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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38689/psn-pdf
    June 10, 2009 - Omitted and unjustified medications in the discharge summary. … Omitted and unjustified medications in the discharge summary. … https://psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary This study discovered … that drug omissions and unjustified medications listed in discharge summaries occur frequently and … https://psnet.ahrq.gov/issue/omitted-and-unjustified-medications-discharge-summary https://psnet.ahrq.gov
  2. Psn-Pdf (pdf file)

    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,
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39431/psn-pdf
    April 07, 2010 - Identified safety risks with splitting and crushing oral medications. April 7, 2010 Paparella S. … Identified safety risks with splitting and crushing oral medications. … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications In the … context of emergency care nursing, this piece explains the risks associated with crushing or splitting medications … https://psnet.ahrq.gov/issue/identified-safety-risks-splitting-and-crushing-oral-medications https://
  4. 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
  5. Psn-Pdf (pdf file)

    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.
  6. psnet.ahrq.gov/issue/adverse-drug-events-resulting-patient-errors-older-adults
    March 11, 2011 - adverse drug events (ADEs) that were attributable to errors elderly patients made in handling their medications … The classes of medications most frequently associated with errors (hypoglycemics, anticoagulants, and … cardiovascular medications) were similar to those found in prior research . … pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications … 11, 2009 View More Related Resources ISMP List of High-Alert Medications
  7. psnet.ahrq.gov/issue/adverse-drug-events-us-adult-ambulatory-medical-care
    June 21, 2010 - million ambulatory visits occur yearly due to ADEs, with older patients and patients who take more than 6 medications … patients suffer preventable ADEs in the outpatient setting; these were often linked to known high-risk medications … Citation Related Resources From the Same Author(s) Prescription of teratogenic medications … View More Related Resources Preventing errors with high-risk medications … August 27, 2008 Adherence to black box warnings for prescription medications in outpatients
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/38161/psn-pdf
    October 22, 2008 - Discrepancies between home medications listed at hospital admission and reported medical conditions. … Discrepancies between home medications listed at hospital admission and reported medical conditions. … https://psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and- reported-medical … https://psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical … https://psnet.ahrq.gov/issue/discrepancies-between-home-medications-listed-hospital-admission-and-reported-medical
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36610/psn-pdf
    January 14, 2011 - Prevent medication errors: a New Year's resolution: teaching patients about their medications. … Prevent medication errors: A New Year's resolution: teaching patients about their medications. … psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their- medications … //psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications … //psnet.ahrq.gov/issue/prevent-medication-errors-new-years-resolution-teaching-patients-about-their-medications
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40285/psn-pdf
    March 09, 2011 - ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications … March 9, 2011 ASHP statement on bar-code verification during inventory, preparation, and dispensing of medications … psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and- dispensing-medications … psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications … psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/40569/psn-pdf
    June 29, 2011 - Inappropriate medications in elderly ICU survivors: where to intervene? … Inappropriate medications in elderly ICU survivors: where to intervene? … https://psnet.ahrq.gov/issue/inappropriate-medications-elderly-icu-survivors-where-intervene This research … https://psnet.ahrq.gov/issue/inappropriate-medications-elderly-icu-survivors-where-intervene https:// … psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/39556/psn-pdf
    May 26, 2010 - Adherence to a medication safety protocol: current practice for labeling medications and solutions on … Adherence to a medication safety protocol: current practice for labeling medications and solutions on … https://psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications … https://psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions … https://psnet.ahrq.gov/issue/adherence-medication-safety-protocol-current-practice-labeling-medications-and-solutions
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37482/psn-pdf
    January 23, 2008 - Frequency of risk factors that potentially increase harm from medications in older adults receiving … https://psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults … - receiving-primary This study surveyed elderly patients and discovered that the number of medications … https://psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary … https://psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-receiving-primary
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41797/psn-pdf
    August 20, 2018 - Risk models to improve safety of dispensing high-alert medications in community pharmacies. … Risk models to improve safety of dispensing high-alert medications in community pharmacies. … https://psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community- … https://psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies … https://psnet.ahrq.gov/issue/risk-models-improve-safety-dispensing-high-alert-medications-community-pharmacies
  15. psnet.ahrq.gov/web-mm/mixup-beyond-medication-label
    June 01, 2014 - The family returned with 12 different medications, none of which were labeled as an oral hypoglycemic … When dispensing medications, best practices in the community pharmacy involve accurate data entry, drug … High-risk medications prone to ADEs include antidiabetic medications such as sulfonylureas (including … ISMP List of High-Alert Medications in Community/Ambulatory Healthcare. … Risk models to improve safety of dispensing high-alert medications in community pharmacies.
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43234/psn-pdf
    June 04, 2014 - Independent double-checks for high-alert medications: essential practice. … Independent double-checks for high-alert medications: essential practice. … https://psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice Discussing … https://psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice https … double-checking-administration-medicines-what-evidence-systematic-review https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41273/psn-pdf
    June 01, 2012 - Minimizing inappropriate medications in older populations: a ten-step conceptual framework. … Minimizing inappropriate medications in older populations: a 10-step conceptual framework. … https://psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual … https://psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework … https://psnet.ahrq.gov/issue/minimizing-inappropriate-medications-older-populations-ten-step-conceptual-framework
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45831/psn-pdf
    January 25, 2017 - Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a … Incident and long-term opioid therapy among patients with psychiatric conditions and medications: a … psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions- and-medications … Opioid medications are associated with an increased risk of adverse drug events, including overdose … psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications
  19. Psn-Pdf (pdf file)

    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 … LASA medications are those that, either spoken or written, may be potentially result in harmful errors … as of 2019.2  LASA medications account for almost 30% of dispensing errors and name confusion is a … Other medications, including prochlorperazine, gabapentin and baclofen, are sometimes used off label … Guide on Handling Look Alike Sound Alike Medications. WHO.   2.
  20. Psn-Pdf (pdf file)

    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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