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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36700/psn-pdf
    July 20, 2011 - adverse drug events (ADEs) that were attributable to errors elderly patients made in handling their medications … The classes of medications most frequently associated with errors (hypoglycemics, anticoagulants, and … cardiovascular medications) were similar to those found in prior research.
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49728/psn-pdf
    March 01, 2015 - Of note, he had missed taking several days of his regular medications. … After starting a nitroglycerin drip, it was decided his outpatient medications should be re-started … One of his antihypertensive medications was minoxidil, and his outpatient dose of 7.5 mg per day was … Hospitals should utilize this information, in combination with internal data, to identify medications … the list with the dispensed medications.
  3. psnet.ahrq.gov/web-mm/40-k
    January 12, 2011 - No Pharmacist Order Review and Uncontrolled Automatic Dispensing Cabinet Medications Pharmacist review … Automatic dispensing devices (ADDs) ( Figure 1, Figure 2), in which medications may be accessible … and procedures should exist regarding when medications can be accessed. … When medications must be obtained from an ADD and administered prior to pharmacist review, the order … Automated Dispensing Device With Individually Locked Cubicles to Control Access to Medications.
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47598/psn-pdf
    November 28, 2018 - medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications … Medical Record Accuracy, and Medication Blood Concentrations for Prescription and Over-the-Counter Medications … Mass spectrometry testing revealed discrepancies between medications listed as prescribed in the electronic
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42322/psn-pdf
    June 05, 2013 - delivery-optimized-inpatient-anticoagulation-therapy-consensus-statement- anticoagulation Anticoagulant medications … are considered among the highest-risk medications in common use, due to the potential for serious bleeding … setting, as well as for minimizing adverse events after hospital discharge in patients receiving these medications
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49534/psn-pdf
    May 01, 2007 - His medications included phenytoin 300 mg once a day, phenobarbital 30 mg three times a day, risedronate … Over the past 13 years, many new antiseizure medications have been introduced. … In general, the newer medications appear to be equally effective in suppressing seizures as standard … Antiseizure medications are not easy to use. … , pain medications, and anticoagulants.
  7. psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
    April 01, 2006 - Case Objectives Appreciate the challenges of safe use of antiepileptic medications. … Over the past 13 years, many new antiseizure medications have been introduced. … In general, the newer medications appear to be equally effective in suppressing seizures as standard … Antiseizure medications are not easy to use. … , pain medications, and anticoagulants.
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49511/psn-pdf
    May 01, 2006 - 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 … Importantly, to avoid any mistakes, bulk containers of medications (eg, larger bottles of liquid or … oral medications) should never be dispensed for individual patient use.
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49581/psn-pdf
    March 21, 2009 - The medications were administered by the night-shift nurse when they arrived on the unit at 6:00 AM, … in accordance with a new policy that specified that all newly ordered medications be administered to … The nurse assigned to this patient for the day shift also administered the two medications at 9:00 AM … When the day-shift nurse documented his administration of the two medications, he realized that the … same medications had been administered 3 hours earlier.
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/33633/psn-pdf
    May 01, 2006 - Use sample medications with care, if at all. … Pharmacists serve as an important safety check when prescribing medications, often catching interactions … Maintain accurate and usable medication lists and reconcile medications regularly. … When encouraged and trained by staff and physicians to double-check their medications each time they … Discrepancies in the use of medications: their extent and predictors in an outpatient practice.
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/49755/psn-pdf
    February 01, 2016 - That night, the patient was given her home medications at the prescribed doses: zolpidem 10 mg at 22: … Then, at the time of admission, she received additional doses of both medications. … As patients age, the pharmacokinetics of many medications change due to slower metabolism and decreased … Since many medications are excreted by the kidneys, patients with renal dysfunction are at even higher … Guided prescription of psychotropic medications for geriatric inpatients.
  12. psnet.ahrq.gov/web-mm/inadvertent-bolus-norepinephrine
    December 04, 2016 - connectors/IV extension sets are used to simultaneously deliver IV medications. … 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.
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45959/psn-pdf
    June 29, 2017 - impact-opioid-safety-initiative-opioid-related-prescribing-veterans Opioids are known to be high-risk medications … cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016 https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43583/psn-pdf
    October 08, 2014 - emergency-hospitalizations-unsupervised-prescription-medication-ingestions- young-children Accidental ingestions of prescription medications … These findings suggest that strategies to specifically target a select group of high-risk medications … vital-signs-overdoses-prescription-opioid-pain-relievers-united-states-1999-2008 https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45780/psn-pdf
    March 15, 2017 - practices for safe opioid use, including prescription of smaller quantities and secure storage of medications … overdose-risk-young-children-women-prescribed-opioids https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications … national-trends-hospitalizations-opioid-poisonings-among-children-and-adolescents-1997-2012 https://psnet.ahrq.gov/issue/medication-sharing-storage-and-disposal-practices-opioid-medications-among-us-adults
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46820/psn-pdf
    August 20, 2018 - found increased subsequent misuse of opioids among patients who received larger quantities of opioid medications … following surgery compared to those who received fewer opioid medications. … postsurgical-prescriptions-opioid-naive-patients-and-association-overdose-and-misuse https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35978/psn-pdf
    May 27, 2011 - that the use of alerts within an electronic medical record system can reduce the number of unsafe medications … at the point of computerized provider order entry (CPOE), targeting two classes of contraindicated medications … discuss the rapid, significant, and persistent reductions in medication prescribing of these high-risk medications
  18. psnet.ahrq.gov/web-mm/impact-communication-medication-errors
    August 01, 2009 - and a decrease in volume of distribution of hydrophilic medications. … . 5 In addition to prescription use, many geriatric patients use over-the-counter (OTC) medications … By completing a thorough medication reconciliation with emphasis on high-risk medications during each … Administering medications at consistent times and providing the exact amount required for each dose may … December 18, 2013 What medications does your patient take?
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37112/psn-pdf
    May 26, 2011 - errors target prescribing safety (e.g., computerized provider order entry) or safety in administering medications … yet few systems "close the loop" by integrating safety measures for prescribing and administering medications … one caveat is that the system was not used for high-risk drugs such as anticoagulants or intravenous medications
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47173/psn-pdf
    June 06, 2018 - has risen significantly over the past two decades, accompanied by an increase in patients receiving medications … Although medications for ADHD are generally considered safe—and the vast majority of patients in this … care for their exposure—this study provides an important estimate of the risks associated with these medications

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