-
psnet.ahrq.gov/node/43481/psn-pdf
December 23, 2016 - reports on new standards for tubing
connectors to prevent injury from incorrect administration of therapeutic
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psnet.ahrq.gov/sites/default/files/2020-02/final_spotlight_opat_powerpoint_01102020_tocme.pdf
January 01, 2020 - • Discharge planners can be “gate keepers” to ensure
patients have established treatment/monitoring … 20
Case #2 Issues
• Patient discharged to SNF on treatment with IV vancomycin … • Vancomycin per IDSA OPAT Guidelines requires weekly therapeutic
drug monitoring in patients with … • Vancomycin has a narrow therapeutic window;
– If dose is subtherapeutic (too low), it may not be … The
physician assesses laboratory tests and follows patients in
clinic during the course of treatment
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psnet.ahrq.gov/node/40477/psn-pdf
March 23, 2012 - psnet.ahrq.gov/issue/adverse-drug-events-ambulatory-care
https://psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
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psnet.ahrq.gov/node/36928/psn-pdf
September 09, 2011 - 15% of which resulted in clinical
consequences (ie, the need for additional patient monitoring or therapeutic
-
psnet.ahrq.gov/issue/rapid-response-systems-prospective-study-response-times
November 16, 2022 - system did not reduce the time between the onset of clinical deterioration and the institution of therapeutic
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psnet.ahrq.gov/web-mm/novel-drug-misuse
September 30, 2010 - Ensuring appropriate use of novel and potentially toxic therapeutics is a challenging endeavor. … FDA-approved labeling indications help to guide clinicians in the use of a new therapeutic agent. … While these concepts apply to any novel therapeutic, specific issues surround the use of high-cost biopharmaceutical … Applying patient selection criteria for drotrecogin alfa therapy in practice. … Applying patient selection criteria for drotrecogin alfa therapy in practice.
-
psnet.ahrq.gov/node/49454/psn-pdf
July 01, 2004 - FDA-
approved labeling indications help to guide clinicians in the use of a new therapeutic agent. … While these concepts apply to any novel therapeutic, specific issues surround the use of high-cost
biopharmaceutical … Ensuring appropriate use of novel and potentially toxic therapeutics is a challenging endeavor that … Applying patient selection criteria for drotrecogin alfa
therapy in practice. … Applying patient
selection criteria for drotrecogin alfa therapy in practice.
-
psnet.ahrq.gov/web-mm/suicidal-man-gun
May 01, 2005 - Even with the truncated information presented in this case, I believe that the therapeutic impasse and … A clinician hearing such an admission should wonder whether this was “a cry for help” to test the therapeutic … alliance and may not be a suitable candidate for therapy. … Removing the gun before initiating treatment might have allowed the therapeutic alliance to develop. … Inevitably, this approach ends in futility for the therapist, dooming the therapy.
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psnet.ahrq.gov/node/47282/psn-pdf
August 08, 2018 - guidelines, educational
initiatives, and a whiteboard system to enhance the reliability of insulin therapy … primer-pdsa-executing-plan-do-study-act-cycles-practice-not-just-name
https://psnet.ahrq.gov/issue/unintentional-therapeutic-errors-involving-insulin-ambulatory-setting-reported-poison-centers
-
psnet.ahrq.gov/node/40993/psn-pdf
December 14, 2011 - patients, especially elderly ones, at high risk of
adverse drug events (ADEs) due to their narrow therapeutic
-
psnet.ahrq.gov/node/49511/psn-pdf
May 01, 2006 - and chronic renal failure was transferred from a
skilled nursing facility (SNF) to the hospital for treatment … This error led to increased patient monitoring and drug treatment to normalize the serum potassium and … The formulary review process of
the Pharmacy and Therapeutics Committee can be a forum to discuss limiting … The hospital's Pharmacy and Therapeutics Committee can develop prescribing guidelines for using
these … citrate agents that inform staff of their differences and suggest therapeutic alternatives.
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psnet.ahrq.gov/issue/minimising-treatment-associated-risks-systemic-cancer-therapy
December 22, 2021 - Review
Minimising treatment-associated risks in systemic cancer therapy. … Minimising treatment-associated risks in systemic cancer therapy. … This article reviews the high-risk process of cancer drug therapy and describes how integrating pharmacist … Minimising treatment-associated risks in systemic cancer therapy. … March 1, 2023
Use of therapeutic outcomes monitoring method for performing of pharmaceutical
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psnet.ahrq.gov/issue/only-1-5-people-opioid-addiction-get-medications-treat-it-study-finds
October 21, 2020 - Stigma against behavioral health conditions is known to affect the quality of care relationships and therapeutic
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psnet.ahrq.gov/issue/three-simple-rules-improve-medication-safety
March 11, 2020 - safety that focuses on clinical effectiveness, the safety of the medication, and commitment to the therapeutic
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psnet.ahrq.gov/issue/incidence-drug-related-adverse-events-related-use-high-alert-drugs-systematic-review
May 20, 2020 - High-risk medications are classified as such due to their narrow therapeutic range and potential for
-
psnet.ahrq.gov/node/37260/psn-pdf
January 02, 2017 - discovered significant benefits from the intervention,
with nearly a 2-week difference in reaching a therapeutic
-
psnet.ahrq.gov/node/40239/psn-pdf
February 23, 2011 - issue/randomized-trial-warfarin-communication-protocol-nursing-homes-sbar-based-
approach
Warfarin therapy … , the patients randomized to
the SBAR approach had statistically significant improvements in their therapeutic … sbar-shared-mental-model-improving-communication-between-clinicians
https://psnet.ahrq.gov/issue/safety-warfarin-therapy-nursing-home-setting
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psnet.ahrq.gov/issue/managing-risk-during-transition-new-iso-tubing-connector-standards
December 23, 2016 - reports on new standards for tubing connectors to prevent injury from incorrect administration of therapeutic
-
psnet.ahrq.gov/issue/how-series-errors-led-recurrent-hypoglycemia
April 23, 2014 - This case study illustrates how therapeutic duplication can lead to harm and provides several strategies
-
psnet.ahrq.gov/node/49657/psn-pdf
July 01, 2012 - Not-So-Therapeutic Tap
July 1, 2012
Barsuk JH. Not-So-Therapeutic Tap. PSNet [internet]. 2012. … https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap
Case Objectives
Describe current issues with training … admitting team (comprised of a second-year resident and an intern) decided to perform a diagnostic and
therapeutic … one" approach to teaching procedural skills exposes patients
https://psnet.ahrq.gov/web-mm/not-so-therapeutic-tap