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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/node/33653/psn-pdf
June 01, 2007 - Moving upstream, one should ask why prescribers would be ordering commonly used medications by their … brand name when generic medications are supplied. … Similar labeling and packaging are a problem with many medications. … Unfortunately, because of the many
medications that are introduced each year (including the numerous … Did this ADC
use a matrix system that allows simultaneous access to several medications rather than
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psnet.ahrq.gov/node/37920/psn-pdf
May 24, 2015 - Functional health literacy and understanding of
medications at discharge. … Functional health literacy and understanding of medications at
discharge. … https://psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
This … following discharge from an inpatient medical service and discovered that the
majority were aware of new medications … https://psnet.ahrq.gov/issue/functional-health-literacy-and-understanding-medications-discharge
https
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psnet.ahrq.gov/node/41953/psn-pdf
June 19, 2013 - Potentially inappropriate medications in a large cohort of
patients in geriatric units: association … Potentially inappropriate medications in a large cohort of patients in
geriatric units: association … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association … https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-large-cohort-patients-geriatric-units-association
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psnet.ahrq.gov/node/45048/psn-pdf
April 13, 2016 - Do not let "Depo-" medications be a depot for mistakes. … https://psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
Confusion due to look-alike … and sound-alike medications are known to contribute to medication errors. … recommendations to reduce risks related to these drugs, including labeling clarifications, storing
medications … https://psnet.ahrq.gov/issue/do-not-let-depo-medications-be-depot-mistakes
https://psnet.ahrq.gov/issue
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psnet.ahrq.gov/node/41973/psn-pdf
January 30, 2013 - Implementation of a specialized pharmacy team to
monitor high-risk medications during discharge. … Implementation of a specialized pharmacy team to
monitor high-risk medications during discharge. … https://psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications- … https://psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge … https://psnet.ahrq.gov/issue/implementation-specialized-pharmacy-team-monitor-high-risk-medications-during-discharge
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psnet.ahrq.gov/node/39887/psn-pdf
September 29, 2010 - High-alert medications: shared accountability for risk
identification and error prevention. … High-alert medications: shared accountability for risk identification and error prevention. … https://psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error … https://psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention … https://psnet.ahrq.gov/issue/high-alert-medications-shared-accountability-risk-identification-and-error-prevention
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psnet.ahrq.gov/node/37947/psn-pdf
May 04, 2010 - Computerized physician order entry of medications and
clinical decision support can improve problem … Computerized physician order entry of medications and clinical decision
support can improve problem … https://psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support … https://psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve … https://psnet.ahrq.gov/issue/computerized-physician-order-entry-medications-and-clinical-decision-support-can-improve
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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/44927/psn-pdf
March 30, 2016 - psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
Opioid pain medications … events, the Centers for Disease Control and Prevention released new
guidelines for prescribing opioid medications … The authors recommend using opioids for
chronic pain only if nonopioid medications and nonpharmacologic … For acute pain, they
recommend limiting duration of therapy, stating that more than 1 week of medications … The guidelines also suggest minimizing concurrent use of opioids and other sedating medications
and
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psnet.ahrq.gov/node/43831/psn-pdf
January 21, 2015 - medications.
January 21, 2015
Jung B, Couldry R, Wilkinson S, et al. … Implementation of standardized dosing units for i.v. medications. … https://psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
This case study … academic
medical center revealed that multiple dosing units could be ordered for some intravenous medications … https://psnet.ahrq.gov/issue/implementation-standardized-dosing-units-iv-medications
https://psnet.ahrq.gov
-
psnet.ahrq.gov/node/35966/psn-pdf
January 02, 2017 - Assessing and monitoring override medications in
automated dispensing devices. … Assessing and monitoring override medications in automated
dispensing devices. … https://psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices … Investigators evaluated the types and frequencies of medications administered by override, used
an expert … https://psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
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psnet.ahrq.gov/node/43551/psn-pdf
January 22, 2016 - Barriers and enablers affecting patient engagement in
managing medications within specialty hospital … Barriers and enablers affecting patient engagement in managing
medications within specialty hospital … https://psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications- … https://psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty … https://psnet.ahrq.gov/issue/barriers-and-enablers-affecting-patient-engagement-managing-medications-within-specialty
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psnet.ahrq.gov/node/44172/psn-pdf
September 28, 2016 - https://psnet.ahrq.gov/issue/preventing-high-alert-medication-errors-hospital-patients
High-alert medications … This article focuses on four
primary types of high-alert medications—anticoagulants, sedatives, insulins … preventing-high-alert-medication-errors-hospital-patients
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings … /issue/safe-use-opioids-hospitals
https://psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice … https://psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
https
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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/43816/psn-pdf
November 21, 2016 - Family-initiated dialogue about medications during
family-centered rounds. … Family-initiated dialogue about medications during family-centered
rounds. … https://psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds … study found that more than half of parents of hospitalized children initiated
conversations about medications … https://psnet.ahrq.gov/issue/family-initiated-dialogue-about-medications-during-family-centered-rounds
-
psnet.ahrq.gov/node/40604/psn-pdf
December 30, 2014 - Errors in the administration of intravenous medications in
hospital and the role of correct procedures … Errors in the administration of intravenous medications in hospital
and the role of correct procedures … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct- … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse … https://psnet.ahrq.gov/issue/errors-administration-intravenous-medications-hospital-and-role-correct-procedures-and-nurse
-
psnet.ahrq.gov/node/46836/psn-pdf
February 21, 2018 - Drone delivery of medications: review of the landscape
and legal considerations. … Drone delivery of medications: Review of the landscape and legal
considerations. … https://psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
Errors … This commentary introduces use of drones as a
way to improve patient access to medications. … https://psnet.ahrq.gov/issue/drone-delivery-medications-review-landscape-and-legal-considerations
https
-
psnet.ahrq.gov/node/865656/psn-pdf
April 24, 2024 - in an
ADC drawer.6
Override List
ISMP recommends a list of override medications be defined by the … may result in patient harm
Medications for which immediate administration may be life sustaining
Medications … (i.e., medications with a heightened risk of harm if used in error)
Medications for which dosing is … Medications removed from an ADC on override can be linked to the prescriber-entered order, either by … Hence, emergency
medications are needed for various clinical reasons: to provide enhanced safety to
-
psnet.ahrq.gov/node/48098/psn-pdf
July 10, 2019 - A common
scenario is one in which a patient is prescribed multiple medications, does not know what each … Medications for symptoms like
pain, nausea, and anxiety were much more likely to have indications than … medications for chronic diseases. … Internal medicine physicians, whose patients are more likely to take multiple medications, wrote indications