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  1. psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications
    October 19, 2022 - Study Improving emergency medicine clinician awareness of prehospital-administered medications … Improving emergency medicine clinician awareness of prehospital-administered medications. … Improving emergency medicine clinician awareness of prehospital-administered medications.
  2. 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
  3. 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
  4. psnet.ahrq.gov/web-mm/over-counter-oversight
    March 21, 2009 - During the preoperative visit, the patient's prescription medications were reviewed and updated in his … asked about medications purchased over the counter. … One study reported that 27% of patients incorrectly continued or discontinued one or more medications … , over-the-counter medications, vitamins, and supplements. … Medications at Transitions and Clinical Handoffs (MATCH) Toolkit for Medication Reconciliation.
  5. 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
  6. psnet.ahrq.gov/web-mm/when-meds-dont-reach-bed
    May 16, 2022 - Given the patient’s inability to pay for the discharge medications, the social worker on the discharge … planning team sent a voucher to cover the cost of medications to the commercial pharmacy around 11:00 … Scheduled transport arrived at 4:00pm and the patient was discharged without his medications. … Unfortunately, he had been unable to relieve these symptoms with the medications he had available at … Evaluation of Bedside Delivery of Medications Before Discharge: Effect on 30-Day Readmission.
  7. psnet.ahrq.gov/issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-medical-staff
    December 15, 2021 - High-alert medications have the potential to cause serious patient harm . … After implementation of an intervention to enhance staff knowledge of high-alert medications, confidence … significantly increased, and most respondents could correctly identify high alert medications and associated … April 3, 2024 Preventing errors when preparing and administering medications via enteral … December 22, 2021 Harm prevalence due to medication errors involving high-alert medications
  8. psnet.ahrq.gov/issue/communication-relating-family-members-involvement-and-understandings-about-patients
    June 16, 2021 - Polypharmacy , or taking multiple medications, is a risk factor for adverse drug events . … family members participated in medication management for hospitalized patients taking five or more medications … engage in discussions with family members as they can know important information regarding patients' medications … November 6, 2015 Family involvement in managing medications of older patients across … November 21, 2016 Family-initiated dialogue about medications during family-centered
  9. psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
    June 14, 2019 - Opioid pain medications carry high risk for adverse drug events and misuse . … events, the Centers for Disease Control and Prevention released new guidelines for prescribing opioid medications … The authors recommend using opioids for chronic pain only if nonopioid medications and nonpharmacologic … For acute pain, they recommend limiting duration of therapy, stating that more than 1 week of medications … The guidelines also suggest minimizing concurrent use of opioids and other sedating medications and dispensing
  10. psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
    March 15, 2023 - can help elicit additional information for non-oral medications, non-daily medications, as-needed medications … , or non-prescription medications. … , “what medications do you take by mouth for your diabetes? … What medications do you inject, if any?” … Medications used to treat diabetes are high-risk medications and may warrant additional time and resources
  11. psnet.ahrq.gov/issue/impact-clinical-decision-support-system-high-alert-medications-prevention-prescription-errors
    May 10, 2017 - Study Impact of a clinical decision support system for high-alert medications on … Impact of a clinical decision support system for high-alert medications on the prevention of prescription … clinical decision support reduced medication errors (greater than maximum dose) for five high-alert medications … This work supports the use of clinical decision support for high-risk medications. … Impact of a clinical decision support system for high-alert medications on the prevention of prescription
  12. psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety
    September 26, 2012 - Commentary Fake and expired medications in simulation-based education: an underappreciated … Fake and expired medications in simulation-based education: an underappreciated risk to patient safety … Simulation-based education in health care is common, and typically training exercises use artificial and expired medications … This commentary describes how these fake medications can introduce risks when they are accidentally … Fake and expired medications in simulation-based education: an underappreciated risk to patient safety
  13. psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and-health-related
    June 08, 2010 - Study Association between potentially inappropriate medications prescription and … Association between potentially inappropriate medications prescription and health‐related quality of … People taking potentially inappropriate medications (PIM) are at increased risk for adverse events, … Association between potentially inappropriate medications prescription and health‐related quality of … The impact of Potentially Inappropriate Medications Prescribing on residents' emergency care use.
  14. psnet.ahrq.gov/issue/americas-other-drug-problem-copious-prescriptions-hospitalized-elderly
    May 12, 2021 - patients are particularly vulnerable to medication errors , as they are often prescribed multiple medications … This news article reports on complexities associated with managing medications in older patients, including … A recent WebM&M commentary discussed strategies to safely manage medications in older patients and … June 25, 2014 Patients taking their own medications while in the hospital. … November 2, 2010 Keeping track of aging patients’ medications.
  15. psnet.ahrq.gov/issue/laboratory-safety-monitoring-chronic-medications-ambulatory-care-settings
    January 06, 2017 - Study Laboratory safety monitoring of chronic medications in ambulatory care settings … Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings. … retrospectively examined the failure rate of recommended laboratory surveillance for patients on specific chronic medications … Brief report: Laboratory safety monitoring of chronic medications in ambulatory care settings.
  16. psnet.ahrq.gov/issue/2009-older-adults-knowledge-about-medications-can-impact-driving
    July 12, 2016 - Book/Report 2009 Older Adults' Knowledge About Medications That Can Impact Driving … Citation Text: 2009 Older Adults' Knowledge About Medications That Can Impact Driving. … This report provides results of a survey about older adults' awareness of common medications that may … Cite Citation Citation Text: 2009 Older Adults' Knowledge About Medications
  17. psnet.ahrq.gov/web-mm/when-looks-arent-all-they-appear-be-medication-error-uncommon-indication
    July 02, 2019 - The medication was discontinued as a result of altered mental status possibly secondary to medications … LASA medications are those that, either spoken or written, may be potentially result in harmful errors … as of 2019. 2  LASA medications account for almost 30% of dispensing errors and name confusion is a … Other medications, including prochlorperazine, gabapentin and baclofen, are sometimes used off label … Guide on Handling Look Alike Sound Alike Medications. WHO.   ISMP: List of Confused Drug Names.
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33581/psn-pdf
    December 15, 2024 - For example, the intravenous anticoagulant heparin is considered one of the highest-risk medications  … one-third 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.
  19. psnet.ahrq.gov/issue/changes-prescription-and-over-counter-medication-and-dietary-supplement-use-among-older
    May 06, 2020 - Older adults commonly use over-the-counter medications and dietary supplements , which can lead to … adverse events when taken alone and in combination with prescription medications. … Since older patients are typically prescribed more medications, they are at higher risk for adverse … population-based sample of adults between ages 62 and 85 found that while the use of over-the-counter medications … declined over time, the number of dietary supplements and prescribed medications increased.
  20. 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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