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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - and closed-loop electronic medication management systems on work processes and safety of controlled medications … and closed-loop electronic medication management systems on work processes and safety of controlled medications … Overall, only 4 studies (out of 16) focused directly on controlled medications. … June 29, 2022
Impact of medication reviews on potentially inappropriate medications and … June 10, 2020
Misreading injectable medications—causes and solutions: an integrative
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psnet.ahrq.gov/issue/impact-medication-reviews-potentially-inappropriate-medications-and-associated-costs-among
April 07, 2021 - Study
Impact of medication reviews on potentially inappropriate medications and associated … Impact of medication reviews on potentially inappropriate medications and associated costs among older … Potentially inappropriate medications (PIMs) are common among older adults living in residential care … Impact of medication reviews on potentially inappropriate medications and associated costs among older … June 29, 2022
The source of purchased medications and its impact on medication mistakes
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psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
June 07, 2017 - Measurement Tool/Indicator
ISMP Medication Safety Self Assessment for High-Alert Medications … Citation Text:
ISMP Medication Safety Self Assessment for High-Alert Medications. … High-alert medications have the potential to cause substantial patient harm if administration mistakes … March 16, 2025
ISMP Survey on High-Alert Medications in Acute Care Settings. … May 11, 2017
Preventing harm from high-alert medications.
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psnet.ahrq.gov/issue/interruptions-during-delivery-high-risk-medications
September 26, 2016 - Study
Interruptions during the delivery of high-risk medications. … Interruptions during the delivery of high-risk medications. … Interruptions during the delivery of high-risk medications.
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psnet.ahrq.gov/issue/guided-prescription-psychotropic-medications-geriatric-inpatients
February 04, 2018 - Study
Guided prescription of psychotropic medications for geriatric inpatients. … Guided prescription of psychotropic medications for geriatric inpatients. … Guided prescription of psychotropic medications for geriatric inpatients. … View More
Related Resources
Alternatives to potentially inappropriate medications
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psnet.ahrq.gov/issue/omission-high-alert-medications-hidden-danger
January 11, 2017 - Newspaper/Magazine Article
Omission of high-alert medications: a hidden danger. … Citation Text:
Omission of high-alert medications: a hidden danger. Grissinger M, Alghamdi D. … Cite
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Omission of high-alert medications
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psnet.ahrq.gov/issue/misreading-injectable-medications-causes-and-solutions-integrative-literature-review
May 04, 2010 - Review
Misreading injectable medications—causes and solutions: an integrative literature … Misreading injectable medications—causes and solutions: an integrative literature review. … this integrative literature review, the authors discuss the evidence on how misreading injectable medications … can contribute to medication errors and whether interventions to increase the readability of these medications … Misreading injectable medications—causes and solutions: an integrative literature review.
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psnet.ahrq.gov/issue/safety-nebulized-medications-requires-interdisciplinary-team-approach
December 27, 2018 - Newspaper/Magazine Article
Safety with nebulized medications requires an interdisciplinary … Citation Text:
Safety with nebulized medications requires an interdisciplinary team approach. … URL
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Safety with nebulized medications … Copy Citation
Related Resources From the Same Author(s)
IV push medications
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psnet.ahrq.gov/issue/rfid-tags-reduce-restocking-errors-anesthesia-medications
August 07, 2019 - Newspaper/Magazine Article
RFID tags reduce restocking errors of anesthesia medications … Citation Text:
RFID tags reduce restocking errors of anesthesia medications. Banks MA. … Cite
Citation
Citation Text:
RFID tags reduce restocking errors of anesthesia medications … WebM&M Cases
Multiple High-Risk Events Involving Workflow for Wasting of Medications
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psnet.ahrq.gov/issue/less-more-project-reduce-number-pims-potentially-inappropriate-medications-elderly-care-ward
September 27, 2017 - Less is more: a project to reduce the number of PIMs (potentially inappropriate medications … Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly … prescribed in a unit, educate and raise awareness about the medications among health care workers, and … remove the medications from the ward. … August 15, 2013
Potentially inappropriate medications in a large cohort of patients in
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psnet.ahrq.gov/issue/infant-deaths-associated-cough-and-cold-medications-two-states-2005
February 27, 2019 - Government Resource
Infant deaths associated with cough and cold medications—two … Infant deaths associated with cough and cold medications--two states, 2005. … Centers for Disease Control and Prevention (CDC) investigated adverse events related to cough and cold medications … The investigation found three instances in which these medications were considered the underlying cause … Infant deaths associated with cough and cold medications--two states, 2005.
