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psnet.ahrq.gov/issue/pictograms-units-and-dosing-tools-and-parent-medication-errors-randomized-study
December 14, 2016 - Inaccurate dosing of liquid medications for pediatric patients is known to contribute to medication … demonstrating the need for literacy-friendly medication instructions, especially for dosing of liquid medications … Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications … September 21, 2017
Misuse of pediatric medications and parent–physician communication … November 21, 2016
Family-initiated dialogue about medications during family-centered
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psnet.ahrq.gov/issue/do-you-hear-what-i-hear-communication-practices-about-medications-between-physicians-and
August 02, 2016 - Communication practices about medications between physicians and clients with chronic illness in Canada … Communication practices about medications between physicians and clients with chronic illness in Canada … Communication practices about medications between physicians and clients with chronic illness in Canada … June 25, 2014
Patients taking their own medications while in the hospital. … June 20, 2012
What medications does your patient take?
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psnet.ahrq.gov/issue/preventing-errors-when-preparing-and-administering-medications-enteral-feeding-tubes
November 30, 2016 - Newspaper/Magazine Article
Preventing errors when preparing and administering medications … Citation Text:
Preventing errors when preparing and administering medications via enteral feeding tubes … Cite
Citation
Citation Text:
Preventing errors when preparing and administering medications … May 18, 2022
IV push medications survey results—part 1 and part 2. … September 23, 2020
IV push medications survey results—part 1 and part 2.
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psnet.ahrq.gov/node/857260/psn-pdf
November 30, 2023 - He was told only to hold it on the day of the procedure, and to resume all
medications after discharge … His pre-procedure medication instructions were to stop all medications the night prior to the procedure … However, these medications can have adverse events, including genitourinary
infections and eDKA.4,5 … , allergies, and any previous adverse reactions to medications (or
withdrawal of medications). … Medication Reconciliation:
Obtain a detailed and accurate list of the patient's current medications,
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psnet.ahrq.gov/node/47863/psn-pdf
May 22, 2019 - /issue/dangers-ignoring-beers-criteria-prescribing-cascade
https://psnet.ahrq.gov/issue/alternative-medications-medications-use-high-risk-medications-elderly-and-potentially-harmful … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/49770/psn-pdf
September 01, 2016 - harm when used in error, some medications are riskier than
others. … These are known as high-alert medications. … medications is the first step to preventing harm, developing robust
safeguards for their use is even … , 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/node/49556/psn-pdf
March 01, 2008 - Reporting
agencies have been able to identify the most common culprit medications. … Providers should be
aware that when medications are discontinued in the acute care setting, the medications … These
summaries could include both active and recently discontinued medications. … In addition, orders to "resume all pre-op medications" or "continue all prior medications"
should be … patients with instructions for when medications should be restarted.
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psnet.ahrq.gov/primer/medication-reconciliation
March 15, 2025 - Background Patients often receive new medications or have changes made to their existing medications … result, the new medication regimen prescribed at the time of discharge may inadvertently omit needed medications … Accomplishing Medication Reconciliation The evidence supporting patient benefits from reconciling medications … This National Patient Safety Goal requires that organizations “obtain information on the medications … Patients taking high-risk medications such as insulin or anticoagulants may also benefit.
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psnet.ahrq.gov/node/38305/psn-pdf
January 15, 2009 - High-alert medications in the pediatric intensive care unit. … High-alert medications in the pediatric intensive care unit. … https://psnet.ahrq.gov/issue/high-alert-medications-pediatric-intensive-care-unit
Clinician surveys … The surveys identified several medications not included on
the Institute for Safe Medication Practices … /issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/web-mm/polypharmacy
March 01, 2007 - He receives all his oral medications dispensed in weekly blister packs from his local pharmacy; however … At his usual visit to his local pharmacy to obtain his oral medications, his pharmacist dispensed not … only the usual oral medications but also the risperidone depot injection kit. … One study found that 67% of patients obtained medications from one pharmacy, 29% from two, and 4% from … In most instances, medications managed by specialty pharmacies are associated with high cost or with
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psnet.ahrq.gov/node/61079/psn-pdf
October 28, 2020 - The medication was discontinued as a result of altered
mental status possibly secondary to medications … This is a prime example of how look-alike sound-alike (LASA) medications can
lead to prescribing errors … LASA medications are those that, either spoken or written, may be
potentially result in harmful errors … Other medications, including prochlorperazine, gabapentin and baclofen, are sometimes used
off label … Guide on Handling Look Alike Sound
Alike Medications. WHO.
