-
psnet.ahrq.gov/node/41071/psn-pdf
February 01, 2013 - Prescription and transcription errors in multidose-
dispensed medications on discharge from hospital … Prescription and transcription errors in multidose-dispensed
medications on discharge from hospital: … https://psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications- … Medication reconciliation revealed a high rate of prescribing and transcribing errors in the discharge
medications … https://psnet.ahrq.gov/issue/prescription-and-transcription-errors-multidose-dispensed-medications-discharge-hospital
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psnet.ahrq.gov/node/46590/psn-pdf
November 01, 2017 - High-alert medications: the safeguards that you should
put in place to reduce risks. … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
This … magazine article reports on high-alert medications, their potential to result in patient harm, and efforts … https://psnet.ahrq.gov/issue/high-alert-medications-safeguards-you-should-put-place-reduce-risks
https … ://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/
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psnet.ahrq.gov/node/41008/psn-pdf
December 27, 2014 - Medications at Transitions and Clinical Handoffs (MATCH)
Toolkit for Medication Reconciliation. … https://psnet.ahrq.gov/issue/medications-transitions-and-clinical-handoffs-match-toolkit-medication- … reconciliation
Based on lessons learned from facilities that have implemented the Medications at Transitions … 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/36469/psn-pdf
September 27, 2010 - Evaluating sample medications in primary care: a
practice-based research network study. … Evaluating sample medications in primary care: a practice-
based research network study. … https://psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network … -
study
This survey of primary care practices found that, while sample medications were dispensed at … https://psnet.ahrq.gov/issue/evaluating-sample-medications-primary-care-practice-based-research-network-study
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psnet.ahrq.gov/node/44058/psn-pdf
July 03, 2016 - Metric units and the preferred dosing of orally
administered liquid medications. … July 3, 2016
Metric Units and the Preferred Dosing of Orally Administered Liquid Medications. doi:10.1542 … https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications … Accidental overdoses can occur when oral medications are given to children using teaspoons as
measurement … https://psnet.ahrq.gov/issue/metric-units-and-preferred-dosing-orally-administered-liquid-medications
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psnet.ahrq.gov/node/39014/psn-pdf
October 14, 2009 - Bringing patients' own medications into an emergency
department by ambulance: effect on prescribing … Bringing patients' own medications into an emergency department
by ambulance: effect on prescribing … https://psnet.ahrq.gov/issue/bringing-patients-own-medications-emergency-department-ambulance-effect- … prescribing-accuracy
Patients who had their own medications brought with them to the emergency department … https://psnet.ahrq.gov/issue/bringing-patients-own-medications-emergency-department-ambulance-effect-prescribing-accuracy
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digital.ahrq.gov/sites/default/files/docs/page/2006FriedmanSantinonFormica_052411comp.pdf
June 16, 2021 - Death Rate
All Dialysis 16.1/100 pt yrs
Waitlist 6.3/100 pt yrs
Transplant Recipients Take Many
Medications … properly
•Unlimited number of
providers, pharmacies,
payors and systems
impact the patient’s
medications … Transplant Recipients Take Many Medications (mean = 10 meds)
Medication Errors Observed in Transplant … Patients
Humans Make Errors
Slide No. 11 (No title)
Prescription Medications in the Inpatient Setting … Will He Take His Medications Properly?
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psnet.ahrq.gov/node/33824/psn-pdf
January 01, 2016 - Patient Safety and Opioid Medications
January 1, 2016
Sarkar U, Shojania KG. … Patient Safety and Opioid Medications. PSNet [internet]. 2016. … https://psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
Annual Perspective 2016
Opioid … medications confer significant risks of harm, including overdose death and abuse potential. … Beginning in the 1990s, the use of opioid medications began to rise, for a number of reasons.
