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psnet.ahrq.gov/node/61100/psn-pdf
November 04, 2020 - Patient errors in use of injectable antidiabetic
medications: a need for improved clinic-based education … Patient errors in use of injectable antidiabetic medications: a need for
improved clinic-based education … https://psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic … four
cases highlighting the importance of providing appropriate education on injectable antidiabetic medications … https://psnet.ahrq.gov/issue/patient-errors-use-injectable-antidiabetic-medications-need-improved-clinic-based-education
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psnet.ahrq.gov/node/836776/psn-pdf
March 23, 2022 - Potentially inappropriate medications and their effect on
falls during hospital admission. … Potentially inappropriate medications and their effect on
falls during hospital admission. … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital … This study assessed the impact of potentially inappropriate medications
(PIM) on falls in older adults … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-and-their-effect-falls-during-hospital-admission
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psnet.ahrq.gov/node/73863/psn-pdf
September 22, 2021 - Electronic health record interoperability-why
electronically discontinued medications are still
dispensed … Electronic health record interoperability-why electronically
discontinued medications are still dispensed … ://psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-
medications-are … https://psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are … https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/837770/psn-pdf
August 03, 2022 - Impact of an electronic health record alert on
inappropriate prescribing of high-risk medications to … Impact of an electronic health record alert on inappropriate prescribing
of high-risk medications to … ://psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-
medications … This article describes the
effectiveness of one hospital’s clinical decision support for high-risk medications … https://psnet.ahrq.gov/issue/impact-electronic-health-record-alert-inappropriate-prescribing-high-risk-medications
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psnet.ahrq.gov/node/73353/psn-pdf
June 02, 2021 - issue/enhancing-high-alert-medication-knowledge-among-pharmacy-nursing-and-
medical-staff
High-alert medications … nurses, and physicians found that less than half expressed confidence in their knowledge of high-alert
medications … 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 … https://psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
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psnet.ahrq.gov/node/60848/psn-pdf
January 01, 2022 - Adverse events related to accidental unintentional
ingestions from cough and cold medications in children … Adverse events related to accidental unintentional ingestions
from cough and cold medications in children … ://psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-
medications … https://psnet.ahrq.gov/issue/adverse-events-related-accidental-unintentional-ingestions-cough-and-cold-medications … https://psnet.ahrq.gov/issue/medication-errors-over-counter-cough-and-cold-medications-children
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psnet.ahrq.gov/issue/circumstances-involved-unsupervised-solid-dose-medication-exposures-among-young-children
February 23, 2018 - Parents are advised to keep medications inaccessible to young children to avoid accidental ingestions … Incidents were equally divided among calls involving prescription-only medications, over-the-counter … unsupervised medication exposures in young children are just as often the result of adults removing medications … October 27, 2021
Using a spare medication vial to store multiple medications: a potentially … June 27, 2018
Misuse of pediatric medications and parent–physician communication: an
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psnet.ahrq.gov/issue/medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
March 05, 2008 - The Beers criteria define certain classes of medications (such as long-acting sedatives and anticholinergics … However, many elderly patients require medications that are risky but potentially beneficial if used … of emergency department (ED) visits found that nearly 50% of ED visits due to ADEs were related to medications … The authors argue that focusing on improving prescribing safety for these necessary but higher-risk medications … the large burden of ADEs in the elderly to a greater extent than focusing on use of Beers criteria medications
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psnet.ahrq.gov/node/867444/psn-pdf
January 08, 2025 - Medication errors and error chains involving high-alert
medications in a paediatric hospital setting … Medication errors and error chains involving high-alert medications
in a paediatric hospital setting … https://psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric … https://psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital … https://psnet.ahrq.gov/issue/medication-errors-and-error-chains-involving-high-alert-medications-paediatric-hospital
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psnet.ahrq.gov/primer/deprescribing-patient-safety-strategy
December 15, 2024 - Background
Polypharmacy is defined as the act of taking five or more medications on a regular basis … compared to patients taking fewer than five medications. 2 Additionally, polypharmacy contributes … is 31% higher than among patients taking fewer medications. 3
Many risk factors that contribute … Create a priority list of medications that should be deprescribed before others. … Deprescribing unnecessary medications: a four-part process. Fam Pract Manag . 2018;25(3):28-32.
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psnet.ahrq.gov/node/838138/psn-pdf
September 21, 2022 - Impact of medication reviews on potentially inappropriate
medications and associated costs among older … Impact of medication reviews on potentially inappropriate
medications and associated costs among older … https://psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-
associated-costs-among … Potentially inappropriate medications (PIMs) are common among older adults living in residential care … https://psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-associated-costs-among
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psnet.ahrq.gov/node/44598/psn-pdf
January 22, 2016 - Alternative medications for medications in the Use of
High-Risk Medications in the Elderly and Potentially … Alternative Medications for Medications in the Use of High-Risk
Medications in the Elderly and Potentially … https://psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and … https://psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful … https://psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful
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psnet.ahrq.gov/node/866692/psn-pdf
September 11, 2024 - Relationships between medications used in a mental
health hospital and types of medication errors: a … Relationships between medications used in a mental health hospital
and types of medication errors: a … https://psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types- … https://psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors … https://psnet.ahrq.gov/issue/relationships-between-medications-used-mental-health-hospital-and-types-medication-errors
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psnet.ahrq.gov/node/853621/psn-pdf
September 20, 2023 - The impact of
Potentially Inappropriate Medications Prescribing on
residents' emergency care use. … The impact of Potentially
Inappropriate Medications Prescribing on residents’ emergency care use. … https://psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-
medications-prescribing … https://psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing … https://psnet.ahrq.gov/issue/do-not-pimp-my-nursing-home-ride-impact-potentially-inappropriate-medications-prescribing
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psnet.ahrq.gov/node/60745/psn-pdf
October 01, 2020 - Multiple High-Risk Events Involving Workflow for Wasting
of Medications Used by Anesthesia
July 29, … Multiple High-Risk Events Involving Workflow for Wasting of Medications
Used by Anesthesia. … https://psnet.ahrq.gov/web-mm/multiple-high-risk-events-involving-workflow-wasting-medications-used- … , proper disposal of medications not only helps to close
the loop on the medication-use process, but … Organizations should ensure that staff
are provided with proper education on wasting of medications.
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psnet.ahrq.gov/node/73214/psn-pdf
May 05, 2021 - Patient and physician perspectives of deprescribing
potentially inappropriate medications in older adults … Patient and physician perspectives of deprescribing potentially
inappropriate medications in older adults … //psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-
medications-older … Older adults taking potentially inappropriate medications (PIMs) are at increased risk of adverse events … https://psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
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psnet.ahrq.gov/node/855438/psn-pdf
November 15, 2023 - Intravenous (IV) push medications – bridging the gap
between education and clinical practice. … https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical … https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice … https://psnet.ahrq.gov/issue/intravenous-iv-push-medications-bridging-gap-between-education-and-clinical-practice … psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
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psnet.ahrq.gov/node/48090/psn-pdf
August 28, 2019 - Preventing errors with high-risk medications.
August 28, 2019
Wiley F. Drug Topics. … https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
High-alert medications have the … https://psnet.ahrq.gov/issue/preventing-errors-high-risk-medications
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/issue/medication-reconciliation-hospital-discharge-evaluating-discrepancies
July 08, 2008 - medication reconciliation consisted of either incomplete prescriptions or unintentionally omitted medications … December 22, 2010
Unintentional discontinuation of chronic medications for seniors in … 2008
Association of ICU or hospital admission with unintentional discontinuation of medications … December 22, 2010
Results of the Medications At Transitions and Clinical Handoffs (MATCH … March 18, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/node/852275/psn-pdf
January 01, 2024 - Improving emergency medicine clinician awareness of
prehospital-administered medications. … Improving emergency medicine clinician awareness of prehospital-
administered medications. … ://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-
medications … https://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications … https://psnet.ahrq.gov/issue/improving-emergency-medicine-clinician-awareness-prehospital-administered-medications