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psnet.ahrq.gov/issue/perception-medication-safety-related-behaviors-among-different-age-groups-web-based-cross
April 24, 2024 - importance and reasonableness of eight safety behaviors promoted by healthcare professionals: bringing medications … to office visits, confirming medications at home, managing medication refills , using patient portals … , organizing medications, checking medications, getting help, and knowing medications. … Confirming medications was rated as the most important behavior, and knowing medications was rated as
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psnet.ahrq.gov/issue/assessing-and-monitoring-override-medications-automated-dispensing-devices
May 06, 2009 - Study
Assessing and monitoring override medications in automated dispensing devices … Assessing and monitoring override medications in automated dispensing devices. … Investigators evaluated the types and frequencies of medications administered by override, used an expert … Assessing and monitoring override medications in automated dispensing devices. … May 6, 2009
Designing a strategy to promote safe, innovative off-label use of medications
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psnet.ahrq.gov/issue/understanding-principles-high-reliability-organizations-through-eyes-vione-clinical-program
November 15, 2023 - eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications … eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications … After three-years of implementation, an average of 2.15 medications were deprescribed per patient, … with the most common being antihypertensives, over-the-counter medicines and antidiabetic medications … eyes of VIONE: a clinical program to improve patient safety by deprescribing potentially inappropriate medications
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psnet.ahrq.gov/issue/handling-injectable-medications-anaesthesia-guidelines-association-anaesthetists
March 14, 2022 - Organizational Policy/Guidelines
Handling injectable medications in anaesthesia: … Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. … Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.
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psnet.ahrq.gov/issue/harm-prevalence-due-medication-errors-involving-high-alert-medications-systematic-review
June 19, 2024 - Study
Harm prevalence due to medication errors involving high-alert medications: … Harm prevalence due to medication errors involving high-alert medications: a systematic review. … review analyzed five studies discussing adverse events due to medical errors involving high-alert medications … Harm prevalence due to medication errors involving high-alert medications: a systematic review. … June 16, 2019
Results of ISMP survey on high-alert medications: differences between nursing
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psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
June 18, 2014 - Newspaper/Magazine Article
Some IV medications are diluted unnecessarily in patient … Citation Text:
Some IV medications are diluted unnecessarily in patient care areas, creating undue … This newsletter article reports results of a survey indicating when and why intravenous (IV) medications … Medications were frequently diluted, which may lead to mislabeled syringes, IV medication contamination … Copy URL
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Some IV medications
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psnet.ahrq.gov/issue/potentially-inappropriate-medications-defined-stopp-criteria-and-risk-adverse-drug-events
April 22, 2015 - Study
Classic
Potentially inappropriate medications defined … Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in … Many medications, particularly sedatives and other drugs with significant side effects, are considered … Patients who received medications considered inappropriate by STOPP had a nearly two-fold increased odds … Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in
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psnet.ahrq.gov/issue/development-and-pilot-testing-guidelines-monitor-high-risk-medications-ambulatory-setting
December 06, 2013 - Study
Development and pilot testing of guidelines to monitor high-risk medications … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … This study reports on the development of standards for laboratory monitoring of high-risk medications … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting … events after hospital discharge in older adults: types, severity, and involvement of Beers criteria medications
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psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
April 21, 2021 - Quantification and classification of errors associated with hand-repackaging of medications … Quantification and classification of errors associated with hand-repackaging of medications in long-term … are commonly used to help ensure medication adherence and avoid errors for patients taking multiple medications … Quantification and classification of errors associated with hand-repackaging of medications in long-term … July 17, 2019
Potentially inappropriate medications defined by STOPP criteria and the