2.
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psnet.ahrq.gov/node/39185/psn-pdf
January 06, 2010 - Use of colour-coded labels for intravenous high-risk
medications and lines to improve patient safety … Use of colour-coded labels for intravenous high-risk medications and lines
to improve patient safety … https://psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve … -
patient-safety
Specific labels for high-risk intravenous medications successfully reduced medication … errors and allowed
nurses to identify medications more efficiently.
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psnet.ahrq.gov/node/50865/psn-pdf
February 05, 2020 - of VIONE: a clinical program to improve
patient safety by deprescribing potentially inappropriate
medications … of VIONE: a clinical program to improve patient safety by deprescribing potentially
inappropriate medications … After three-years of
implementation, an average of 2.15 medications were deprescribed per patient, with … the most common
being antihypertensives, over-the-counter medicines and antidiabetic medications.
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psnet.ahrq.gov/node/61093/psn-pdf
November 04, 2020 - prospective drug utilization review
program to improve prescribing safety of potentially
inappropriate medications … prospective drug utilization review program to
improve prescribing safety of potentially inappropriate medications … experiencing adverse drug events and recent efforts have focused on
avoiding prescribing high-risk medications … potentially-inappropriate-prescribing-among-older-persons-meta-analysis-observational-studies
https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
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psnet.ahrq.gov/web-mm/dual-therapy-debacle
February 01, 2007 - These visits presented opportunities for his PCP to reconcile his medications. … Reconciliation of medications at every office visit (regardless of provider) should prompt a reminder … generally asking, "Are you taking your medications?" … or "Are there any changes in your medications?" … or risky medications.
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psnet.ahrq.gov/node/39740/psn-pdf
August 11, 2010 - Development and pilot testing of guidelines to monitor
high-risk medications in the ambulatory setting … Development and pilot testing of guidelines to monitor high-risk
medications in the ambulatory setting … https://psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications- … revealed that the developed guidelines were not being
consistently followed, with infrequently prescribed medications … https://psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
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psnet.ahrq.gov/node/45739/psn-pdf
July 02, 2017 - High-risk medications in hospitalized elderly adults: are
we making it easy to do the wrong thing? … High-Risk Medications in Hospitalized Elderly Adults: Are
We Making It Easy to Do the Wrong Thing? … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do … Although limited
evidence supports fall prevention strategies, the use of certain high-risk medications … Furthermore, administered
doses and default doses of the high-risk medications listed in the hospital's
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psnet.ahrq.gov/node/46097/psn-pdf
August 09, 2017 - Administering and monitoring high-alert medications in
acute care.
August 9, 2017
Cajanding JMR. … Administering and monitoring high-alert medications in acute care. … https://psnet.ahrq.gov/issue/administering-and-monitoring-high-alert-medications-acute-care
High-alert … medications are a recognized focus of efforts to improve medication safety. … This commentary
discusses nursing practice associated with high-alert medications and reviews tactics
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psnet.ahrq.gov/node/35130/psn-pdf
March 11, 2011 - A trial of automated decision support alerts for
contraindicated medications using computerized
physician … A trial of automated decision support alerts for contraindicated
medications using computerized physician … https://psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using … Results indicated a nearly 50%
decrease in administration of contraindicated medications and that receptivity … https://psnet.ahrq.gov/issue/trial-automated-decision-support-alerts-contraindicated-medications-using-computerized
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psnet.ahrq.gov/node/44869/psn-pdf
November 18, 2016 - Fake and expired medications in simulation-based
education: an underappreciated risk to patient safety … Fake and expired medications in simulation-based education: an
underappreciated risk to patient safety … https://psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated … This commentary describes how these fake medications
can introduce risks when they are accidentally … https://psnet.ahrq.gov/issue/fake-and-expired-medications-simulation-based-education-underappreciated-risk-patient-safety