September 7, 2016
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2.
doi:10.1136/bmjqs-2015-005116.
https://psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
Despite the support…
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psnet.ahrq.gov/node/862999/psn-pdf
February 21, 2024 - Health tech hazards: at-home medical devices, AI
governance on ECRI's new list.
February 21, 2024
Miliard M. Healthcare IT News. February 1, 2024.
https://psnet.ahrq.gov/issue/health-tech-hazards-home-medical-devices-ai-governance-ecris-new-list
Technologies provide improvements and introduce unique problems to ca…
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psnet.ahrq.gov/issue/development-core-drug-list-towards-improving-prescribing-education-and-reducing-errors-uk
April 13, 2022 - Study
Development of a core drug list towards improving prescribing education and reducing errors in the UK.
Citation Text:
Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing education and reducing errors in the UK. Br J Clin Pharmac…
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psnet.ahrq.gov/node/74211/psn-pdf
December 22, 2021 - Filling the gaps on the Institute for Safe Medication
Practices (ISMP) Do Not Crush List for Immediate-release
Products
December 22, 2021
Uttaro E, Zhao F, Schweighardt A. Int J Pharm Compd. 2021;25(5):364-371.
https://psnet.ahrq.gov/issue/filling-gaps-institute-safe-medication-practices-ismp-do-not-crush-li…
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psnet.ahrq.gov/node/37621/psn-pdf
March 19, 2008 - An effort to improve electronic health record medication
list accuracy between visits: patients' and physicians'
response.
March 19, 2008
Staroselsky M, Volk LA, Tsurikova R, et al. An effort to improve electronic health record medication list
accuracy between visits: patients' and physicians' response. Int J Med …
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psnet.ahrq.gov/node/45125/psn-pdf
January 26, 2023 - FDA and ISMP Lists of Look-Alike Drug Names With
Recommended Tall Man Letters.
January 26, 2023
Food and Drug Administration and Institute for Safe Medication Practices. Plymouth Meeting, PA; Institute
for Safe Medication Practices; January 2023.
https://psnet.ahrq.gov/issue/fda-and-ismp-lists-look-alike-drug-name…
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psnet.ahrq.gov/node/40256/psn-pdf
March 02, 2011 - Development of a core drug list towards improving
prescribing education and reducing errors in the UK.
March 2, 2011
Baker E, Pryce Roberts A, Wilde K, et al. Development of a core drug list towards improving prescribing
education and reducing errors in the UK. Br J Clin Pharmacol. 2010;71(2):190-198. doi:10.1111/j…
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psnet.ahrq.gov/node/851352/psn-pdf
July 12, 2023 - Identifying a list of healthcare 'never events' to effect
system change: a systematic review and narrative
synthesis.
July 12, 2023
Bowman CL, De Gorter R, Zaslow J, et al. Identifying a list of healthcare ‘never events’ to effect system
change: a systematic review and narrative synthesis. BMJ Open Qual. 2023;12(2…
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psnet.ahrq.gov/node/36620/psn-pdf
January 14, 2024 - ISMP's List of High-Alert Medications in Acute Care
Settings.
January 14, 2024
Horsham, PA; Institute for Safe Medication Practices: 2024.
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
This fact sheet lists medications with a high risk of causing significant harm to patients wh…
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psnet.ahrq.gov/web-mm/polypharmacy
March 01, 2007 - Polypharmacy
Citation Text:
Guglielmo JB. Polypharmacy. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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psnet.ahrq.gov/node/38210/psn-pdf
June 20, 2011 - Emergency department medication lists are not accurate.
June 20, 2011
Caglar S, Henneman PL, Blank FS, et al. Emergency department medication lists are not accurate. J
Emerg Med. 2011;40(6):613-6. doi:10.1016/j.jemermed.2008.02.060.
https://psnet.ahrq.gov/issue/emergency-department-medication-lists-are-not-accurate…
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psnet.ahrq.gov/node/41091/psn-pdf
October 01, 2021 - ISMP List of High-Alert Medications in
Community/Ambulatory Healthcare.
October 1, 2021
Horsham, PA: Institute for Safe Medication Practices; 2021.
https://psnet.ahrq.gov/issue/ismp-list-high-alert-medications-communityambulatory-healthcare
This fact sheet provides a list of high-alert medications commonly used in…
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psnet.ahrq.gov/node/42218/psn-pdf
June 10, 2018 - Your high-alert medication list—relatively useless without
associated risk-reduction strategies.
June 10, 2018
ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.
https://psnet.ahrq.gov/issue/your-high-alert-medication-list-relatively-useless-without-associated-risk-
reduction
This newsletter …
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psnet.ahrq.gov/web-mm/crossed-coverage
September 01, 2015 - , the cross-covering intern reviewed the written signout on the patient and noted that warfarin was listed … turns out, the primary intern had not updated the written signout that day, and warfarin was still listed
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psnet.ahrq.gov/node/49678/psn-pdf
March 01, 2013 - following evening, the patient's mother called the ED to report that the patient's discharge paperwork
listed … Still, I and the organizations listed above believe it is safest and should be standard of practice to
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psnet.ahrq.gov/web-mm/medication-reconciliation-whose-job-it
May 01, 2018 - A consultation prior to surgery listed her home medication as "Neurontin 250 mg." … The admitting history and physical note listed her current medications as "See her list."
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psnet.ahrq.gov/issue/ismp-updates-its-list-drug-name-pairs-tall-man-letters
June 10, 2018 - Newspaper/Magazine Article
ISMP updates its list of drug name pairs with Tall man letters.
Citation Text:
ISMP updates its list of drug name pairs with Tall man letters. ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.
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psnet.ahrq.gov/node/33598/psn-pdf
June 15, 2024 - elderly patients by using an
individualized fall prevention intervention drawing on many of the elements listed
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psnet.ahrq.gov/issue/surgical-case-listing-accuracy-failure-analysis-high-volume-academic-medical-center
September 25, 2011 - Study
Surgical case listing accuracy: failure analysis at a high-volume academic medical center.
Citation Text:
Cima RR, Hale C, Kollengode A, et al. Surgical case listing accuracy: failure analysis at a high-volume academic medical center. Arch Surg. 2010;145(7):641-6. doi:10.1001/archs…
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psnet.ahrq.gov/issue/report-safe-use-pick-lists-ambulatory-care-settings
June 29, 2016 - Government Resource
Report on the Safe Use of Pick Lists in Ambulatory Care Settings.
Citation Text:
Report on the Safe Use of Pick Lists in Ambulatory Care Settings. Rizk S, Oguntebi G, Graber ML, Johnston D. Research Triangle Park, NC: RTI International; 2016.
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