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psnet.ahrq.gov/node/74202/psn-pdf
December 22, 2021 - Prevalence of potentially harmful multidrug interactions
on medication lists of elderly ambulatory patients.
December 22, 2021
Anand TV, Wallace BK, Chase HS. Prevalence of potentially harmful multidrug interactions on medication
lists of elderly ambulatory patients. BMC Geriatr. 2021;21(1):648. doi:10.1186/s12877-…
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psnet.ahrq.gov/node/60900/psn-pdf
September 09, 2020 - State policies for prescription drug monitoring programs
and adverse opioid-related hospital events.
September 9, 2020
Wen K, Johnson P, Jeng PJ, et al. State policies for prescription drug monitoring programs and adverse
opioid-related hospital events. Med Care. 2020;58(7):610-616.
doi:http://doi.org/10.1097/mlr.…
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psnet.ahrq.gov/node/867036/psn-pdf
January 01, 2025 - Artificial intelligence-powered chatbots in search
engines: a cross-sectional study on the quality and risks
of drug information for patients.
October 30, 2024
Andrikyan W, Sametinger SM, Kosfeld F, et al. Artificial intelligence-powered chatbots in search engines: a
cross-sectional study on the quality and risks …
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psnet.ahrq.gov/node/838068/psn-pdf
September 14, 2022 - Potentially inappropriate medication administration is
associated with adverse postoperative outcomes in older
surgical patients: a retrospective cohort study.
September 14, 2022
Burfeind KG, Zarnegarnia Y, Tekkali P, et al. Potentially inappropriate medication administration is
associated with adverse postoperati…
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psnet.ahrq.gov/node/73072/psn-pdf
March 24, 2021 - Education and training of nurses in the use of advanced
medical technologies in home care related to patient
safety: a cross-sectional survey.
March 24, 2021
ten Haken I, Ben Allouch S, van Harten WH. Education and training of nurses in the use of advanced
medical technologies in home care related to patient safet…
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psnet.ahrq.gov/node/43353/psn-pdf
July 16, 2014 - Survey suggests possible downward trend in identifying
key drugs/drug classes as high-alert medications.
July 16, 2014
ISMP Medication Safety Alert! Acute care edition. July 3, 2014;19:1-3,5-6.
https://psnet.ahrq.gov/issue/survey-suggests-possible-downward-trend-identifying-key-drugsdrug-classes-
high-alert
This …
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psnet.ahrq.gov/node/72707/psn-pdf
February 03, 2021 - Identification and safe storage of look-alike, sound-alike
medicines in automated dispensing cabinets.
February 3, 2021
Ruutiainen HK, Kallio MM, Kuitunen SK. Identification and safe storage of look-alike, sound-alike medicines
in automated dispensing cabinets. Eur J Hosp Pharm. 2021;28(Suppl 2):e151-e156. doi:10.1…
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psnet.ahrq.gov/node/866852/psn-pdf
October 02, 2024 - Accuracy of a chatbot in answering questions that
patients should ask before taking a new medication.
October 2, 2024
Cornelison BR, Erstad BL, Edwards C. Accuracy of a chatbot in answering questions that patients should
ask before taking a new medication. J Am Pharm Assoc (2003). 2024;64(4):102110.
doi:10.1016/j.…
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psnet.ahrq.gov/node/39387/psn-pdf
July 23, 2014 - Medication errors involving oral chemotherapy.
July 23, 2014
Weingart SN, Toro J, Spencer J, et al. Medication errors involving oral chemotherapy. Cancer.
2010;116(10):2455-2464. doi:10.1002/cncr.25027.
https://psnet.ahrq.gov/issue/medication-errors-involving-oral-chemotherapy
Widely publicized errors associated w…
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psnet.ahrq.gov/node/38662/psn-pdf
April 12, 2011 - Patient error: a preliminary taxonomy.
April 12, 2011
Buetow S, Kiata L, Liew T, et al. Patient error: a preliminary taxonomy. Ann Fam Med. 2009;7(3):223-31.
doi:10.1370/afm.941.
https://psnet.ahrq.gov/issue/patient-error-preliminary-taxonomy
Preliminary research has found that patient factors may contribute to er…
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psnet.ahrq.gov/node/39192/psn-pdf
February 02, 2011 - Contraindicated medication use in dialysis patients
undergoing percutaneous coronary intervention.
February 2, 2011
Tsai TT, Maddox TM, Roe MT, et al. Contraindicated medication use in dialysis patients undergoing
percutaneous coronary intervention. JAMA. 2009;302(22):2458-64. doi:10.1001/jama.2009.1800.
https://p…
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psnet.ahrq.gov/web-mm/air-side-caution
April 21, 2015 - February 27, 2008
Electronic prescribing systems in hospitals to improve medication safety … consequences of implementing commercial computerized physician order entry and clinical decision support prescribing
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psnet.ahrq.gov/node/33733/psn-pdf
July 01, 2012 - wrong.(1,2)
The challenge in patient safety is not only to learn from our mistakes in clinical care (prescribing … physician) order entry (CPOE), the electronic medication administration record
(e-MAR), and electronic prescribing
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psnet.ahrq.gov/clinical-areas
March 24, 2025 - This article describes ongoing challenges (e.g., workforce limitations, polypharmacy) faced by safe prescribing … practices and emerging approaches (such as artificial intelligence) that can advance medication and prescribing
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psnet.ahrq.gov/web-mm/glucose-roller-coaster
February 02, 2022 - CVC Placement: Speak Now or Do Not Use the Line
February 1, 2013
Safer prescribing … for hospitalized older adults with an electronic health records‐based prescribing context.
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psnet.ahrq.gov/web-mm/baffled-botulinum-toxin
July 17, 2024 - The implementation of an alert notifying prescribing clinicians about prior botulinum toxin doses is … Care
Health Care Executives and Administrators
Information Professionals
Medicine
Ordering/Prescribing
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psnet.ahrq.gov/node/50701/psn-pdf
November 26, 2019 - One of
the buzz words in recent years is this idea— or concept– of de-prescribing.
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psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - Is the Admission Drug Dose Too Low?
August 1, 2009
Kaushal R, Abramson EL. Is the Admission Drug Dose Too Low? PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/admission-drug-dose-too-low
The Case
A 72-year-old man with a long history of chronic obstructive pulmonary disease (COPD) was admitted to
the hospit…
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psnet.ahrq.gov/web-mm/verbal-orders-and-medication-overrides-dangerous-combination
September 27, 2023 - Emergency Departments
Emergency Medicine
Emergency Nursing
Hospital Pharmacy
Ordering/Prescribing
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psnet.ahrq.gov/node/48181/psn-pdf
August 07, 2019 - Managing the risks of direct oral anticoagulants.
August 7, 2019
Sentinel Event Alert. July 30, 2019;(61):1-5.
https://psnet.ahrq.gov/issue/managing-risks-direct-oral-anticoagulants
Anticoagulant medications are known to be high-risk for adverse drug events. Although direct oral
anticoagulants (DOACs) require less…