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psnet.ahrq.gov/web-mm/refused-medication-error
November 01, 2005 - medication prescriptions are never filled, and 50% of medications for chronic disease are not taken as prescribed … as the antibiotic rifaximine, should be considered.( 5 ) In this case, the patient's refusal of the prescribed … Throughout the admission and transfer process, the patient's refusal of the prescribed lactulose and … documentation should have included an assessment of the patient's understanding (or lack thereof) of the prescribed
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psnet.ahrq.gov/web-mm/walking-patient-missing-drain
April 01, 2006 - On day 5 of her hospitalization, the physical therapist administered vigorous therapy (as prescribed) … complaints to depression and took no action, allowing the patient to sleep and keeping unchanged the prescribed … EVD or lumbar drain once mobilization is completed to prevent CSF overdrainage and ensure that the prescribed
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psnet.ahrq.gov/issue/association-opioid-prescribing-opioid-consumption-after-surgery-michigan
December 02, 2020 - This observational study found that when patients were prescribed a higher number of opioid pills following
-
psnet.ahrq.gov/node/73899/psn-pdf
September 29, 2021 - the patient was instructed to continue morphine sulfate
ER 60 mg three times daily, but she was only prescribed … of five steps: (1) develop a list of current medications; (2)
develop a list of medications to be prescribed … should not be relied upon as a complete history of all the
controlled substances a patient has been prescribed … For many patients,
cutting tablets is a significant inconvenience and even a barrier to use as prescribed … In this case, dispensing a lower dose of the prescribed
medication while awaiting clarification would
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psnet.ahrq.gov/node/44974/psn-pdf
April 12, 2019 - In this
study, health care providers who very frequently prescribed Schedule II controlled substances
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psnet.ahrq.gov/node/47173/psn-pdf
June 06, 2018 - Most of the calls were classified as
unintentional and occurred in patients who had been prescribed
-
psnet.ahrq.gov/node/46827/psn-pdf
March 14, 2018 - errors likely occur in the outpatient setting where most medications in the
National Health Service are prescribed
-
psnet.ahrq.gov/node/45652/psn-pdf
June 29, 2017 - opioids most commonly
involved in overdose deaths are natural and semisynthetic opioids, which are often prescribed
-
psnet.ahrq.gov/node/46267/psn-pdf
December 21, 2017 - medication dose when they received a dosing tool, such as a syringe, that corresponded more
closely to the prescribed
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psnet.ahrq.gov/web-mm/medication-errors-retail-pharmacies-wrong-patient-wrong-instructions
March 19, 2019 - Case #2 : A 66-year-old woman was prescribed estradiol vaginal tablets (10 mcg) for post-menopausal symptoms … After five weeks of taking the prescribed medication according to the instructions provided by her pharmacy … that the prescription instructions were incorrectly transcribed as “1 tablet twice per day” versus the prescribed … to verify that the patient has sufficient knowledge of administration and indication for taking the prescribed … medications can aid in verifying patient understanding of administration, monitoring, and indication for prescribed
-
psnet.ahrq.gov/issue/medication-errors-important-component-nonadherence-medication-outpatient-population-lung
June 23, 2021 - Unintentional medication errors, including taking the prescribed medication at the wrong dose or time
-
psnet.ahrq.gov/issue/racial-differences-antibiotic-prescribing-primary-care-pediatricians
April 22, 2020 - likely to diagnose acute respiratory tract infections in white children, and, when antibiotics were prescribed
-
psnet.ahrq.gov/issue/potentially-inappropriate-prescribing-older-patients-discharged-acute-care-hospitals
June 23, 2021 - patients aged 70 and older who were discharged from the hospital to a long-term care facility were prescribed
-
psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
January 12, 2022 - Anticoagulants are commonly prescribed medications that have high potential for harm if administered
-
psnet.ahrq.gov/issue/assessment-fda-risk-evaluation-and-mitigation-strategy-transmucosal-immediate-release
January 22, 2020 - Analysis of claims data 5 years into the program revealed that anywhere from 35% to 55% of patients were prescribed
-
psnet.ahrq.gov/issue/incidence-prescription-errors-patients-discharged-emergency-department
March 30, 2022 - emergency department, an overall error rate of 16.5% was observed, including errors in directions, quantity prescribed
-
psnet.ahrq.gov/issue/ahrq-psnet-annual-webinar-evidence-advancing-rapid-response-systems-and-opioid-stewardship
December 10, 2024 - Making Healthcare Safer IV: Opioid Stewardship explores the use of prescribed and ordered opioids, including
-
psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - Errors of omission (failure to
include a prescribed medication) were the most common, and a significant
-
psnet.ahrq.gov/node/45065/psn-pdf
June 01, 2016 - Virtual visit physicians
frequently prescribed antibiotics inappropriately, though this is also true
-
psnet.ahrq.gov/node/46493/psn-pdf
January 24, 2019 - four states with PDMPs demonstrated a greater reduction in the average amount of morphine-equivalents
prescribed