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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - Commentary
Independent double-checks for high-alert medications: essential practice … Independent double-checks for high-alert medications: essential practice. … Independent double-checks for high-alert medications: essential practice. … September 18, 2019
Administering and monitoring high-alert medications in acute care.
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psnet.ahrq.gov/issue/inappropriate-medications-elderly-icu-survivors-where-intervene
May 08, 2017 - Study
Inappropriate medications in elderly ICU survivors: where to intervene? … Inappropriate medications in elderly ICU survivors: where to intervene? … Inappropriate medications in elderly ICU survivors: where to intervene? … 2019
Association of ICU or hospital admission with unintentional discontinuation of medications … October 16, 2012
Discontinuity of chronic medications in patients discharged from the
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psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
July 13, 2016 - Commentary
Labeling solutions and medications in sterile procedural settings. … Labeling solutions and medications in sterile procedural settings. … Labeling solutions and medications in sterile procedural settings. … 2016
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications
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psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis-medication
February 18, 2011 - Study
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study … Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis of Medication … Discrepancies in patients' medications at the time of hospital admission are common . … Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis of Medication … May 19, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
January 19, 2022 - Classic
STOPP/START criteria for potentially inappropriate medications … STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older … STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older … May 5, 2021
Impact of medication reviews on potentially inappropriate medications and … March 6, 2012
Potentially inappropriate medications and their effect on falls during
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psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
November 06, 2015 - Classic
Association of ICU or hospital admission with unintentional discontinuation of medications … Association of ICU or hospital admission with unintentional discontinuation of medications for chronic … surprising in the setting of a critical illness that may create new contraindications to preexisting medications … Association of ICU or hospital admission with unintentional discontinuation of medications for chronic … December 7, 2011
Discontinuity of chronic medications in patients discharged from the
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - For example, the intravenous anticoagulant heparin is considered one of the highest-risk medications … of adults in the United States take 5 or more medications . … Transitions in care are also a well-documented source of preventable harm related to medications. … settings—medications that can cause significant patient harm if used in error. … ), antiplatelet agents (such as aspirin and clopidogrel), and opioid pain medications.
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psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings
January 26, 2023 - Measurement Tool/Indicator
ISMP Survey on High-Alert Medications in Acute Care Settings … Citation Text:
ISMP Survey on High-Alert Medications in Acute Care Settings. … Cite
Citation
Citation Text:
ISMP Survey on High-Alert Medications … June 28, 2019
ISMP Medication Safety Self Assessment for High-Alert Medications.
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psnet.ahrq.gov/issue/validation-mobile-app-reducing-errors-administration-medications-emergency
September 23, 2020 - Study
Validation of a mobile app for reducing errors of administration of medications … Validation of a mobile app for reducing errors of administration of medications in an emergency. … Validation of a mobile app for reducing errors of administration of medications in an emergency.
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psnet.ahrq.gov/issue/evaluation-drug-interaction-software-identify-alerts-transplant-medications
November 16, 2022 - Study
Evaluation of drug interaction software to identify alerts for transplant medications … Evaluation of drug interaction software to identify alerts for transplant medications. … Evaluation of drug interaction software to identify alerts for transplant medications.
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - , and reducing use of high-risk medications. … and 43 percent were receiving 10 or more medications. … (with 68 percent of patients on these medications having changes made), NSAID medications (50 percent … ), and cardiovascular medications (46 percent). … , and reducing use of high-risk medications.
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psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
February 15, 2011 - Study
Prescription and transcription errors in multidose-dispensed medications on … Prescription and transcription errors in multidose-dispensed medications on discharge from hospital: … Medication reconciliation revealed a high rate of prescribing and transcribing errors in the discharge medications … Prescription and transcription errors in multidose-dispensed medications on discharge from hospital:
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psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
May 27, 2011 - Study
Misuse of pediatric medications and parent–physician communication: an interactive … Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention … The intervention increased medication communication but did not make parents more likely to bring medications … Misuse of Pediatric Medications and Parent-Physician Communication: An Interactive Voice Response Intervention … November 21, 2016
Family-initiated dialogue about medications during family-centered
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psnet.ahrq.gov/node/841151/psn-pdf
December 07, 2022 - Discontinuation of outpatient medications: implications
for electronic messaging to pharmacies using … Discontinuation of outpatient medications: implications for electronic
messaging to pharmacies using … https://psnet.ahrq.gov/issue/discontinuation-outpatient-medications-implications-electronic-messaging … This evaluation of discontinued medications at
one health systems over a one-month period found that … https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications
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psnet.ahrq.gov/web-mm/wrong-time-error-high-alert-medication
February 01, 2014 - The Commentary by Annie Yang, PharmD, and Lewis Nelson, MD Although all medications carry risk of … patient harm when used in error, some medications are riskier than others. … These are known as high-alert medications. … , with a particular focus on high-alert medications. … "( 9 ) Medications requiring administration separate from other medications or certain designated premedications
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psnet.ahrq.gov/issue/what-happens-medication-regimens-older-adults-during-and-after-acute-hospitalization
May 19, 2021 - discharged from the medical service at a teaching hospital found that, on average, patients had two new medications … started at discharge, and among their chronic medications had one discontinued and one dosage changed … However, 3 days after discharge, patients had reverted to taking their chronic medications as previously … prescribed and had discontinued taking a significant proportion of new medications. … December 29, 2014
Prescription and transcription errors in multidose-dispensed medications
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psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
April 11, 2011 - /Guidelines
Metric units and the preferred dosing of orally administered liquid medications … Citation Text:
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi … Accidental overdoses can occur when oral medications are given to children using teaspoons as measurement … recommends use of milliliter-based dosing devices to enable metric-based administration of liquid medications … Citation
Citation Text:
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications
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psnet.ahrq.gov/node/867185/psn-pdf
November 20, 2024 - importance and reasonableness of eight safety behaviors promoted by healthcare
professionals: bringing medications … to office visits, confirming medications at home, managing medication
refills, using patient portals … , organizing medications, checking medications, getting help, and knowing
medications. … Confirming medications was rated as the most important behavior, and knowing medications
was rated as … https://psnet.ahrq.gov/primer/patient-engagement-and-safety
https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
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psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
July 09, 2018 - Study
Family-initiated dialogue about medications during family-centered rounds. … Family-initiated dialogue about medications during family-centered rounds. … observational study found that more than half of parents of hospitalized children initiated conversations about medications … Family-initiated dialogue about medications during family-centered rounds.
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psnet.ahrq.gov/node/867526/psn-pdf
January 15, 2025 - Older adult misuse of over-the-counter medications:
effectiveness of a novel pharmacy-based intervention … Older adult misuse of over-the-counter medications: effectiveness
of a novel pharmacy-based intervention … https://psnet.ahrq.gov/issue/older-adult-misuse-over-counter-medications-effectiveness-novel-pharmacy … based-intervention
Unintentional misuse (e.g., drug-drug, drug-age interactions) of over-the-counter (OTC) medications … Drug-drug and drug-
age misuse types were more common at control pharmacies for high-risk medications