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psnet.ahrq.gov/node/35899/psn-pdf
January 02, 2017 - Labeling solutions and medications in sterile procedural
settings.
January 2, 2017
Sheridan DJ. … Labeling solutions and medications in sterile procedural settings. … https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
In response … https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
https://psnet.ahrq.gov
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psnet.ahrq.gov/node/42567/psn-pdf
September 11, 2013 - discharged from the medical service at a teaching hospital found that,
on average, patients had two new medications … started at discharge, and among their chronic medications
had one discontinued and one dosage changed … However, 3 days after discharge, patients had reverted to
taking their chronic medications as previously … prescribed and had discontinued taking a significant
proportion of new medications.
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psnet.ahrq.gov/node/61061/psn-pdf
October 28, 2020 - psnet.ahrq.gov/issue/safer-prescribing-hospitalized-older-adults-electronic-health-records-based-
prescribing
Medications … potentially inappropriate medication doses in
hospitalized elderly adults (age 75 and above) prescribed medications … Among commonly ordered medications (such as antipsychotics, opioid- and non-opioid pain
relievers, sleep
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psnet.ahrq.gov/node/48186/psn-pdf
August 28, 2019 - Inappropriate prescribing
was detected in 59% of patients and potentially inappropriate medications … The use of
inappropriate medications was associated with an increased odds of an adverse drug event. … inappropriate-prescribing-defined-stopp-and-start-criteria-and-its-association-adverse-drug
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
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psnet.ahrq.gov/node/50886/psn-pdf
February 12, 2020 - The authors identified the most common medications described in free text (insulin,
antibiotics, paracetamol … and morphine) and presented the most common free text terms associated with
these medications. … indicate that checking patient allergies and medication doses, especially for
intravenous and transdermal medications
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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.
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psnet.ahrq.gov/node/42724/psn-pdf
December 06, 2013 - events after hospital discharge in older
adults: types, severity, and involvement of Beers criteria
medications … events after hospital discharge in older adults:
types, severity, and involvement of Beers Criteria Medications … As in prior studies, frequent adverse drug
events were found involving a wide range of medications, … not limited to potentially inappropriate
medications as defined by Beers criteria.
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psnet.ahrq.gov/web-mm/multifactorial-medication-mishap
September 01, 2016 - High-alert medications, such as concentrated oxycodone, should have additional safeguards that guide … If medications are restricted to certain patient populations, that restriction should be reflected in … Drug Standardization, Storage, and Distribution
The manner in which the medications were stored and … and the purpose of their medications and by explaining the safeguards that are being used to ensure … , nonformulary medications, high-alert medications, and error prevention
Patient education
•
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psnet.ahrq.gov/node/44768/psn-pdf
February 03, 2016 - recommendations-and-low-technology-safety-solutions-following-
neuromuscular-blocking-agent
Administration errors involving high-alert medications … storage, and packaging
methods, and implemented guidelines to reduce risk of errors involving such medications … interventions-reduce-nurses-medication-administration-errors-inpatient-settings-systematic
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings … https://psnet.ahrq.gov/primer/root-cause-analysis
https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
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psnet.ahrq.gov/node/39192/psn-pdf
February 02, 2011 - problems are vulnerable to experiencing medication errors, as they are
commonly prescribed high-risk medications … ) (for
example, angioplasty) found that 22.3% were administered either enoxaparin or eptifibatide, medications … This risk was borne out in the
study, as patients who received the contraindicated medications did in … errors in this study argues for education and use of
forcing functions to prevent misuse of these medications
-
psnet.ahrq.gov/node/49631/psn-pdf
July 01, 2011 - Patient Safety and Adherence to Self-Administered
Medications
July 1, 2011
Spall H, Van-Spall C, Nieuwlaat … Patient Safety and Adherence to Self-Administered Medications.
PSNet [internet]. 2011. … However, one month earlier, he ran out of his medications for
toxoplasmosis. … He continued the anti-
retroviral HIV medications for which he had refills. … During the past
week, did you miss any of your medications?"
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.158_slideshow.ppt
September 01, 2007 - The admitting note listed current medications as “See her list.” … Reconciling Medications: Recommended Practices. … Reconciling Medications: Recommended Practices. … Reconciling Medications: Recommended Practices. … Reconciling Medications: Recommended Practices.
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psnet.ahrq.gov/node/836716/psn-pdf
March 09, 2022 - There were 113,809 patients with a first time fall; 35.4% had high-risk medications
dispensed after … inconsistent assessment, and documentation of falls made it challenging to consider falls when prescribing
medications … https://psnet.ahrq.gov/issue/patient-and-physician-perspectives-deprescribing-potentially-inappropriate-medications-older
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psnet.ahrq.gov/node/72693/psn-pdf
January 29, 2021 - Double checking medications may however not necessarily result in a reduction of medication
administration … improved clinical and educational outcomes in anesthesia.9
Minimizing distractions when drawing up medications … It is very important that health care providers minimize distractions when drawing up medications when … Drawing up medications and
labelling syringes needs to be a conscious process that requires the full … Smaller ampules for more concentrated medications
Concentrated solutions of drugs should be provided
-
psnet.ahrq.gov/node/35790/psn-pdf
March 22, 2006 - Look-alike, sound-alike oncology medications.
March 22, 2006
Schulmeister L. … https://psnet.ahrq.gov/issue/look-alike-sound-alike-oncology-medications
The author explains how similar … https://psnet.ahrq.gov/issue/look-alike-sound-alike-oncology-medications
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psnet.ahrq.gov/node/37541/psn-pdf
February 13, 2008 - Keeping track of aging patients’ medications.
February 13, 2008
Cooney E. Telegram & Gazette. … https://psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
This article discusses an AHRQ-funded … https://psnet.ahrq.gov/issue/keeping-track-aging-patients-medications
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psnet.ahrq.gov/node/49839/psn-pdf
August 01, 2018 - 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.
-
psnet.ahrq.gov/node/37374/psn-pdf
May 02, 2018 - Errors with injectable medications: unlabeled syringes
are surprisingly common! … https://psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common … https://psnet.ahrq.gov/issue/errors-injectable-medications-unlabeled-syringes-are-surprisingly-common
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psnet.ahrq.gov/node/41732/psn-pdf
October 03, 2012 - double-checking has been a previously
recommended strategy and has become standard policy for high-risk medications … https://psnet.ahrq.gov/issue/paediatric-nurses-understanding-process-and-procedure-double-checking-medications … https://psnet.ahrq.gov/issue/preventing-harm-high-alert-medications
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
-
psnet.ahrq.gov/node/35295/psn-pdf
July 24, 2008 - psnet.ahrq.gov/issue/buying-wrong-medicine-overseas
This article reports that in other countries, some medications … medications but contain completely different ingredients, often for treatment of different conditions … To
avoid mix-ups, the article cautions against purchasing prescription medications abroad.