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psnet.ahrq.gov/web-mm/duplicate-therapies-retail-pharmacy
August 05, 2022 - , both cases reflect errors that occur from fragmented care – lack of a shared platform between the prescribing … For example, the prescribing physician could have included instructions on the “sig” to stop lisinopril … environment, medication management is a complex process usually involving at least four stages (1) prescribing
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psnet.ahrq.gov/node/40286/psn-pdf
March 09, 2011 - Medication-error alerts for warfarin orders detected by a
bar-code-assisted medication administration system.
March 9, 2011
FitzHenry F, Doran J, Lobo B, et al. Medication-error alerts for warfarin orders detected by a bar-code-
assisted medication administration system. Am J Health Syst Pharm. 2011;68(5):434-41.
…
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psnet.ahrq.gov/node/38104/psn-pdf
February 18, 2011 - Patient reported receipt of medication instructions for
warfarin is associated with reduced risk of serious
bleeding events.
February 18, 2011
Metlay JP, Hennessy S, Localio R, et al. Patient reported receipt of medication instructions for warfarin is
associated with reduced risk of serious bleeding events. J Gen …
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psnet.ahrq.gov/node/47850/psn-pdf
March 27, 2019 - Medicines-related harm in the elderly post-hospital
discharge.
March 27, 2019
Cheong V-L, Tomlinson J, Khan S, et al. Prescriber. 2019;30:29-34.
https://psnet.ahrq.gov/issue/medicines-related-harm-elderly-post-hospital-discharge
Geriatric patients are particularly vulnerable to medication-related harm. This articl…
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psnet.ahrq.gov/node/844048/psn-pdf
February 08, 2023 - The incidence of opioid misuse among the surgical
patients with persistent opioid use.
February 8, 2023
Namiranian, MD, PhD K. The incidence of opioid misuse among the surgical patients with persistent opioid
use. J Opioid Manag. 2023;19(1):69-76. doi:10.5055/jom.2023.0760.
https://psnet.ahrq.gov/issue/incidence-o…
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psnet.ahrq.gov/node/866585/psn-pdf
August 28, 2024 - Sex bias in pain management decisions.
August 28, 2024
Guzikevits M, Gordon-Hecker T, Rekhtman D, et al. Sex bias in pain management decisions. Proc Natl
Acad Sci U S A. 2024;121(33):e2401331121. doi:10.1073/pnas.2401331121.
https://psnet.ahrq.gov/issue/sex-bias-pain-management-decisions
Bias against women is, unf…
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psnet.ahrq.gov/node/46933/psn-pdf
April 04, 2018 - Pain states, the opioid epidemic, and the role of
radiologists.
April 4, 2018
Jones MR, Kaye AD, Manchikanti L, et al. Pain States, the Opioid Epidemic, and the Role of Radiologists.
Curr Pain Headache Rep. 2018;22(3):20. doi:10.1007/s11916-018-0672-x.
https://psnet.ahrq.gov/issue/pain-states-opioid-epidemic-and-r…
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psnet.ahrq.gov/node/48124/psn-pdf
July 31, 2019 - Medication safety alert fatigue may be reduced via
interaction design and clinical role tailoring: a systematic
review.
July 31, 2019
Hussain MI, Reynolds TL, Zheng K. Medication safety alert fatigue may be reduced via interaction design
and clinical role tailoring: a systematic review. J Am Med Inform Assoc. 2019…
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psnet.ahrq.gov/node/34933/psn-pdf
April 06, 2011 - Insights from the sharp end of intravenous medication
errors: implications for infusion pump technology.
April 6, 2011
Husch M. Insights from the sharp end of intravenous medication errors: implications for infusion pump
technology. Quality and Safety in Health Care. 2005;14(2). doi:10.1136/qshc.2004.011957.
https…
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psnet.ahrq.gov/node/60736/psn-pdf
July 29, 2020 - Use of an electronic decision support tool to reduce
polypharmacy in elderly people with chronic diseases:
cluster randomised controlled trial.
