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psnet.ahrq.gov/issue/reducing-hospital-cardiac-arrests-and-hospital-mortality-introducing-medical-emergency-team
February 06, 2013 - June 26, 2013
Frequency of medication error in pediatric anesthesia: a systematic review … October 31, 2007
Multidose drug dispensing and discrepancies between medication records … May 20, 2009
A systematic review of evidence on the links between patient experience … March 25, 2021
Fatigue in nurses and medication administration errors: a scoping review … December 22, 2010
Preventing iatrogenic overdose: a review of in–emergency department
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - In emergent situations, facilities can approve nursing retrieval of
medications prior to pharmacy review … However, retrieving
medications by the override mechanism and administering prior to pharmacy review … In addition to these “five patient rights,” the system allows
for review of lab values and for allergy … patient-specific prescription barcode, which is applied to piggybacks,
intravenous solutions, and multidose … Joint Commission Standard Medication Management 4.10 (MM.4.10) states that a
pharmacist must review
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Miller_93.pdf
March 12, 2008 - In emergent situations, facilities can approve nursing retrieval of
medications prior to pharmacy review … However, retrieving
medications by the override mechanism and administering prior to pharmacy review … In addition to these “five patient rights,” the system allows
for review of lab values and for allergy … patient-specific prescription barcode, which is applied to piggybacks,
intravenous solutions, and multidose … Joint Commission Standard Medication Management 4.10 (MM.4.10) states that a
pharmacist must review
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Some sites may find it helpful to review the toolkit and
make a comparison table between their current … mupirocin ointment, twice daily for 5 days
Dosing options may include:
Option 1: Single-patient multidose
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Some sites may find it helpful to review the toolkit and
make a comparison table between their current … mupirocin ointment, twice daily for 5 days
Dosing options may include:
Option 1: Single-patient multidose
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psnet.ahrq.gov/web-mm/troubling-amine
September 01, 2003 - Medication errors in a multidose and a computer-based unit dose drug distribution system. … October 8, 2008
High Quality Care for All: NHS Next Stage Review Final Report. … September 3, 2014
Look alike/sound alike drugs: a literature review on causes and solutions
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Results
Quantitative analysis
A total of 108 NYPORTS reports were analyzed for the review period. … A review of the categories of staff involved in the
medication occurrences indicated that a registered … A review of the facility occurrence rates indicates that several facilities
reported higher numbers … A review of medication classes involved revealed the
most common classes to be cardiovascular drugs … Several times, nurses administered incorrect doses from
multidose oral solution bottles.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
January 01, 2004 - Results
Quantitative analysis
A total of 108 NYPORTS reports were analyzed for the review period. … A review of the categories of staff involved in the
medication occurrences indicated that a registered … A review of the facility occurrence rates indicates that several facilities
reported higher numbers … A review of medication classes involved revealed the
most common classes to be cardiovascular drugs … Several times, nurses administered incorrect doses from
multidose oral solution bottles.
-
effectivehealthcare.ahrq.gov/sites/default/files/cer-240-acute-pain-revised-comments.pdf
December 29, 2020 - Review
Comparative Effectiveness Review Disposition of Comments Report
Research Review Title: Treatments … Treatments for Acute Pain: A Systematic Review. Comparative Effectiveness Review No.
240. … therapy evaluated a single treatment
session, potentially limiting the applicability
of findings to a multidose … The cited article is not a
Cochrane review, it is a review of
a Cochrane review that noted
that most … are
detailed in the Results and
Discussion section and findings
are separated out from trials of
multidose
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - look-alike and sound-
alike drug names, confusing and unclear labeling, confusing packaging of doses
(e.g., multidose … Based on an updated literature review and feedback,
10 items were added to the “Reasons Errors Occur … Adverse events in drug
administration: a literature review. J Nurs Manag
2003;11:130–40.
8. … What we know about
medication errors: a literature review. … Factors contributing to medication errors: a
literature review.
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - In the following section, we review evidence for their joint use in
ICUs as a prelude to discussing … Immediate hypersensitivity to chlorhexidine:
literature review. … Most hospitals are using a single patient
multidose tube of generic mupirocin. … bAssumes a generic 22g multidose single patient tube of mupirocin will be dispensed to each qualifying … mupirocin ointment, twice daily for 5 days
Dosing options may include:
Option 1: Single-patient multidose
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - many types of reporting systems is the inability of an individual reporting an
event to retrieve or review … 370
multiple strategies (e.g., observational methods, computerized triggers,
retrospective chart review … example, the DoD PSC received a near-miss report regarding a potentially
unsafe practice involving 30 ml multidose
-
www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/decision-making.pdf
March 01, 2022 - Most hospitals are using a single patient
multidose tube of generic mupirocin.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/intro-overview.pdf
March 01, 2022 - In the following section, we review evidence for their joint use in
ICUs as a prelude to discussing … Immediate hypersensitivity to chlorhexidine:
literature review. … Most hospitals are using a single patient
multidose tube of generic mupirocin. … bAssumes a generic 22g multidose single patient tube of mupirocin will be dispensed to each qualifying … mupirocin ointment, twice daily for 5 days
Dosing options may include:
Option 1: Single-patient multidose
-
www.cpsi.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - look-alike and sound-
alike drug names, confusing and unclear labeling, confusing packaging of doses
(e.g., multidose … Based on an updated literature review and feedback,
10 items were added to the “Reasons Errors Occur … Adverse events in drug
administration: a literature review. J Nurs Manag
2003;11:130–40.
8. … What we know about
medication errors: a literature review. … Factors contributing to medication errors: a
literature review.
-
www.cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - look-alike and sound-
alike drug names, confusing and unclear labeling, confusing packaging of doses
(e.g., multidose … Based on an updated literature review and feedback,
10 items were added to the “Reasons Errors Occur … Adverse events in drug
administration: a literature review. J Nurs Manag
2003;11:130–40.
8. … What we know about
medication errors: a literature review. … Factors contributing to medication errors: a
literature review.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Wakefield2.pdf
January 01, 2003 - look-alike and sound-
alike drug names, confusing and unclear labeling, confusing packaging of doses
(e.g., multidose … Based on an updated literature review and feedback,
10 items were added to the “Reasons Errors Occur … Adverse events in drug
administration: a literature review. J Nurs Manag
2003;11:130–40.
8. … What we know about
medication errors: a literature review. … Factors contributing to medication errors: a
literature review.
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Nosek.pdf
March 01, 2004 - many types of reporting systems is the inability of an individual reporting an
event to retrieve or review … 370
multiple strategies (e.g., observational methods, computerized triggers,
retrospective chart review … example, the DoD PSC received a near-miss report regarding a potentially
unsafe practice involving 30 ml multidose
-
ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/decision-making.pdf
March 01, 2022 - Most hospitals are using a single patient
multidose tube of generic mupirocin.
-
effectivehealthcare.ahrq.gov/sites/default/files/related_files/hypertension-pulmonary-arterial_disposition-comments.pdf
April 25, 2013 - Comparative Effectiveness Review No. 117. … for this draft review. … Multidose studies
included only a single control group; we therefore did not
report each dose individually … We did not combine single
doses (e.g., 5 mg) because different multidose studies
had different control … Public Reviewer -
ACCP 3
General The review is excellent.