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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/41606/psn-pdf
February 01, 2019 - https://psnet.ahrq.gov/issue/safe-use-opioids-hospitals
Opioid pain medications are considered high-risk … medications due to the potential for respiratory
depression and other adverse effects. … Because these medications are frequently used to treat acute pain in
the hospital, opioids account for … /psnet.ahrq.gov/issue/safe-use-opioids-hospitals
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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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/node/49583/psn-pdf
April 01, 2009 - medications. … Errors aren't necessarily more common with high-alert medications, but the consequences of
error are … The Institute for Safe Medicine Practices (ISMP) has classified 19
medications or medication classes … Specific processes for high-alert, high-risk medications, such as process double-check protocols,
can … ISMP's List of High-Alert Medications.
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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
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psnet.ahrq.gov/web-mm/double-trouble
August 01, 2012 - Although most medication errors do not result in injury, the extensive use of medications by the geriatric … Medication reconciliation is a “process of identifying the most accurate list of all medications a patient … Providers should review all new medications with patients and family members, with specific emphasis … A new tool for identifying discrepancies in postacute medications for community-dwelling older adults … How to Take Your Medications Safely. Institute for Safe Medication Practices Web site.
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psnet.ahrq.gov/node/49685/psn-pdf
May 01, 2013 - He receives all his oral medications dispensed in
weekly blister packs from his local pharmacy; however … At his usual visit to his local pharmacy to obtain his oral medications, his pharmacist dispensed not … only the
usual oral medications but also the risperidone depot injection kit. … One study found that 67% of
patients obtained medications from one pharmacy, 29% from two, and 4% from … In most instances, medications managed by specialty pharmacies are associated with high cost or with
-
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
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psnet.ahrq.gov/node/49489/psn-pdf
September 01, 2005 - Although most medication errors do not result in injury, the extensive use of medications by the geriatric … Medication reconciliation is a “process of identifying the
most accurate list of all medications a patient … Providers should review all new medications with patients
and family members, with specific emphasis … A new tool for identifying discrepancies in postacute medications for
community-dwelling older adults … How to Take Your Medications Safely. Institute for Safe Medication Practices Web site.
-
psnet.ahrq.gov/node/46074/psn-pdf
December 22, 2017 - and-multi
This prospective, direct-observation study examined medication administration accuracy of medications … When medications were dispensed from original
packaging, the medication administration error rate was … psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications … psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications
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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/49470/psn-pdf
December 01, 2004 - Upon discharge,
an order was written to "discharge on current medications." … Review of her discharge
medications revealed an inadvertent addition of Amaryl (glimepiride, a medication … On first glance, being prescribed 12 medications appears
extraordinary; however, this is not terribly … In addition to the number of medications, the
type of drug is also important. … Has a provider reviewed your medications with you?
-
psnet.ahrq.gov/web-mm/eptifibatide-epilogue
March 04, 2011 - medications. … Errors aren't necessarily more common with high-alert medications, but the consequences of error are … The Institute for Safe Medicine Practices (ISMP) has classified 19 medications or medication classes … Specific processes for high-alert, high-risk medications, such as process double-check protocols, can … ISMP's List of High-Alert Medications. [Available at] 15. Mansur JM, ed.
-
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/sites/default/files/import/webmm.ahrq.gov.84_slideshow.ppt
December 01, 2004 - Upon discharge, an order was written to “discharge on current medications.” … Review of her discharge medications revealed an inadvertent addition of Amaryl (glimepiride, a medication … at discharge
Non-linear risk
Risk stable until medications exceed 12, then increases exponentially … Has a provider reviewed your medications with you? … Safety Checklist for Provider
Discharge medications
Review with the patient
Highlight changes from
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - His medications included phenytoin 300 mg once a day, phenobarbital 30 mg three times a day, residronate … are the primary mode of epilepsy treatment
Medications successfully control seizures in approximately … medications are commonly used in the US
Choice of agent dictated by
Epilepsy syndrome
Drug-drug … Newer Antiseizure Medications
Oxcarbazepine, Lamotrigine, Topiramate, Levetiracetam
Mostly approved … Challenges in Safe Use of Antiseizure Medications
7th most common ADR in study of 1 million hospitalized
-
psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - In one study, a pharmacist intervention to review medications with
patients at discharge and screen … Many also
take over-the-counter medications and often complementary or alternative agents as well, and … Moreover, methotrexate
toxicity can occur with several common over-the-counter medications, such as … occur at
every inpatient and outpatient visit and must include not only daily prescription medications … but also
ongoing treatments, over-the-counter medications, herbal supplements, and complementary,
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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/45714/psn-pdf
December 20, 2017 - Among patients age 65 or
older, anticoagulants, diabetes medications, and opioids were most commonly … Medications considered inappropriate for older adults according to Beers criteria were
involved in less … preventing ADEs requires attention to older
adults and to antibiotic, anticoagulant, diabetes, and opioid medications … medication-use-leading-emergency-department-visits-adverse-drug-events-older-adults
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events