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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - At this time, the patient’s prescription for pain control was changed from hydrocodone-acetaminophen … A hospital that implemented such an alert for opioid prescriptions with oral morphine equivalent doses … (OME) ≥90 mg, concomitant benzodiazepine prescription, or history of opioid use disorder, reported a … The CDC recommends that prescribers check state prescription drug monitoring program (PDMP) data when … More
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Emergency Departments
Operating Room
Emergency Medicine
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psnet.ahrq.gov/issue/be-active-member-your-health-care-team
April 08, 2020 - medication use, including speaking up about medical history, asking questions , and following directions on prescription … January 25, 2018
Your Medicine, Be Smart, Be Safe. … April 23, 2012
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Patients
Medicine
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psnet.ahrq.gov/issue/team-based-approach-improving-medication-reconciliation-rates-family-medicine-residency
June 15, 2022 - Study
Team-based approach to improving medication reconciliation rates in family medicine … Team-based approach to improving medication reconciliation rates in family medicine residency clinics … describes a systematic team-based care approach to medication reconciliation implemented in four family medicine … Team-based approach to improving medication reconciliation rates in family medicine residency clinics … October 28, 2020
A machine learning-based clinical decision support system to identify prescriptions
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psnet.ahrq.gov/issue/assessment-fda-risk-evaluation-and-mitigation-strategy-transmucosal-immediate-release
January 22, 2020 - May 15, 2019
Prevention of prescription opioid misuse and projected overdose deaths in … February 13, 2019
Prescription Drug Monitoring Programs: Evidence-based Practices to … View More
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Health Care Providers
Policy Makers
Medicine
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psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre
January 11, 2023 - intervention, patients in the PINCER group experienced substantially reduced frequency of clinically important prescription … April 25, 2018
The effect of the electronic transmission of prescriptions on dispensing … errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge … label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions … See More About The Topic
Ambulatory Care
Physicians
Pharmacists
Family Medicine
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psnet.ahrq.gov/issue/nam-action-collaborative-clinician-well-being-and-resilience
June 15, 2011 - Washington, DC: National Academy of Medicine. … Linkedin
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April 12, 2018
Washington, DC: National Academy of Medicine … Washington, DC: National Academy of Medicine. … September 19, 2018
Pain Management and Prescription Opioid-related Harms: Exploring the … View More
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Hospitals
Health Care Providers
Medicine
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psnet.ahrq.gov/issue/organisational-factors-associated-safety-climate-patient-satisfaction-and-self-reported
April 07, 2021 - November 16, 2022
Including the reason for use on prescriptions sent to pharmacists … December 12, 2014
The effect of the electronic transmission of prescriptions on dispensing … errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge … July 28, 2014
Using human error theory to explore the supply of non-prescription medicines
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psnet.ahrq.gov/web-mm/medication-reconciliation-victory-after-avoidable-error
April 01, 2015 - In all, seven prescription medications were returned, including Flexeril 10 mg TID, glipizide 10 mg daily … billion in 2000, of which 70% ($121 billion) was attributed to hospital admissions.( 1 ) The Institute of Medicine … Using a single pharmacy for medications or a national electronic prescription registry also could have … medications filled in the last month when compared to actual prescriptions identified in the national … Institute of Medicine. Report Brief. Preventing Medication Error.
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psnet.ahrq.gov/issue/electronic-health-record-interoperability-why-electronically-discontinued-medications-are
August 25, 2021 - A related commentary discusses the challenges associated with attempting to discontinue prescriptions … October 25, 2023
Pharmacy e-prescription dispensing before and after CancelRx implementation … September 1, 2021
Addition of electronic prescription transmission to computerized prescriber … February 2, 2011
Accuracy of computer-generated, Spanish-language medicine labels.
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psnet.ahrq.gov/issue/patient-identification-and-tube-labelling-call-harmonisation
April 29, 2020 - Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015-1089. … Clinical Chemistry and Laboratory Medicine (CCLM) . 2016; 54 (7) . … Clinical Chemistry and Laboratory Medicine (CCLM). 2016;54(7). doi:10.1515/cclm-2015-1089. … Prevalence of medication administration errors in two medical units with automated prescription … March 15, 2023
System-related and cognitive errors in laboratory medicine.
