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psnet.ahrq.gov/web-mm/hold-order
December 19, 2018 - 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/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
December 19, 2016 - Counseling patients on their medications at the point of sale can improve the reliability of outpatient … January 16, 2019
Oral medications inadvertently given via the intravenous route. … June 10, 2018
Results of ISMP survey on high-alert medications: differences between nursing … August 12, 2015
Prescriber barriers and enablers to minimising potentially inappropriate medications
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psnet.ahrq.gov/issue/medication-therapy-management-programs-forming-new-cornerstone-quality-and-safety-medicare
January 06, 2017 - The authors describe medication management programs, which help Medicare participants use their medications … April 8, 2020
Using a spare medication vial to store multiple medications: a potentially … September 4, 2018
Visual acuity, literacy, and unintentional misuse of nonprescription medications … 2012
Prevent medication errors: a New Year's resolution: teaching patients about their medications
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psnet.ahrq.gov/issue/group-urges-going-metric-head-dosing-mistakes
December 19, 2017 - Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. … Many adults do not understand instructions for common liquid prescription medications, potentially increasing … Adherence to Label and Device Recommendations for Over-the-Counter Pediatric Liquid Medications. … US emergency department visits for acute harms from over-the-counter cough and cold medications
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psnet.ahrq.gov/node/74022/psn-pdf
March 01, 2021 - systems, Federally Qualified Health Centers, primary care clinics, compounding pharmacies that
prepare medications … Factors not directly related to medications are considered, including how the workflow,
technologies … Prior to the dispensing process, the
community pharmacist provides a clinical review of prescribed medications … , and more, while also considering that medications may have been ordered by multiple
prescribers.4,5 … In addition, medications that may have been appropriate
during the inpatient stay, but inappropriate
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psnet.ahrq.gov/node/41071/psn-pdf
February 01, 2013 - Prescription and transcription errors in multidose-
dispensed medications on discharge from hospital … Prescription and transcription errors in multidose-dispensed
medications on discharge from hospital: … https://psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications- … Medication reconciliation revealed a high rate of prescribing and transcribing errors in the discharge
medications … https://psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks. … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This … magazine article reports on high-alert medications, their potential to result in patient harm, and efforts … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
https … ://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/
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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - (errors of omission), and taking nonrecorded medications (errors of commission). … What changes you will make to your blood pressure medications?” … , they can also clarify their most current medications and medication changes. … In Case 1, using teach-back to assess and improve the patient’s understanding of his medications could … , or flags in the record to indicate that discharge medications have already been sent.
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psnet.ahrq.gov/node/41008/psn-pdf
December 27, 2014 - Medications at Transitions and Clinical Handoffs (MATCH)
Toolkit for Medication Reconciliation. … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication- … reconciliation
Based on lessons learned from facilities that have implemented the Medications at Transitions … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
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psnet.ahrq.gov/node/36469/psn-pdf
September 27, 2010 - Evaluating sample medications in primary care: a
practice-based research network study. … Evaluating sample medications in primary care: a practice-
based research network study. … https://psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network … -
study
This survey of primary care practices found that, while sample medications were dispensed at … https://psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
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psnet.ahrq.gov/node/44058/psn-pdf
July 03, 2016 - Metric units and the preferred dosing of orally
administered liquid medications. … July 3, 2016
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542 … https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications … Accidental overdoses can occur when oral medications are given to children using teaspoons as
measurement … https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
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psnet.ahrq.gov/node/39014/psn-pdf
October 14, 2009 - Bringing patients' own medications into an emergency
department by ambulance: effect on prescribing … Bringing patients' own medications into an emergency department
by ambulance: effect on prescribing … https://psnet.ahrq.gov/issue/bringing-patients-own-medications-emergency-department-ambulance-effect- … prescribing-accuracy
Patients who had their own medications brought with them to the emergency department … https://psnet.ahrq.gov/issue/bringing-patients-own-medications-emergency-department-ambulance-effect-prescribing-accuracy
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psnet.ahrq.gov/node/60248/psn-pdf
April 22, 2020 - circumstances-involved-unsupervised-solid-dose-medication-exposures-
among-young-children
Parents are advised to keep medications … 5 years and younger) to identify the types of
containers from which young children accessed these medications … 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
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 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/866446/psn-pdf
August 07, 2024 - fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-
associated-compounded
Patient-administered medications … announcement raises awareness of the potential for dosing errors due to measurement mistakes of
injectable medications … fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
https://psnet.ahrq.gov/web-mm/patient-safety-and-adherence-self-administered-medications
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. … Patient Safety and Opioid Medications. PSNet [internet]. 2016. … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid … medications confer significant risks of harm, including overdose death and abuse potential. … Beginning in the 1990s, the use of opioid medications began to rise, for a number of reasons.
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication … Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis of Medication … https://psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis … -
medication
Discrepancies in patients' medications at the time of hospital admission are common. … list for newly admitted patients, identify discrepancies between
patients' medication lists and the medications
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psnet.ahrq.gov/web-mm/medication-handling-and-compounding-errors-operating-room
May 16, 2022 - As demonstrated in the case, the surgical setting requires use of medications that may not be readily … They assist the surgeon with procedural medications by assessing each surgeon’s preference card for the … Additional issues with preparing medications in the operating room include the frequent need to remove … The surgical team at this point should request any additional needed medications. … It is critical for patient safety to discuss medications with zero distractions and interruptions.
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psnet.ahrq.gov/node/846126/psn-pdf
March 09, 2023 - As demonstrated in the case, the surgical setting requires use of medications that may not be readily … They assist the surgeon with
procedural medications by assessing each surgeon’s preference card for … the planned surgery and
preparing the required medications if needed, either through reconstitution … The surgical team at this point should request any additional
needed medications. … It is critical for patient safety to discuss medications with zero distractions and
interruptions.
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psnet.ahrq.gov/node/38275/psn-pdf
December 10, 2008 - Quantification and classification of errors associated with
hand-repackaging of medications in long-term … Quantification and classification of errors associated with hand-
repackaging of medications in long-term … https://psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-
medications-long-term … are commonly used to help ensure medication adherence and avoid errors for patients
taking multiple medications … https://psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term