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psnet.ahrq.gov/node/39368/psn-pdf
May 04, 2010 - Results of the Medications At Transitions and Clinical
Handoffs (MATCH) study: an analysis of medication … Results of the Medications At Transitions and Clinical
Handoffs (MATCH) Study: An Analysis of Medication … https://psnet.ahrq.gov/issue/results-medications-transitions-and-clinical-handoffs-match-study-analysis … -
medication
Discrepancies in patients' medications at the time of hospital admission are common. … list for newly admitted patients, identify discrepancies between
patients' medication lists and the medications
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psnet.ahrq.gov/node/38275/psn-pdf
December 10, 2008 - Quantification and classification of errors associated with
hand-repackaging of medications in long-term … Quantification and classification of errors associated with hand-
repackaging of medications in long-term … https://psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-
medications-long-term … are commonly used to help ensure medication adherence and avoid errors for patients
taking multiple medications … https://psnet.ahrq.gov/issue/quantification-and-classification-errors-associated-hand-repackaging-medications-long-term
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psnet.ahrq.gov/node/44817/psn-pdf
September 07, 2016 - Longitudinal trends in U.S. drug shortages for
medications used in emergency departments (2001–2014) … Drug Shortages for
Medications Used in Emergency Departments (2001-2014). … https://psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-
departments … medication shortages in the emergency department revealed that there have been
shortages of high-acuity medications … https://psnet.ahrq.gov/issue/longitudinal-trends-us-drug-shortages-medications-used-emergency-departments
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018183-weiner-final-report-2013.pdf
January 01, 2013 - of reconciled
medications could be used directly to order inpatient medications. … • Reasons for not prescribing outpatient medications. … and the follow-up
medications. … information
systems in managing medications. … Over-the-counter medications need to be included.
-
psnet.ahrq.gov/node/47162/psn-pdf
August 15, 2018 - Evaluation of the frequency of dispensing electronically
discontinued medications and associated outcomes … Evaluation of the frequency of dispensing electronically discontinued
medications and associated outcomes … https://psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and … Most unintentionally dispensed prescriptions were high-risk medications, such as
anticoagulants, insulin … https://psnet.ahrq.gov/issue/evaluation-frequency-dispensing-electronically-discontinued-medications-and-associated
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psnet.ahrq.gov/node/40725/psn-pdf
October 16, 2012 - Association of ICU or hospital admission with
unintentional discontinuation of medications for chronic … Association of ICU or hospital admission with unintentional
discontinuation of medications for chronic … https://psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-
medications-chronic … surprising in the setting of a
critical illness that may create new contraindications to preexisting medications … https://psnet.ahrq.gov/issue/association-icu-or-hospital-admission-unintentional-discontinuation-medications-chronic
-
psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - Some IV medications are diluted unnecessarily in patient
care areas, creating undue risk. … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating … undue-risk
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 … https://psnet.ahrq.gov/issue/some-iv-medications-are-diluted-unnecessarily-patient-care-areas-creating-undue-risk
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psnet.ahrq.gov/node/40079/psn-pdf
December 18, 2014 - Adverse events from cough and cold medications after a
market withdrawal of products labeled for infants … Adverse events from cough and cold medications after a market
withdrawal of products labeled for infants … https://psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-
products-labeled-infants … efforts to improve packaging
information and education around avoiding use of these high-risk OTC medications … https://psnet.ahrq.gov/issue/adverse-events-cough-and-cold-medications-after-market-withdrawal-products-labeled-infants
-
psnet.ahrq.gov/node/43353/psn-pdf
July 16, 2014 - Survey suggests possible downward trend in identifying
key drugs/drug classes as high-alert medications … newsletter article describes the results of a survey of prescribers intended to determine high-alert
medications … survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-high-alert
https://psnet.ahrq.gov/issue/ismp-survey-high-alert-medications-acute-care-settings … https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov … /issue/ismps-list-high-alert-medications-acute-care-settings
https://psnet.ahrq.gov/issue/results-ismp-survey-high-alert-medications-differences-between-nursing-pharmacy-and
-
psnet.ahrq.gov/node/46455/psn-pdf
April 24, 2018 - ISMP Medication Safety Self Assessment for High-Alert
Medications. … https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
High-alert … medications have the potential to cause substantial patient harm if administration mistakes
occur. … https://psnet.ahrq.gov/issue/ismp-medication-safety-self-assessment-high-alert-medications
https://psnet.ahrq.gov … https://psnet.ahrq.gov/issue/ismps-list-high-alert-medications-acute-care-settings
-
psnet.ahrq.gov/node/35716/psn-pdf
July 10, 2008 - Adherence to black box warnings for prescription
medications in outpatients. … Adherence to black box warnings for prescription medications in
outpatients. … https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
This … appeared to be at greater risk for being prescribed these medications. … https://psnet.ahrq.gov/issue/adherence-black-box-warnings-prescription-medications-outpatients
https:
-
psnet.ahrq.gov/node/36314/psn-pdf
June 13, 2011 - Discontinuity of chronic medications in patients
discharged from the intensive care unit. … Discontinuity of chronic medications in patients discharged from the
intensive care unit. … https://psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit … Medication errors due to discontinuity of medications has been documented as a problem during both … https://psnet.ahrq.gov/issue/discontinuity-chronic-medications-patients-discharged-intensive-care-unit