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psnet.ahrq.gov/issue/adverse-drug-events-after-hospital-discharge-older-adults-types-severity-and-involvement
August 11, 2010 - 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. … events after hospital discharge in older adults: types, severity, and involvement of Beers Criteria Medications
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psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - Commentary
Designing a strategy to promote safe, innovative off-label use of medications … Designing a strategy to promote safe, innovative off-label use of medications. … Designing a strategy to promote safe, innovative off-label use of medications. … September 16, 2009
Assessing and monitoring override medications in automated dispensing … April 20, 2022
STOPP/START criteria for potentially inappropriate medications/potential
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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/results-medications-transitions-and-clinical-handoffs-match-study-analysis-medication
February 18, 2011 - Study
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study … Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis of Medication … Discrepancies in patients' medications at the time of hospital admission are common . … Results of the Medications At Transitions and Clinical Handoffs (MATCH) Study: An Analysis of Medication … May 19, 2010
Discrepancies between home medications listed at hospital admission and
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psnet.ahrq.gov/issue/iv-push-medications-survey-results-part-1-and-part-2
December 12, 2018 - Newspaper/Magazine Article
IV push medications survey results—part 1 and part 2. … Citation Text:
IV push medications survey results—part 1 and part 2. … Errors in the administration of intravenous medications can result in patient harm. … July 18, 2018
Safety with nebulized medications requires an interdisciplinary team approach … December 14, 2022
Preventing errors when preparing and administering medications via
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psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
November 06, 2015 - Classic
Association of ICU or hospital admission with unintentional discontinuation of medications … Association of ICU or hospital admission with unintentional discontinuation of medications for chronic … surprising in the setting of a critical illness that may create new contraindications to preexisting medications … Association of ICU or hospital admission with unintentional discontinuation of medications for chronic … December 7, 2011
Discontinuity of chronic medications in patients discharged from the
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - , and reducing use of high-risk medications. … and 43 percent were receiving 10 or more medications. … (with 68 percent of patients on these medications having changes made), NSAID medications (50 percent … ), and cardiovascular medications (46 percent). … , and reducing use of high-risk medications.
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psnet.ahrq.gov/issue/multicompartment-compliance-aids-community-prevalence-potentially-inappropriate-medications
January 30, 2013 - Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications … Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications … Multicomponent compliance aids (pill boxes or medi-sets) organize patients' medications in a compartmentalized … The aids are intended to improve medication safety and adherence for patients taking multiple medications … Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications
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psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit
November 03, 2015 - Study
Discontinuity of chronic medications in patients discharged from the intensive … Discontinuity of chronic medications in patients discharged from the intensive care unit. … Medication errors due to discontinuity of medications has been documented as a problem during both admission … Discontinuity of chronic medications in patients discharged from the intensive care unit. … November 3, 2015
Unintentional discontinuation of chronic medications for seniors in
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psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
September 29, 2017 - Study
Adherence to black box warnings for prescription medications in outpatients … Adherence to black box warnings for prescription medications in outpatients. … patient harm, investigators noted that older patients with multiple medical problems and taking more medications … appeared to be at greater risk for being prescribed these medications. … Adherence to black box warnings for prescription medications in outpatients.
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psnet.ahrq.gov/issue/oral-dosage-forms-should-not-be-crushed
January 26, 2023 - Mitchell JF; Institute for Safe Medications Practices; ISMP. … Linkedin
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February 6, 2008
Mitchell JF; Institute for Safe Medications … To ensure that certain medications are used safely, this updated list includes oral medications that … Mitchell JF; Institute for Safe Medications Practices; ISMP. … June 17, 2014
Infant deaths associated with cough and cold medications—two states, 2005
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psnet.ahrq.gov/issue/stoppstart-criteria-potentially-inappropriate-medications-potential-prescribing-omissions
January 19, 2022 - Classic
STOPP/START criteria for potentially inappropriate medications … STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older … STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older … May 5, 2021
Impact of medication reviews on potentially inappropriate medications and … March 6, 2012
Potentially inappropriate medications and their effect on falls during
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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/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/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/labeling-solutions-and-medications-sterile-procedural-settings
July 13, 2016 - Commentary
Labeling solutions and medications in sterile procedural settings. … Labeling solutions and medications in sterile procedural settings. … Labeling solutions and medications in sterile procedural settings. … 2016
Less is more: a project to reduce the number of PIMs (potentially inappropriate medications
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psnet.ahrq.gov/issue/use-colour-coded-labels-intravenous-high-risk-medications-and-lines-improve-patient-safety
December 29, 2014 - Study
Use of colour-coded labels for intravenous high-risk medications and lines … Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety. … Specific labels for high-risk intravenous medications successfully reduced medication errors and allowed … nurses to identify medications more efficiently. … Use of colour-coded labels for intravenous high-risk medications and lines to improve patient safety.
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psnet.ahrq.gov/issue/racial-inequality-receipt-medications-opioid-use-disorder
April 24, 2018 - Study
Racial inequality in receipt of medications for opioid use disorder. … Racial inequality in receipt of medications for opioid use disorder. … Best practices for treating patients with opioid use disorder (OUD) include prescribing medications … to treat OUD ( naltrexone , naloxone, or buprenorphine) and limiting prescriptions of high-risk medications … Racial inequality in receipt of medications for opioid use disorder.
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psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
April 11, 2011 - /Guidelines
Metric units and the preferred dosing of orally administered liquid medications … Citation Text:
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi … Accidental overdoses can occur when oral medications are given to children using teaspoons as measurement … recommends use of milliliter-based dosing devices to enable metric-based administration of liquid medications … Citation
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Metric Units and the Preferred Dosing of Orally Administered Liquid Medications
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psnet.ahrq.gov/issue/independent-double-checks-high-alert-medications-essential-practice
February 01, 2023 - Commentary
Independent double-checks for high-alert medications: essential practice … Independent double-checks for high-alert medications: essential practice. … Independent double-checks for high-alert medications: essential practice. … September 18, 2019
Administering and monitoring high-alert medications in acute care.