July 29, 2020
Rieckert A, Reeves D, Altiner A, et al. Use of an electronic decision support tool to reduce polypharmacy in
elderly people with chronic diseases: cluster ra…
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psnet.ahrq.gov/node/46511/psn-pdf
December 19, 2017 - Professional, structural and organisational interventions
in primary care for reducing medication errors.
December 19, 2017
Khalil H, Bell BG, Chambers H, et al. Professional, structural and organisational interventions in primary
care for reducing medication errors. Cochrane Database Syst Rev. 2017;10:CD003942.
d…
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psnet.ahrq.gov/node/851064/psn-pdf
June 28, 2023 - Medication-related problems in critical care survivors: a
systematic review.
June 28, 2023
Short A, McPeake J, Andonovic M, et al. Medication-related problems in critical care survivors: a
systematic review. Eur J Hosp Pharm. 2023;30(5):250-256. doi:10.1136/ejhpharm-2023-003715.
https://psnet.ahrq.gov/issue/medica…
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psnet.ahrq.gov/node/866283/psn-pdf
July 10, 2024 - Safety and Quality of Parenteral Nutrition: Translating
Guidelines into Clinical Practice Considering Different
Organizational Settings.
July 10, 2024
Am J Health Syst Pharm. 2024;81(supp 3):s73-s136.
https://psnet.ahrq.gov/issue/safety-and-quality-parenteral-nutrition-translating-guidelines-clinical-practice-
co…
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psnet.ahrq.gov/node/35138/psn-pdf
July 10, 2008 - Adverse drug event surveillance and drug withdrawals in
the United States, 1969-2002.
July 10, 2008
Wysowski DK, Swartz L. Adverse drug event surveillance and drug withdrawals in the United States, 1969-
2002: the importance of reporting suspected reactions. Arch Intern Med. 2005;165(12):1363-9.
https://psnet.ahrq…
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psnet.ahrq.gov/node/37295/psn-pdf
February 24, 2011 - Limited health literacy is a barrier to medication
reconciliation in ambulatory care.
February 24, 2011
Persell SD, Osborn CY, Richard R, et al. Limited health literacy is a barrier to medication reconciliation in
ambulatory care. J Gen Intern Med. 2007;22(11):1523-6.
https://psnet.ahrq.gov/issue/limited-health-li…
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psnet.ahrq.gov/web-mm/need-eat
February 10, 2021 - May 26, 2011
Computerized prescribing alerts and group academic detailing to reduce the … July 10, 2008
The impact of prescribing safety alerts for elderly persons in an electronic
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psnet.ahrq.gov/perspective/conversation-heidi-wald-md
November 26, 2019 - One of the buzz words in recent years is this idea— or concept– of de-prescribing. … November 26, 2019
Using EMR-enabled computerized decision support systems to reduce prescribing
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psnet.ahrq.gov/perspective/patient-safety-frail-older-patients
November 26, 2019 - One of the buzz words in recent years is this idea— or concept– of de-prescribing. … November 26, 2019
Using EMR-enabled computerized decision support systems to reduce prescribing
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psnet.ahrq.gov/node/74038/psn-pdf
November 03, 2021 - Medication errors during treatment with new oral
anticancer agents: consequences for clinical practice
based on the AMBORA Study.
November 3, 2021
Schlichtig K, Dürr P, Dörje F, et al. Medication errors during treatment with new oral anticancer agents:
consequences for clinical practice based on the AMBORA Study. …
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psnet.ahrq.gov/node/42567/psn-pdf
September 11, 2013 - What happens to the medication regimens of older adults
during and after an acute hospitalization?
September 11, 2013
Harris CM, Sridharan A, Landis R, et al. What happens to the medication regimens of older adults during
and after an acute hospitalization? J Patient Saf. 2013;9(3):150-3. doi:10.1097/PTS.0b013e3182…