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psnet.ahrq.gov/web-mm/impact-communication-medication-errors
August 01, 2009 - Some institutions recognize concomitant use of 5 or more prescription drugs (excluding over-the-counter … In the case described previously, an old prescription on the patient’s medication list contributed to … “Prescription Drug Use Among Adults Aged 40-79 in the United States and Canada.” … Annals of Internal Medicine 157 (1): 1–10. … Journal of Family Medicine and Disease Prevention 1 (3): 1–7.
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psnet.ahrq.gov/issue/computerized-decision-support-medication-dosing-renal-insufficiency-randomized-controlled
September 30, 2009 - to an existing computerized provider order entry system reduced the frequency of excessively dosed prescriptions … Prevalence of medication administration errors in two medical units with automated prescription … April 11, 2011
Computerized order entry with limited decision support to prevent prescription … Health Care Providers
Quality and Safety Professionals
Information Professionals
Emergency Medicine
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psnet.ahrq.gov/issue/making-health-care-safer-ii-updated-critical-analysis-evidence-patient-safety-practices
March 13, 2013 - The seminal AHRQ Making Health Care Safer report, issued in 2001, used evidence-based medicine principles … key PSPs are also being published simultaneously in a special supplement to the Annals of Internal Medicine … September 2, 2016
Explicit and Standardized Prescription Medicine Instructions. … See More About The Topic
Health Care Providers
Quality and Safety Professionals
Medicine
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psnet.ahrq.gov/issue/medication-prescribing-errors-involving-route-administration
January 12, 2011 - December 23, 2016
Effect of computerisation on the quality and safety of chemotherapy prescription … WebM&M Cases
Citrate Mix-Up
May 1, 2006
Rx for a better prescription … View More
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Physicians
Pharmacists
Risk Managers
Medicine
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psnet.ahrq.gov/issue/improving-diagnostic-quality-and-safety-final-report
September 06, 2011 - April 22, 2018
Pain Management and Prescription Opioid-related Harms: Exploring the State … Pain Management and the Opioid Epidemic: Balancing Societal and Individual Benefits and Risks of Prescription … More
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Hospitals
Facility and Group Administrators
Medicine
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psnet.ahrq.gov/issue/physician-patient-communication-failure-facilitates-medication-errors-older-polymedicated
November 02, 2010 - This survey of older adults who were taking more than five prescription medications daily found a strong … January 23, 2009
Pharmacologically inappropriate prescriptions for elderly patients in … View More
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Ambulatory Care
Physicians
Family Medicine … Primary Care
General Internal Medicine
View More
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psnet.ahrq.gov/web-mm/weight-and-height-juxtaposition-electronic-medical-record-causing-accidental-medication
March 15, 2023 - When a pharmacist requires clarification regarding a prescription, the best practice is to reach out … At a minimum, the operational pharmacist should self-check by reading the prescription, labeling, and … The Swiss Cheese Prescribing Model for precision medicine. … March 20, 2024
Improving emergency medicine clinician awareness of prehospital-administered … Emergency Departments
Health Care Providers
Nurses
Pharmacists
Pediatric Emergency Medicine
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psnet.ahrq.gov/web-mm/2-week-itch
June 16, 2019 - She received a handwritten prescription for Zyrtec and Atarax. … With prescriptions for Zyprexa and Zyrtec there are many. … Include purpose of medication on prescriptions. … Prescription errors. Legibility and drug name confusion. … More About The Topic
Hospitals
Health Care Providers
Non-Health Care Professionals
Medicine
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psnet.ahrq.gov/issue/impact-national-qi-programme-reducing-electronic-health-record-notifications-clinicians
February 24, 2021 - Improve Management of Sepsis
May 31, 2023
Physicians' perspectives regarding prescription … November 26, 2014
Prescription errors and outcomes related to inconsistent information … About The Topic
Specialty Hospitals
Health Care Providers
Information Professionals
Medicine
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psnet.ahrq.gov/issue/effect-provider-characteristics-responses-medication-related-decision-support-alerts
July 16, 2019 - May 10, 2017
Adherence to black box warnings for prescription medications in outpatients … July 29, 2020
Reducing drug prescription errors and adverse drug events by application … September 1, 2016
Differences of reasons for alert overrides on contraindicated co-prescriptions … Topic
Hospitals
Health Care Executives and Administrators
Information Professionals
Medicine