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  1. Psn-Pdf (pdf file)

    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
  2. Psn-Pdf (pdf file)

    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
  3. Psn-Pdf (pdf file)

    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
  4. Psn-Pdf (pdf file)

    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
  5. Psn-Pdf (pdf file)

    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
  6. Psn-Pdf (pdf file)

    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
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37417/psn-pdf
    March 28, 2012 - demonstrated a reduction in adverse drug events (ADEs) with an intervention targeting prescribing of these medications … However, many elderly patients require medications that are risky but potentially beneficial if used … of emergency department (ED) visits found that nearly 50% of ED visits due to ADEs were related to medications … The authors argue that focusing on improving prescribing safety for these necessary but higher-risk medications … the large burden of ADEs in the elderly to a greater extent than focusing on use of Beers criteria medications
  8. Psn-Pdf (pdf file)

    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
  9. Psn-Pdf (pdf file)

    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
  10. Psn-Pdf (pdf file)

    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
  11. Psn-Pdf (pdf file)

    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
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47456/psn-pdf
    April 30, 2019 - issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices https://psnet.ahrq.gov/issue/iv-push-medications-survey-results-part … medication-errors-involving-intravenous-administration-route-characteristics-voluntarily https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications … https://psnet.ahrq.gov/issue/guidelines-adult-iv-push-medications
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48074/psn-pdf
    August 14, 2019 - Identifying potential prescribing safety indicators related to mental health disorders and medications … Identifying potential prescribing safety indicators related to mental health disorders and medications … systematic review described and categorized patient safety indicators for prescribing psychiatric medications
  14. Spotlight (pdf file)

    psnet.ahrq.gov/sites/default/files/2021-05/final_psnet_spotlight_inadvertent_bolus_of_norepinephrine_pp.pdf
    January 01, 2021 - Administer high-alert medications as primary infusions 6. … 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.
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/867443/psn-pdf
    January 08, 2025 - investigating-impact-pharmacist-intervention-inappropriate-prescribing- practices-hospital Potentially inappropriate medications … investigating-impact-pharmacist-intervention-inappropriate-prescribing-practices-hospital https://psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions … https://psnet.ahrq.gov/issue/association-between-potentially-inappropriate-medications-prescription-and-health-related
  16. Psn-Pdf (pdf file)

    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
  17. Psn-Pdf (pdf file)

    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
  18. Psn-Pdf (pdf file)

    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
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/865663/psn-pdf
    April 24, 2024 - medication-management-strategies-community-dwelling-older-adults-multisite- qualitative There are available guidelines for older adults on how to take their medications … This study asked 28 community-dwelling older adults taking five or more medications how they manage … medication-management-strategies-community-dwelling-older-adults-multisite-qualitative https://psnet.ahrq.gov/issue/seniors-managing-multiple-medications-using-mixed-methods-view-home-care-safety-lens
  20. psnet.ahrq.gov/issue/ismps-safe-medicine
    January 26, 2023 - November 16, 2022 ISMP Survey on High-Alert Medications in Acute Care Settings. … September 25, 2019 Using a spare medication vial to store multiple medications: a potentially … March 6, 2019 Visual acuity, literacy, and unintentional misuse of nonprescription medications … 2011 Prevent medication errors: a New Year's resolution: teaching patients about their medications

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