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psnet.ahrq.gov/node/60609/psn-pdf
June 24, 2020 - When the Indications for Drug Administration Blur
June 24, 2020
Munsch J, Doroy A. When the Indications for Drug Administration Blur . PSNet [internet]. 2020.
https://psnet.ahrq.gov/web-mm/when-indications-drug-administration-blur
Disclosure of Relevant Financial Relationships: As a provider accredited by the Accre…
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psnet.ahrq.gov/node/50696/psn-pdf
November 27, 2019 - Complications of Vascular Access Procedures in Patients
with Kidney Disease
November 27, 2019
Young SR, Chen I. Complications of Vascular Access Procedures in Patients with Kidney Disease. PSNet
[internet]. 2019.
https://psnet.ahrq.gov/web-mm/complications-vascular-access-procedures-patients-kidney-disease
The Ca…
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psnet.ahrq.gov/node/49490/psn-pdf
September 01, 2005 - The Wrong Channel
September 1, 2005
Gosbee JW. The Wrong Channel . PSNet [internet]. 2005.
https://psnet.ahrq.gov/web-mm/wrong-channel
The Case
A 28-year-old woman in labor began receiving treatment with magnesium sulfate for preeclampsia. Initial
dosing started at 50 mL/hour using a multi-channel medication pump…
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psnet.ahrq.gov/node/33886/psn-pdf
August 01, 2019 - Medical Scribes and Patient Safety
August 1, 2019
Woodcock D, Bergstrom R. Medical Scribes and Patient Safety. PSNet [internet]. 2019.
https://psnet.ahrq.gov/perspective/medical-scribes-and-patient-safety
Perspective
Scribes have supported physicians for thousands of years.(1) However, little is known about how to…
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
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psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - This may be obtained by brown bag inventory, verbal history, or
medication lists. … Emerging evidence suggests that problem lists are often outdated and incorrect, and with extensive
copying
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psnet.ahrq.gov/node/49456/psn-pdf
July 12, 2004 - ideal
system will link to a robust electronic medical record (and draw information like medication lists … Tools of continuity: the content of inpatient check-out lists [Abstract].
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psnet.ahrq.gov/web-mm/near-miss-neonate
August 15, 2018 - One way to support clear communication during transfer of care is to use patient problem lists to document … time of admission, might have prevented the error.( 12-14 )
Take-Home Points
Use patient problem lists
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psnet.ahrq.gov/web-mm/patient-mix
December 01, 2007 - opportunities for two or three coincidences to intersect and produce an egregious error.( 6 ) The Table lists … patients with the same or similar names, patient rooms, and even tote boards and individualized patient lists
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psnet.ahrq.gov/web-mm/getting-right-doctor-right-away
July 01, 2011 - The lack of direct links between call schedules, paging systems, care team lists, and the EHR results … largely because of the fragmented nature of information sources—call schedules, paging systems, team lists
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psnet.ahrq.gov/web-mm/flying-object-hits-mri
September 01, 2005 - Given so many hazards, it is impossible to create simple lists of safe and unsafe materials. … In addition to these interventions, professional societies have developed lists and procedures that are
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psnet.ahrq.gov/issue/how-create-my-medicines-list
December 24, 2008 - Tools/Toolkit
How To Create a My Medicines List.
Citation Text:
How To Create a My Medicines List. Rockville, MD: Agency for Healthcare Research and Quality; October 2022.
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psnet.ahrq.gov/perspective/annual-perspective-topics-medication-safety
April 27, 2022 - Anand and colleagues screened the medication lists from a sample of older adults and reported that 1.3% … of the lists contained MDIs. … Among patients who were prescribed amiodarone or methotrexate, the prevalence of MDIs on medication lists
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psnet.ahrq.gov/node/33559/psn-pdf
December 15, 2024 - hospital-based clinicians might
not be able to easily access patients' complete pre-admission medication lists
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psnet.ahrq.gov/node/49713/psn-pdf
June 01, 2014 - CVP, thereby decreasing the pressure
gradient that promotes air embolism formation.(5,8,9) The Table lists … risks, while CVC removal has not.(11) Based on this bias, CVC insertion has long been included in lists
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psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - setting, providers
should review with the patient and/or responsible family member previous medication lists … setting, providers should review with the patient and/or responsible family member previous
medication lists
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psnet.ahrq.gov/node/49492/psn-pdf
November 01, 2005 - hospitals have worked with ambulance staff to remind them to pick up prescription bottles or medication
lists … Individually, patients should be encouraged
to carry their medication lists and present them at each
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psnet.ahrq.gov/perspective/handoffs-and-transitions
February 01, 2007 - Similar to the Armor study, this one found discrepancies between hospital discharge and home medication lists … Both studies indicate that creating a new approach to reconciling patients' discharge medication lists
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psnet.ahrq.gov/web-mm/delayed-clozapine-prescription-elderly-man-dementia
August 06, 2014 - The FDA also has a website that lists all current REMS drugs, and FDA-approved prescribing information … Table 2 lists several safety systems that can be considered.( 8 ) Some of the strategies focus on individuals
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psnet.ahrq.gov/node/49660/psn-pdf
August 01, 2012 - that require urgent attention
• Presenting results in the context of previous results, medication lists … , and problem lists
• Forwarding capability and allowing the use of surrogates during planned absences