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psnet.ahrq.gov/node/43170/psn-pdf
December 12, 2014 - medication-incidents
This retrospective chart review sought to identify medication errors related to high-alert medications … High-alert medications include opioids, insulin, chemotherapeutic agents, parenteral
electrolytes, and … from one hospital ward to another, indicating that
handoffs may play a role in safe use of high-risk medications … primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/node/46856/psn-pdf
June 20, 2018 - Visual acuity, literacy, and unintentional misuse of
nonprescription medications. … Visual acuity, literacy, and unintentional misuse of nonprescription
medications. … https://psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications … https://psnet.ahrq.gov/issue/visual-acuity-literacy-and-unintentional-misuse-nonprescription-medications
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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.
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psnet.ahrq.gov/web-mm/hospital-admission-due-high-dose-methotrexate-drug-interaction
October 01, 2003 - In one study, a pharmacist intervention to review medications with patients at discharge and screen for … Many also take over-the-counter medications and often complementary or alternative agents as well, and … Take-Home Points A detailed medication history with reconciliation of newly prescribed medications … It is crucial to consider drug–drug interactions when prescribing commonly used medications to patients … June 8, 2016
Adherence to black box warnings for prescription medications in outpatients
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psnet.ahrq.gov/node/49518/psn-pdf
August 01, 2006 - The patient admitted not taking his medications or checking his blood sugars regularly. … at
home, ambulatory practices also provide and administer medications in the office. … enter a code to
retrieve the medications. … Insulin holds a special place in the pantheon of high-risk medications. … Take-Home Points
Clinicians administer a wide range of medications in ambulatory care.
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psnet.ahrq.gov/node/36479/psn-pdf
February 06, 2008 - February 6, 2008
Mitchell JF; Institute for Safe Medications Practices; ISMP. … https://psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
To ensure that certain medications … are used safely, this updated list includes oral medications that should
not be crushed and specifies
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psnet.ahrq.gov/node/49743/psn-pdf
September 01, 2015 - These visits
presented opportunities for his PCP to reconcile his medications. … When reviewing medications with a patient,
evaluating each medication individually is more valuable … than generally asking, "Are you taking your
medications?" … or "Are there any changes in your medications?" … or risky medications.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.314_slideshow.ppt
February 01, 2014 - operation by reverting back to a safe state if failure occurs)
Constraints (e.g., restrict access to medications … Prescribing of certain medications could be limited to specialized practitioners (e.g., a pain specialty … most ready-to-use form to minimize manipulation by nurse
Ideally, pharmacies should dispense liquid medications … dispensing practice that minimized manipulation
Need for staff education and guidance on high-risk medications … strategies to implement, focus on those that do not rely on human vigilance or memory
Whenever new medications
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psnet.ahrq.gov/node/40074/psn-pdf
July 03, 2014 - Evaluation of consistency in dosing directions and
measuring devices for pediatric nonprescription liquid
medications … Evaluation of consistency in dosing directions and measuring devices for
pediatric nonprescription liquid medications … Administration (FDA) released a voluntary set of
recommendations around the safety of over-the-counter (OTC) medications … of inconsistent dosing directions and measuring devices among 200 top-
selling pediatric liquid OTC medications
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psnet.ahrq.gov/node/42577/psn-pdf
December 31, 2014 - possible medication
history—the gold standard list of a patient's prescription and over-the-counter medications … Quebec, compared the medication history obtained
by ED staff with the gold standard list of dispensed medications … These
errors of omission occurred most frequently for medications that were prescribed episodically … (i.e.,
antibiotics) or on an as-needed basis (i.e., pain medications).
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psnet.ahrq.gov/node/42295/psn-pdf
May 29, 2013 - medication-reconciliation-meets-its-match
This newsletter article describes the development of the Medications … https://psnet.ahrq.gov/issue/medication-reconciliation-meets-its-match
https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication-reconciliation
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psnet.ahrq.gov/node/49611/psn-pdf
October 01, 2010 - Specifically, a primary care physician prescribed psychiatric medications for a patient with depression … In general, it takes 10 to 14 days to notice any effect from
antidepressant medications, and up to 6 … Understand the Complex Effect Profiles of Psychoactive Medications
Last, primary care physicians may … , both the patient population and the
medications can be complex, and errors do occur. … It can take substantial time for antidepressant medications to take effect; therefore, these patients
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psnet.ahrq.gov/node/47312/psn-pdf
October 13, 2018 - to patients with cancer or patients receiving palliative care) called for initially using nonopioid
medications … approaches to chronic pain before using opioids, prescribing
immediate-release instead of long-acting medications … , and avoiding use of other sedating medications. … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
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psnet.ahrq.gov/web-mm/discharge-fumbles
September 09, 2009 - 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?
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psnet.ahrq.gov/node/46746/psn-pdf
March 07, 2018 - Safety with nebulized medications requires an
interdisciplinary team approach. … https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
Myriad … https://psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
https
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psnet.ahrq.gov/node/44990/psn-pdf
July 11, 2017 - automatic-errors-case-series-errors-inherent-electronic-prescribing
Inadvertent dispensing of discontinued medications … automatic-errors-case-series-errors-inherent-electronic-prescribing
https://psnet.ahrq.gov/issue/pharmacy-dispensing-electronically-discontinued-medications … https://psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
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psnet.ahrq.gov/node/49710/psn-pdf
May 01, 2014 - Discontinued Medications: Are They Really
Discontinued?
May 1, 2014
Mankey CG, Varkey P. … Discontinued Medications: Are They Really Discontinued? PSNet [internet]. 2014. … https://psnet.ahrq.gov/web-mm/discontinued-medications-are-they-really-discontinued
The Case
A 69-year-old … Consequently, automatic refills of discontinued medications may
still occur. … Pharmacy dispensing of electronically discontinued medications. Ann Intern Med.
2012;157:700-705.
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psnet.ahrq.gov/web-mm/its-all-syringe
February 01, 2013 - The patient admitted not taking his medications or checking his blood sugars regularly. … at home, ambulatory practices also provide and administer medications in the office. … enter a code to retrieve the medications. … Insulin holds a special place in the pantheon of high-risk medications. … Take-Home Points Clinicians administer a wide range of medications in ambulatory care.
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psnet.ahrq.gov/node/46292/psn-pdf
August 02, 2017 - https://psnet.ahrq.gov/issue/clinical-alerts-decrease-high-risk-medication-use-older-adults
High-alert medications … This commentary discusses how
alerting systems can improve prescribing of high-alert medications and … clinical-alerts-decrease-high-risk-medication-use-older-adults
https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
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psnet.ahrq.gov/node/40456/psn-pdf
May 18, 2011 - homebound-older-adults
This study found that most homebound older adults were taking over-the-counter medications … (75%),
dietary supplements (42%), and using potentially inappropriate medications (25%). … As most of these
medications are not covered by Medicare, other strategies may be needed to ensure safe