-
psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - Had the cardiologist assumed that the other physicians and nurses had accurately entered the
medications … the patient is taking, how medications
are being taken, and any associated problems or adverse reactions … Reconcile, amend, or update these medications along with any changes pertinent to the episode of
care … One
promising solution is a user-friendly kiosk that patients can use to reconcile medications before … Reconciling medications at admission: safe practice
recommendations and implementation strategies.
-
psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - High-risk medications, such as insulin or heparin, are commonly prescribed using protocols or order sets … Examples of medications not requiring pharmacy individualization might
include inexpensive drugs with … Medications with wide therapeutic indices and low toxicity profiles are particularly good candidates … Patient dose individualization is a safe and effective method for delivering medications to patients. … Careful nurse review of all medications to ensure the 5 Rights is essential.
-
psnet.ahrq.gov/node/49728/psn-pdf
March 01, 2015 - Of note, he had missed taking several days of
his regular medications. … After starting a nitroglycerin drip, it was decided his outpatient medications should be re-started … One of his antihypertensive medications was minoxidil, and his outpatient dose of 7.5 mg per
day was … Hospitals should utilize this
information, in combination with internal data, to identify medications … the list with the dispensed
medications.
-
psnet.ahrq.gov/web-mm/40-k
January 12, 2011 - No Pharmacist Order Review and Uncontrolled Automatic Dispensing Cabinet Medications Pharmacist review … Automatic dispensing devices (ADDs) ( Figure 1, Figure 2), in which medications may be accessible … and procedures should exist regarding when medications can be accessed. … When medications must be obtained from an ADD and administered prior to pharmacist review, the order … Automated Dispensing Device With Individually Locked Cubicles to Control Access to Medications.
-
psnet.ahrq.gov/node/35978/psn-pdf
May 27, 2011 - that the use of alerts within an electronic medical record system can
reduce the number of unsafe medications … at the point of computerized provider order entry
(CPOE), targeting two classes of contraindicated medications … discuss the rapid, significant, and persistent reductions in
medication prescribing of these high-risk medications
-
psnet.ahrq.gov/node/45959/psn-pdf
June 29, 2017 - impact-opioid-safety-initiative-opioid-related-prescribing-veterans
Opioids are known to be high-risk medications … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
-
psnet.ahrq.gov/node/43583/psn-pdf
October 08, 2014 - emergency-hospitalizations-unsupervised-prescription-medication-ingestions-
young-children
Accidental ingestions of prescription medications … These findings suggest that strategies to
specifically target a select group of high-risk medications … vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
-
psnet.ahrq.gov/node/45780/psn-pdf
March 15, 2017 - practices for safe opioid use, including
prescription of smaller quantities and secure storage of medications … overdose-risk-young-children-women-prescribed-opioids
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications … national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012
https://psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
-
psnet.ahrq.gov/node/46820/psn-pdf
August 20, 2018 - found increased subsequent misuse of opioids among patients
who received larger quantities of opioid medications … following surgery compared to those who received
fewer opioid medications. … postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
-
psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - His medications included phenytoin 300 mg once a day,
phenobarbital 30 mg three times a day, risedronate … Over the past 13 years, many new antiseizure medications have been introduced. … In general, the newer medications appear to be equally effective in suppressing seizures as
standard … Antiseizure medications are not easy to use. … , pain medications, and anticoagulants.
-
psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - These medications are both used as urinary alkalinizing agents for the prevention of urinary
stones. … This case raises four questions: How did the “sound-alike” proprietary names of these two medications … What systems are available to the nurse
and others who administer medications to recognize acceptable … Importantly, to avoid
any mistakes, bulk containers of medications (eg, larger bottles of liquid or … oral medications) should never
be dispensed for individual patient use.
-
psnet.ahrq.gov/node/47173/psn-pdf
June 06, 2018 - has
risen significantly over the past two decades, accompanied by an increase in patients receiving
medications … Although medications for
ADHD are generally considered safe—and the vast majority of patients in this … care for
their exposure—this study provides an important estimate of the risks associated with these medications
-
psnet.ahrq.gov/node/46454/psn-pdf
August 20, 2018 - first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
Morbidity and mortality from opioid medications … improved access to opioid prescription and dispensing data and more
stringent regulation of opioid medications … first-do-no-harm-marshaling-clinician-leadership-counter-opioid-epidemic
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
-
psnet.ahrq.gov/node/37112/psn-pdf
May 26, 2011 - errors target prescribing
safety (e.g., computerized provider order entry) or safety in administering medications … yet few systems "close the loop" by integrating safety measures for prescribing and administering
medications … one caveat is that the system was not used for high-risk
drugs such as anticoagulants or intravenous medications
-
psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - Case Objectives Appreciate the challenges of safe use of antiepileptic medications. … Over the past 13 years, many new antiseizure medications have been introduced. … In general, the newer medications appear to be equally effective in suppressing seizures as standard … Antiseizure medications are not easy to use. … , pain medications, and anticoagulants.
-
psnet.ahrq.gov/node/33633/psn-pdf
May 01, 2006 - Use sample medications with care, if at all. … Pharmacists serve as an important safety check when
prescribing medications, often catching interactions … Maintain accurate and usable medication lists and reconcile medications regularly. … When encouraged and trained by staff and physicians to double-check their medications each time
they … Discrepancies in the use of medications: their extent and
predictors in an outpatient practice.
-
psnet.ahrq.gov/node/49755/psn-pdf
February 01, 2016 - That night, the patient was given her home medications at the prescribed doses: zolpidem 10 mg at 22: … Then, at the time of admission, she received additional doses of both medications. … As patients age, the pharmacokinetics of many medications change due to slower
metabolism and decreased … Since many medications are excreted by the kidneys, patients with renal dysfunction are at even
higher … Guided prescription of psychotropic
medications for geriatric inpatients.
-
psnet.ahrq.gov/node/49581/psn-pdf
March 21, 2009 - The
medications were administered by the night-shift nurse when they arrived on the unit at 6:00 AM, … in
accordance with a new policy that specified that all newly ordered medications be administered to … The nurse assigned to this patient for the day shift also administered the two medications at 9:00 AM … When the day-shift nurse
documented his administration of the two medications, he realized that the … same medications had been
administered 3 hours earlier.
-
psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
December 04, 2016 - connectors/IV extension sets are used to simultaneously deliver IV medications. … High-alert medications: safeguarding against errors. Medication Errors. 2nd ed. … ISMP list of high-alert medications in acute care settings. October 2018. … Implementation of standardized dosing units for iv medications. … Safe Practice Guidelines for Adult IV Push Medications.
-
psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - to
include a prescribed medication) were the most common, and a significant proportion of omitted
medications … A medication error caused in part by a discrepancy between
patient-reported medications and the medical … using-consumer-based-kiosk-technology-improve-and-standardize-medication-reconciliation
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings