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psnet.ahrq.gov/node/47447/psn-pdf
February 22, 2019 - identifying-health-information-technology-related-safety-event-reports-patient-safety-event
https://psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age … https://psnet.ahrq.gov/issue/digital-doctor-hope-hype-and-harm-dawn-medicines-computer-age
https://psnet.ahrq.gov
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2023-child-hcahps-chartbook.pdf
January 01, 2023 - Parent was asked about child’s
prescription medicines
Parent was asked about child’s vitamins … ,
herbal medicines, and over-the-counter medicines
Providers explained how the child should take … new medicines after leaving the hospital
Providers explained side effects of new medicines
to … stay, were you asked to list or review all of the prescription
medicines your child was taking at home … , and over-the-counter medicines your child was taking at home?
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psnet.ahrq.gov/issue/deprescribing-medicines-older-people-living-multimorbidity-and-polypharmacy-tailor-evidence
April 03, 2005 - Review
Deprescribing medicines in older people living with multimorbidity and polypharmacy … Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence … Deprescribing medicines in older people living with multimorbidity and polypharmacy: the TAILOR evidence
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_2_ComTipsBroch_508.docx
June 02, 2025 - in the hospital, doctors and nurses will talk with you about:
Your health before this hospital stay
Medicines … , vitamins, and herbal supplements you take
Allergies to medicines or foods
How you feel during and after … Ask questions about your medicines.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/engagingfamilies/strategy2/Strat2_Tool_2_ComTipsBroch_508.pdf
June 02, 2025 - hospital, doctors and nurses
will talk with you about:
• Your health before this hospital stay
• Medicines … , vitamins, and herbal supplements
you take
• Allergies to medicines or foods
• How you feel during … Ask questions about your medicines.
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/surveys-guidance/item-sets/literacy/supplemental-health-literacy-cgcahps-adult-2357-3a.docx
June 02, 2025 - months, how often did this provider give you easy to understand instructions about how to take your medicines … In the last 6 months, how often did this provider explain the possible side effects of your medicines … In the last 6 months, how often did this provider suggest ways to help you remember to take your medicines
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/healthlittoolkit2-tool2a.docx
June 02, 2025 - Clinicians routinely review with patients all the medicines they take, including over-the-counter medicines … routinely provides patients with updated medicine lists that describe in easy-to-understand language what medicines … Staff members discuss different methods for remembering to take medicines correctly and offer patients … Staff members assess patients’ ability to pay for medicines.
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www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
March 01, 2025 - 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always MEDICINES 14. … Include prescription and nonprescription medicines as well as any medicines you were already taking before … During this hospital stay, did hospital staff explain the purpose of each of the medicines you were to … did hospital staff tell you whom to call after you left the hospital if you had questions about your medicines
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www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/ptoutcome-phone.html
March 01, 2025 - 1 ___ Never 2 ___ Sometimes 3 ___ Usually 4 ___ Always MEDICINES 14. … Include prescription and nonprescription medicines as well as any medicines you were already taking before … During this hospital stay, did hospital staff explain the purpose of each of the medicines you were to … did hospital staff tell you whom to call after you left the hospital if you had questions about your medicines
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psnet.ahrq.gov/issue/fda-alerts-health-care-providers-compounders-and-patients-dosing-errors-associated-compounded
February 15, 2024 - health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines … June 16, 2019
FDA identifies harm reported from sudden discontinuation of opioid pain medicines … FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines
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www.ahrq.gov/sites/default/files/wysiwyg/cahps/cahps-database/2024-child-hcahps-infographic.pdf
January 01, 2024 - 62%
of respondents reported providers
always checked their child 's Identity
before giving them medicines … Explaining Medications
92%
of respondents report providers explained how
the child should take new medicines
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psnet.ahrq.gov/issue/uptake-pharmacist-recommendations-patients-after-discharge-implementation-study-patient
December 14, 2016 - pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines … pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines … pharmacist recommendations by patients after discharge: implementation study of a patient-centered medicines
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psnet.ahrq.gov/issue/where-errors-occur-preparation-and-administration-intravenous-medicines-systematic-review-and
June 30, 2011 - Review
Where errors occur in the preparation and administration of intravenous medicines … Where errors occur in the preparation and administration of intravenous medicines: a systematic review … Where errors occur in the preparation and administration of intravenous medicines: a systematic review
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psnet.ahrq.gov/issue/healthcare-system-intervention-safer-use-medicines-elderly-patients-primary-care-qualitative
June 20, 2012 - Study
Healthcare system intervention for safer use of medicines in elderly patients … Healthcare system intervention for safer use of medicines in elderly patients in primary care-a qualitative … Healthcare system intervention for safer use of medicines in elderly patients in primary care-a qualitative
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psnet.ahrq.gov/issue/perceptions-nurses-towards-barriers-safe-administration-medicines-mental-health-settings
October 30, 2013 - Study
The perceptions of nurses towards barriers to the safe administration of medicines … The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings … The perceptions of nurses towards barriers to the safe administration of medicines in mental health settings
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psnet.ahrq.gov/issue/codeine-use-certain-children-after-tonsillectomy-andor-adenoidectomy-may-lead-rare-life
August 20, 2021 - health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines … August 5, 2020
FDA identifies harm reported from sudden discontinuation of opioid pain medicines … FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines
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psnet.ahrq.gov/issue/fda-requiring-color-changes-duragesic-fentanyl-pain-patches-aid-safety-emphasizing-accidental
August 05, 2020 - health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines … April 8, 2020
FDA identifies harm reported from sudden discontinuation of opioid pain medicines … FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines
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psnet.ahrq.gov/issue/hospira-carpuject-pre-filled-cartridges-drug-alert-products-may-contain-more-intended-fill
August 05, 2020 - health care professionals discuss naloxone with all patients when prescribing opioid pain relievers or medicines … July 15, 2020
FDA identifies harm reported from sudden discontinuation of opioid pain medicines … FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines
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cds.ahrq.gov/sites/default/files/cds/artifact/66551/Osteoporosis%20Patient%20Handout.pdf
July 18, 2023 - Osteoporosis/bone medicines can help
keep your bones healthy. … Nobody is too old for osteoporosis/bone
medicines. … These medicines can work
quickly to lower your risk of broken
bones (fracture) within 6 to 12 months.
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/outcomes/chipra-140-section-7-d.pdf
June 02, 2025 - 79.8% .001
Doctor-parent communication 81.7% 82.7% 84.0% 85.2% 83.7% .005
Communication about
medicines … 81.4% <.001
Doctor-parent communication 81.5% 82.2% 83.8% 85.0% 84.9% .001
Communication about
medicines