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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. … Exploring electronic medical record and self-administered medication risk screening tools in a primary … Department of Health and Human Services. … Department of Health and Human Services. … December 30, 2014
WebM&M Cases
New Oral Anticoagulants
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psnet.ahrq.gov/issue/can-preventable-adverse-events-be-predicted-among-hospitalized-older-patients-development-and
March 18, 2013 - Int J Qual Health Care. 2014;26(5):547-52. doi:10.1093/intqhc/mzu063. … Int J Qual Health Care . 2014; 26 (5) :547-52 . … Int J Qual Health Care. 2014;26(5):547-52. doi:10.1093/intqhc/mzu063. … August 10, 2022
Development and reliability of the explicit professional oral communication … Improving Diagnostic Safety and Quality
April 26, 2023
Use of standard risk screening
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psnet.ahrq.gov/node/49810/psn-pdf
November 01, 2017 - Regular
screening for symptoms should be done and any existing symptoms should be meticulously assessed … orally every 4 hours
or 2–4 mg subcutaneously over a period of 24 hours (to convert from parenteral to oral … psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
tools … The conversion ratio from intravenous hydromorphone to oral
opioids in cancer patients. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/slow-down-right-drug-wrong-formulation
October 13, 2018 - peak-to-trough level variation occurring with immediate-release metoprolol. ( 5 ) Typically, if an oral … inpatient and outpatient facilities with a variety of CPOE systems.( 8 ) Ordering the wrong formulation for oral … ) has promoted efforts to adopt and use health IT to improve health care. … It oversees a certification program for electronic health records (EHRs) for physicians and health care … December 21, 2017
Screening for adverse drug events: a randomized trial of automated
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psnet.ahrq.gov/issue/safety-events-pediatric-out-hospital-cardiac-arrest
August 01, 2018 - June 22, 2022
Inappropriate dosing of direct oral anticoagulants in patients with atrial … May 29, 2013
Accuracy of interpretation of preparticipation screening electrocardiograms … February 3, 2011
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See More About The Topic
Patient Transport
Health
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psnet.ahrq.gov/web-mm/medication-mix-bad-worse
March 01, 2018 - incorrect selection from a drop-down menu; confusion during the medication reconciliation process, misheard oral … alerts to make prescribers and pharmacists aware of the problematic drug name pairs, avoiding the use of oral … The combined ISMP–FDA list is available at http://www.ismp.org/tools/tallmanletters.pdf . … prescribed medication(s) to allow patient comparison with the dispensed medication name For Oral … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/palliative-care-comfort-vs-harm
December 04, 2016 - Regular screening for symptoms should be done and any existing symptoms should be meticulously assessed … orally every 4 hours or 2–4 mg subcutaneously over a period of 24 hours (to convert from parenteral to oral … Palliative medicine providers may also benefit from web-based interactive training tools focused on errors … The conversion ratio from intravenous hydromorphone to oral opioids in cancer patients. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/sweet-case-hidden-hydrogen-ions
November 30, 2023 - She stopped taking her daily regimen of insulin because she was not tolerating any oral intake. … Dextrose-containing fluids were started as the patient was not tolerating any oral intake and an insulin … Dept of Health and Human Services; 2020. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/73200/psn-pdf
April 28, 2021 - She stopped taking her daily regimen of insulin because she was not tolerating any oral
intake.? … Dextrose-containing fluids were started as
the patient was not tolerating any oral intake and?an? … Dept of Health and Human Services;
2020. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/837659/psn-pdf
July 08, 2022 - Validated sedation assessment tools should
also be used for clinician decision support. … Prior to procedures, patients may receive oral and/or IV pre-medications involving multiple doses from … Pharmacokinetics and bioavailability of intravenous,
intramuscular, and oral lorazepam in humans. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/web-mm/consequences-medical-overuse
May 05, 2021 - Other approaches to limiting overuse include audit and feedback and the use of decision support tools … clinicians in probabilistic thinking and the use of computerized and other types of decision support tools … Department of Health and Human Services. … Department of Health and Human Services. … Reasoning
September 27, 2023
WebM&M Cases
Direct Oral
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psnet.ahrq.gov/web-mm/bandemia-harbinger-stercoral-colitis-and-impending-perforation
November 25, 2020 - He reported that she had poor oral intake and lost 20 pounds in the previous month. … Stable patients should be admitted for observation with an aggressive bowel regimen including oral laxatives … Department of Health and Human Services. … Department of Health and Human Services. … 1, 2018
WebM&M Cases
Failed Interpretation of Screening
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psnet.ahrq.gov/web-mm/medication-safety-events-related-diagnostic-imaging
January 26, 2022 - Validated sedation assessment tools should also be used for clinician decision support. … Prior to procedures, patients may receive oral and/or IV pre-medications involving multiple doses from … Pharmacokinetics and bioavailability of intravenous, intramuscular, and oral lorazepam in humans. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
December 15, 2024 - However, the newer STOPP (Screening Tool of Older Person's inappropriate Prescriptions) and START (Screening … These medications include antidiabetic agents (e.g., insulin), oral anticoagulants (e.g., warfarin … Current Context Preventing ADEs is a major priority for health systems. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/33605/psn-pdf
March 12, 2021 - https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html … https://www.ahrq.gov/professionals/quality-patient-safety/quality-resources/tools/literacy-toolkit/index.html … Similarly, Enfit
connectors and syringes for oral/g-tube/NG tube help to prevent inadvertent connection … and administration
of oral medications into an IV line. … Health systems are encouraged to
develop robust guidelines for use of these agents.
-
psnet.ahrq.gov/node/72564/psn-pdf
November 14, 2018 - only does this mean that resources are limited for adopting an EHR and associated data collection
tools … patient’s opioid prescription history,
dentists should actively engage in patient counseling and risk screening … /outpatient.html
https://www.cdc.gov/antibiotic-use/index.html
https://www.ada.org/en/member-center/oral-health-topics … Research Analyst, IMPAQ Health
IMPAQ International
Columbia, MD
References
1. … Features Health Policy Perspectives. 2017;148(9):P690-692.
12.
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - Importantly, to avoid any mistakes, bulk containers of medications (eg, larger bottles of liquid or oral … Bar code medication administration screening technology (BCMA) may have prevented this Polycitra overdosage … Am J Health-Syst Pharm. 2003;60:768-779. … Department of Health and Human Services. … Department of Health and Human Services.
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psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - Importantly, to avoid
any mistakes, bulk containers of medications (eg, larger bottles of liquid or oral … Bar code medication administration screening technology (BCMA) may have prevented this Polycitra
overdosage … Am J Health-Syst Pharm. 2003;60:768-779. … Department of Health and Human Services. … Department of Health and Human Services.
-
psnet.ahrq.gov/node/33581/psn-pdf
December 15, 2024 - Background and Definitions
Advances in clinical therapeutics have resulted in major improvements in health … Other well-
documented patient-specific risk factors include limited health literacy and numeracy (the … However, the newer STOPP (Screening Tool of
Older Person's inappropriate Prescriptions) and START (Screening … These medications include
antidiabetic agents (e.g., insulin), oral anticoagulants (e.g., warfarin) … Current Context
Preventing ADEs is a major priority for health systems.
-
psnet.ahrq.gov/primer/medication-administration-errors
December 15, 2024 - Similarly, Enfit connectors and syringes for oral/g-tube/NG tube help to prevent inadvertent connection … and administration of oral medications into an IV line. … Health systems are encouraged to develop robust guidelines for use of these agents. … Department of Health and Human Services. … Department of Health and Human Services.