-
psnet.ahrq.gov/node/46717/psn-pdf
April 16, 2018 - More patients were prescribed nonopioid
pain medications after guideline implementation than before. … These promising results suggest a path
toward reducing the use of these high-risk medications. … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
-
psnet.ahrq.gov/web-mm/duplicate-insulin-order
May 04, 2012 - in order sets; activating alerts on targeted and high-risk medications; and allowing the pharmacy to … censor alerts on certain medications. … are available in ED automated dispensing cabinets (ADCs) to reduce time to retrieve medications, ensure … Ensuring the ADC is set up to profile patient medications and that nonemergent medications are not available … ISMP's list of high-alert medications in acute care settings.
-
psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - These medications are both used as urinary alkalinizing agents for the prevention of urinary stones. … This case raises four questions: How did the “sound-alike” proprietary names of these two medications … What systems are available to the nurse and others who administer medications to recognize acceptable … Most likely, the similar sounding names of the two medications (Bi citra and Poly citra ) caused the … medications) should never be dispensed for individual patient use.
-
psnet.ahrq.gov/issue/nurses-and-nursing-assistants-perceptions-patient-safety-culture-nursing-homes
December 15, 2011 - December 15, 2011
Does incorporating medications in the surveyors' interpretive guidelines … reduce the use of potentially inappropriate medications in nursing homes? … February 18, 2011
Alternatives to potentially inappropriate medications for use in e-prescribing … 25, 2011
Interprofessional and intraprofessional communication about older people's medications … September 28, 2016
Family involvement in managing medications of older patients across
-
psnet.ahrq.gov/node/47600/psn-pdf
December 03, 2018 - Intervention patients received a brochure about potentially inappropriate medications. … Discontinuation of
potentially harmful medications increased among older adults compared to usual pharmacy … effect-pharmacist-led-educational-intervention-inappropriate-medication-prescriptions-older
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
-
psnet.ahrq.gov/node/44765/psn-pdf
November 23, 2016 - communication-relating-family-members-involvement-and-understandings-
about-patients
Polypharmacy, or taking multiple medications … family members participated in medication management for hospitalized patients taking five
or more medications … engage in discussions with family
members as they can know important information regarding patients' medications
-
psnet.ahrq.gov/node/46051/psn-pdf
April 12, 2017 - psnet.ahrq.gov/issue/automated-detection-look-alikesound-alike-medication-errors
Look-alike and sound-alike medications … This retrospective study
found that look-alike and sound-alike medications can be identified in an automated … fashion by comparing
a medication and its known look-alike and sound-alike medications to diagnostic
-
psnet.ahrq.gov/node/47174/psn-pdf
June 13, 2018 - critical-drug
Drug shortages can necessitate hospitals to find alternative sources for important medications … with potassium chloride use due to variations in labeling, packaging,
or concentration of outsourced medications … psnet.ahrq.gov/issue/ashp-statement-bar-code-verification-during-inventory-preparation-and-dispensing-medications
-
psnet.ahrq.gov/node/37178/psn-pdf
October 06, 2011 - errors among elderly patients, and are
frequently due to inappropriate prescribing of known high-risk medications … researchers conducted a randomized trial of
computerized alerts to pharmacists when potentially dangerous medications … resulted in a statistically significant reduction in dispensing of the targeted potentially
dangerous medications
-
psnet.ahrq.gov/node/45895/psn-pdf
February 22, 2017 - opioids-pain-management-older-adults-strategies-safe-prescribing
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications … quantifying-burden-opioid-medication-errors-adult-oncology-and-palliative-care-settings
https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing … https://psnet.ahrq.gov/issue/high-risk-medications-hospitalized-elderly-adults-are-we-making-it-easy-do-wrong-thing
-
psnet.ahrq.gov/node/43822/psn-pdf
July 01, 2016 - develop a medication safety package
for decreasing inpatient harm from omission of time-
critical medications … to develop a medication safety package for
decreasing inpatient harm from omission of time-critical medications … multicentre-study-develop-medication-safety-package-decreasing-inpatient-
harm-omission-time
Omitted or delayed dosing of medications
-
psnet.ahrq.gov/node/46184/psn-pdf
January 01, 2018 - prospective-risk-assessment-informal-carers-medication-administration-errors-
within
Informal caregivers can make errors in administering medications … multiple vulnerabilities, including incorrect dosing, storage, timing, and failure to
discontinue medications … The authors note an overall lack of support and communication for
caregiver-administered medications
-
psnet.ahrq.gov/node/45389/psn-pdf
September 27, 2016 - common, and those living in nursing homes may be at
particularly high risk for receiving inappropriate medications … systematic review found that almost half
of nursing home residents are exposed to potentially inappropriate medications … emergency-hospitalizations-adverse-drug-events-older-americans
https://psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
-
psnet.ahrq.gov/node/45482/psn-pdf
September 14, 2016 - Older patients are particularly vulnerable to medication errors, as they are often prescribed multiple
medications … This news article reports on complexities associated with managing
medications in older patients, including … A recent WebM&M commentary discussed strategies to safely manage medications in older patients
and highlighted
-
psnet.ahrq.gov/node/46153/psn-pdf
May 31, 2017 - review examined the incidence of adverse symptoms arising from self-administration of over-
the-counter medications … and formerly prescribed medications among older adults. … The literature suggests
that self-administration of medications is common and often leads to adverse
-
psnet.ahrq.gov/node/43702/psn-pdf
May 07, 2018 - proper labeling as a National Patient Safety Goal in 2006, the problem of
unlabeled solutions and medications … using tall
man lettering to differentiate look-alike drug names, and limiting access to solutions and medications … strengthen-your-resolve-no-unlabeled-containers-anywhere-ever
https://psnet.ahrq.gov/issue/labeling-solutions-and-medications-sterile-procedural-settings
-
psnet.ahrq.gov/issue/2017-ismp-medication-safety-self-assessmentr-antithrombotic-therapy-hospitals
June 07, 2017 - October 25, 2017
ISMP Medication Safety Self Assessment for High-Alert Medications. … December 15, 2021
ISMP's List of High-Alert Medications in Acute Care Settings. … 14, 2024
View More
Related Resources
ISMP Survey on High-Alert Medications … June 16, 2019
ISMP Medication Safety Self Assessment for High-Alert Medications.
-
psnet.ahrq.gov/node/49614/psn-pdf
November 01, 2010 - Had the cardiologist assumed that the other physicians and nurses had accurately entered the
medications … the patient is taking, how medications
are being taken, and any associated problems or adverse reactions … Reconcile, amend, or update these medications along with any changes pertinent to the episode of
care … One
promising solution is a user-friendly kiosk that patients can use to reconcile medications before … Reconciling medications at admission: safe practice
recommendations and implementation strategies.
-
psnet.ahrq.gov/node/49616/psn-pdf
December 01, 2010 - High-risk medications, such as insulin or heparin, are commonly prescribed using protocols or order sets … Examples of medications not requiring pharmacy individualization might
include inexpensive drugs with … Medications with wide therapeutic indices and low toxicity profiles are particularly good candidates … Patient dose individualization is a safe and effective method for delivering medications to patients. … Careful nurse review of all medications to ensure the 5 Rights is essential.
-
psnet.ahrq.gov/node/46044/psn-pdf
December 21, 2017 - psnet.ahrq.gov/issue/addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
Opioid medications … are a known safety hazard, and overdoses of opioid medications are considered an
epidemic in the United … addressing-opioid-epidemic-united-states-lessons-department-veterans-affairs
https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications