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psnet.ahrq.gov/issue/effects-patient-environment-and-medication-related-factors-high-alert-medication-incidents
January 22, 2016 - This retrospective chart review sought to identify medication errors related to high-alert medications … High-alert medications include opioids , insulin , chemotherapeutic agents , parenteral electrolytes … from one hospital ward to another, indicating that handoffs may play a role in safe use of high-risk medications … From the Same Author(s)
Barriers and enablers affecting patient engagement in managing medications … July 1, 2016
Omission of high-alert medications: a hidden danger.
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psnet.ahrq.gov/node/849599/psn-pdf
May 31, 2023 - Racial inequality in receipt of medications for opioid use
disorder. … Racial inequality in receipt of medications for opioid use disorder. … https://psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
Best practices … for treating patients with opioid use disorder (OUD) include prescribing medications to treat
OUD ( … naltrexone, naloxone, or buprenorphine) and limiting prescriptions of high-risk medications (opioid
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psnet.ahrq.gov/node/836750/psn-pdf
March 16, 2022 - The source of purchased medications and its impact on
medication mistakes and hospitalizations. … The source of purchased medications and its impact on
medication mistakes and hospitalizations. … https://psnet.ahrq.gov/issue/source-purchased-medications-and-its-impact-medication-mistakes-and-
hospitalizations … Older adults, especially those taking multiple medications, are at increased risk for medication self … Respondents receiving
medications via both mail-order and pick up were more likely to report hospitalizations
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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
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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
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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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psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
June 23, 2021 - Study
Seniors managing multiple medications: using mixed methods to view the home … Seniors managing multiple medications: using mixed methods to view the home care safety lens. … Seniors managing multiple medications: using mixed methods to view the home care safety lens. … August 10, 2022
Evaluation of older persons' medications: a critical incident technique … May 10, 2023
Potentially inappropriate medications according to STOPP-J criteria and
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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.
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psnet.ahrq.gov/node/60306/psn-pdf
May 06, 2020 - Medication errors from over-the-counter cough and cold
medications in children. … Medication errors from over-the-counter cough and cold
medications in children. … https://psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
Using … expert panel evaluated and assigned causal relationships
between AEs and active ingredients in the medications … https://psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
https
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psnet.ahrq.gov/node/50741/psn-pdf
December 18, 2019 - Potentially inappropriate medications according to
STOPP-J criteria and risks of hospitalization and … Potentially inappropriate medications according to STOPP-J
criteria and risks of hospitalization and … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks … -
hospitalization
Various tools for identifying potentially inappropriate medications (PIMs) have been … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-according-stopp-j-criteria-and-risks-hospitalization
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psnet.ahrq.gov/web-mm/pill-organizing-plight
June 19, 2018 - During the home visit, the resident reviewed the patient's medications in detail. … This includes prescription and nonprescription medications as well as supplements. … reduce confusion about which medications to take when. … Choosing Wisely: pharmacy's role in effective use of medications. … Yes/No Is the patient on more than 5 medications?
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psnet.ahrq.gov/issue/ismp-survey-provides-insights-preparation-and-admixture-practices-outside-pharmacy
December 02, 2020 - This article summarizes the results of a national survey on preparation of sterile, injectable medications … February 12, 2020
IV push medications survey results—part 1 and part 2. … May 12, 2021
Safety with nebulized medications requires an interdisciplinary team approach … June 24, 2020
Preventing errors with high-risk medications.
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psnet.ahrq.gov/issue/potentially-harmful-medication-dispenses-after-fall-or-hip-fracture-mixed-methods-study
May 05, 2021 - There were 113,809 patients with a first time fall; 35.4% had high-risk medications dispensed after … inconsistent assessment, and documentation of falls made it challenging to consider falls when prescribing medications … Author(s)
Patient and physician perspectives of deprescribing potentially inappropriate medications … 2023
Patient and physician perspectives of deprescribing potentially inappropriate medications … October 1, 2008
Adherence to black box warnings for prescription medications in
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psnet.ahrq.gov/issue/impact-computerized-physician-order-entry-alerts-prescribing-older-patients
September 23, 2020 - Older patients are particularly vulnerable to medication errors , with certain high-risk medications … warnings within a computerized provider order entry (CPOE) system targeting prescribing of unsafe medications … The warnings resulted in a significant decrease in prescribing of two of the three medications targeted … The authors note that there were readily available, safer alternatives for those medications, but not … Also, prescription rates of all three medications were unchanged in younger patients, indicating that
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psnet.ahrq.gov/node/47767/psn-pdf
June 12, 2019 - Gaps in ambulatory patient safety for immunosuppressive
specialty medications. … Gaps in Ambulatory Patient Safety for Immunosuppressive
Specialty Medications. … https://psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications … tuberculosis and hepatitis B and
C was consistently performed prior to initiating immunosuppressive medications … https://psnet.ahrq.gov/issue/gaps-ambulatory-patient-safety-immunosuppressive-specialty-medications
https
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psnet.ahrq.gov/node/73631/psn-pdf
August 25, 2021 - Patient harm from cardiovascular medications. … Patient harm from cardiovascular medications. … https://psnet.ahrq.gov/issue/patient-harm-cardiovascular-medications
Adverse drug events are a common … This
narrative review of 75 studies concluded that cardiovascular medications are a leading cause of … Medications to treat high
blood pressure and arrhythmias were the most common cause of medication harm
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psnet.ahrq.gov/node/74129/psn-pdf
January 01, 2022 - Factors influencing providers' willingness to deprescribe
medications. … Factors influencing providers' willingness to deprescribe
medications. … https://psnet.ahrq.gov/issue/factors-influencing-providers-willingness-deprescribe-medications
Deprescribing … While most providers reported having patients taking potentially
inappropriate or unnecessary medications … https://psnet.ahrq.gov/issue/factors-influencing-providers-willingness-deprescribe-medications
https:
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psnet.ahrq.gov/node/854384/psn-pdf
January 01, 2024 - Look-alike medications in the perioperative setting:
scoping review of medication incidents and risk … Look-alike medications in the perioperative setting: scoping review of
medication incidents and risk … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication- … incidents-and-risk
Look-alike medications can cause confusion and contribute to medication administration … https://psnet.ahrq.gov/issue/look-alike-medications-perioperative-setting-scoping-review-medication-incidents-and-risk
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psnet.ahrq.gov/node/46054/psn-pdf
January 01, 2021 - Misuse of pediatric medications and parent–physician
communication: an interactive voice response
intervention … Misuse of Pediatric Medications and Parent-Physician
Communication: An Interactive Voice Response Intervention … https://psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive … The intervention increased medication communication but did not make parents more likely to bring
medications … https://psnet.ahrq.gov/issue/misuse-pediatric-medications-and-parent-physician-communication-interactive-voice-response
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psnet.ahrq.gov/node/46239/psn-pdf
January 01, 2021 - Identifying high-alert medications in a university hospital
by applying data from the medication error … Identifying High-alert Medications in a University Hospital by
Applying Data From the Medication Error … https://psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication … -
error
Commonly used lists of high-risk medications, such as the Beers criteria, have important limitations … https://psnet.ahrq.gov/issue/identifying-high-alert-medications-university-hospital-applying-data-medication-error