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  1. psnet.ahrq.gov/issue/health-outcomes-deprescribing-interventions-among-older-residents-nursing-homes-systematic
    March 01, 2023 - Researchers found that interventions in which medications were reviewed according to prespecified criteria … March 4, 2020 Impact of a clinical decision support system for high-alert medications … April 26, 2023 Impact of medication reviews on potentially inappropriate medications … Deprescribing as a Patient Safety Strategy October 27, 2021 Potentially inappropriate medications … EMR-enabled computerized decision support systems to reduce prescribing of potentially inappropriate medications
  2. psnet.ahrq.gov/issue/indication-alerts-intercept-drug-name-confusion-errors-during-computerized-entry-medication
    August 28, 2019 - Clinicians use thousands of prescription medications during routine care, and new medications are regularly … Confusion between medications with names that appear or sound similar is a common cause of medication … provider order entry system—with an alert that prompted providers to enter the indication when certain medications … that these alerts be implemented to decrease medication errors, they suggest narrowing the number of medications
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/850362/psn-pdf
    June 14, 2023 - Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital June 14 … Home Medications Contribute to a Unique Opportunity for Error on Discharge from the Hospital. … The medication storage issue is even more complex for home medications.8 For medications on formulary … Home medications, however, require a storage solution that is independent of the workflow for medications … Storage of patients' home medications during hospitalizations. 
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50884/psn-pdf
    February 12, 2020 - Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization … Prescribing patterns of heart failure-exacerbating medications following a heart failure hospitalization … https://psnet.ahrq.gov/issue/prescribing-patterns-heart-failure-exacerbating-medications-following-heart … - failure Various potentially inappropriately prescribed medications can exacerbate heart failure ( … This study examined patterns of prescribing HF-exacerbating medications for Medicare beneficiaries 65
  5. psnet.ahrq.gov/issue/using-spare-medication-vial-store-multiple-medications-potentially-fatal-home-medication
    June 24, 2020 - Commentary Using a spare medication vial to store multiple medications: a potentially … Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error … Using a spare medication vial to store multiple medications: A potentially fatal in-home medication error … June 16, 2019 Visual acuity, literacy, and unintentional misuse of nonprescription medications … 2012 Prevent medication errors: a New Year's resolution: teaching patients about their medications
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/866811/psn-pdf
    September 25, 2024 - Association between potentially inappropriate medications prescription and health-related quality of … Association between potentially inappropriate medications prescription and health? … https://psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and … - health-related People taking potentially inappropriate medications (PIM) are at increased risk for … https://psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and-health-related
  7. psnet.ahrq.gov/web-mm/cups-error
    January 12, 2011 - During his stay at a rehabilitation unit, a nursing student administered a “cup” of medications that … Unfortunately, this cup of medications belonged to another patient on the unit. … ones in her cup and discovered the wrong medications—also a near miss for her patient. … Recommendations to enhance accuracy of administration of medications. … December 12, 2018 Teaching students to administer medications safely.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60798/psn-pdf
    January 01, 2021 - How accurately do older adult emergency department patients recall their medications? … How accurately do older adult emergency department patients recall their medications? … https://psnet.ahrq.gov/issue/how-accurately-do-older-adult-emergency-department-patients-recall-their- medications … only 23% of older adults in the Emergency Department had complete agreement between self-reported medications … which can result in adverse events, as antibiotics can have potentially fatal interactions with many medications
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60664/psn-pdf
    July 08, 2020 - Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic … Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic … https://psnet.ahrq.gov/issue/applying-medications-transitions-and-clinical-handoffs-toolkit-rural-primary … - care-clinic The Medications at Transitions and Clinical Handoffs Toolkit (MATCH) provides strategies … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47956/psn-pdf
    June 26, 2019 - Family involvement in managing medications of older patients across transitions of care: a systematic … Family involvement in managing medications of older patients across transitions of care: a systematic … https://psnet.ahrq.gov/issue/family-involvement-managing-medications-older-patients-across-transitions … experience a variety of challenges related to such transitions, including managing changes to their medications … there is significant opportunity for health care providers to improve family engagement in managing medications
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74189/psn-pdf
    January 01, 2022 - US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017 … US emergency department visits for acute harms from over-the- counter cough and cold medications, 2017 … https://psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold- medications … https://psnet.ahrq.gov/issue/us-emergency-department-visits-acute-harms-over-counter-cough-and-cold-medications … -2017-2019 https://psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36620/psn-pdf
    January 14, 2024 - ISMP's List of High-Alert Medications in Acute Care Settings. … 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 when incorrectly administered. … https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings https://psnet.ahrq.gov … https://psnet.ahrq.gov/web-mm/high-risk-medications-high-risk-transfers
  13. psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
    March 14, 2022 - Organizational Policy/Guidelines Handling injectable medications in anaesthesia: … Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. … Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865518/psn-pdf
    April 10, 2024 - Decreasing prescribing errors in antimicrobial stewardship program-restricted medications. … Decreasing prescribing errors in antimicrobial stewardship program- restricted medications. … //psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted- medications … https://psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications … https://psnet.ahrq.gov/issue/decreasing-prescribing-errors-antimicrobial-stewardship-program-restricted-medications
  15. psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
    April 01, 2015 - Upon arrival to the ward, the admitting nurse attempted to reconcile her home medications with those … However, the patient was unable to tell the nurse which medications she was taking. … A family member was asked to return to the patient's home, gather all of her medications, and bring them … Some medications had been filled at a local pharmacy, while others were filled by a mail-order pharmacy … Her medications were reviewed, and she reported that she was taking all of the medications, as prescribed
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/50779/psn-pdf
    January 08, 2020 - STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older … STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older … https://psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing … to Right Treatment) are criteria used as a tool for clinicians to review potentially inappropriate medications … https://psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60354/psn-pdf
    January 01, 2021 - Harm prevalence due to medication errors involving high- alert medications: a systematic review May … Harm prevalence due to medication errors involving high-alert medications: a systematic review. … https://psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications- … review analyzed five studies discussing adverse events due to medical errors involving high-alert medications … https://psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
  18. psnet.ahrq.gov/issue/wrong-administration-route-medications-domestic-setting-review-underestimated-public-health
    December 15, 2021 - Review Wrong administration route of medications in the domestic setting: a review … Wrong administration route of medications in the domestic setting: a review of an underestimated public … Wrong administration route of medications in the domestic setting: a review of an underestimated public … ) US emergency department visits for acute harms from over-the-counter cough and cold medications … November 16, 2022 The source of purchased medications and its impact on medication mistakes
  19. psnet.ahrq.gov/issue/interprofessional-and-intraprofessional-communication-about-older-peoples-medications-across
    June 26, 2019 - Study Interprofessional and intraprofessional communication about older people's medications … Interprofessional and intraprofessional communication about older people's medications across transitions … Interprofessional and intraprofessional communication about older people's medications across transitions … Related Resources From the Same Author(s) Family involvement in managing medications … November 16, 2022 Impact of medication reviews on potentially inappropriate medications
  20. psnet.ahrq.gov/issue/patients-managing-medications-and-reading-their-visit-notes-survey-opennotes-participants
    July 01, 2020 - Study Patients managing medications and reading their visit notes: a survey of OpenNotes … Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants. … Patients Managing Medications and Reading Their Visit Notes: A Survey of OpenNotes Participants. … medicine actually killed my wife': patient and family perspectives on shared decision-making to optimize medications … December 4, 2016 Lack of patient knowledge regarding hospital medications.

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