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psnet.ahrq.gov/web-mm/failure-reevaluate
February 01, 2014 - patient was transferred to a large academic medical center for ophthalmologic consultation and further treatment … The vancomycin blood level had not been checked previously throughout her treatment. … She has a new tunneled catheter for ongoing dialysis treatments.
… when prescribing drugs with narrow therapeutic index. … if therapeutic drug monitoring is required.
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psnet.ahrq.gov/node/43311/psn-pdf
July 02, 2014 - anaesthetic-drug-administration-potential-contributor-healthcare-associated-infections
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/issue/recommendations-safe-effective-use-adaptive-cds-us-healthcare-system-amia-position-paper
March 24, 2021 - Clinical decision support (CDS) systems are intended to support diagnosis and therapeutic processes … November 3, 2021
Use of therapeutic outcomes monitoring method for performing of pharmaceutical
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.68_slideshow.ppt
July 01, 2004 - Spotlight Case [MONTH] 2003
Spotlight Case July 2004
Preventing Inappropriate Use of Novel Therapeutic … Underutlization of Effective Therapies is Common
Aspirin and beta-blockers for coronary artery disease … of appropriate therapy
Provider education
Cost-effectiveness analysis
Computer-based reminders … Take-Home Points
Drotrecogin alfa (activated) is FDA approved for mortality reduction in treatment of … treatment requires a thorough understanding of inclusion and exclusion criteria applied in trials
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psnet.ahrq.gov/node/49781/psn-pdf
January 01, 2017 - Tesoro, PharmD
Loading doses are an important way to rapidly achieve therapeutic drug concentrations … heparin when used to
treat pulmonary embolism, may also need a loading dose to attain an immediate therapeutic … For many decades, phenytoin has been used for both the treatment and prophylaxis of seizures. … Due to the nonlinear kinetics of phenytoin occurring within the therapeutic range, small changes in dose … Introduction to Pharmacokinetics and Pharmacodynamics: The Quantitative
Basis of Drug Therapy.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.272_slideshow.ppt
July 01, 2012 - Spotlight Case July 2008
Spotlight Case
Not-So-Therapeutic Tap
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Source and Credits
This presentation … Appreciate that simulation-based mastery learning improves patient outcomes
*
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Case: Not-So-Therapeutic … *
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Case: Not-So-Therapeutic Tap (2)
The second-year resident had performed 6 paracenteses as … *
*
Case: Not-So-Therapeutic Tap (4)
About 20 minutes later, the intern was called due to the … *
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Case: Not-So-Therapeutic Tap (5)
A stat angiogram revealed a bleeding omental vessel that
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psnet.ahrq.gov/node/49534/psn-pdf
May 01, 2007 - A phenobarbital level was 30
(therapeutic, 10–40 mcg/mL), and phenytoin level was 19 (therapeutic, 10 … which
control seizures successfully in approximately two-thirds of patients, are the primary mode of treatment … The therapeutic index (ratio between toxic dose and therapeutic dose, a measure of the relative
safety … regarding recent dosage adjustments, changes
in product appearance, and alterations in concomitant drug therapies … caregivers doubting their diagnosis of phenytoin
toxicity on day 2 and embarking on inappropriate tests or treatments
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psnet.ahrq.gov/node/41522/psn-pdf
December 02, 2014 - ://psnet.ahrq.gov/issue/preventing-pediatric-medication-errors
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/node/38886/psn-pdf
August 26, 2009 - medication-overdoses-leading-emergency-department-visits-among-children
https://psnet.ahrq.gov//#adversedrugevent
https://psnet.ahrq.gov/issue/therapeutic-errors-among-children-community-setting-nature-causes-and-outcomes … randomized-controlled-trial-pictogram-based-intervention-reduce-liquid-medication-dosing
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/node/49630/psn-pdf
July 01, 2011 - inpatient and outpatient settings regarding changes in other
medications, clinical status, and warfarin treatment … Meta-analysis: antithrombotic therapy to prevent stroke in patients who
have nonvalvular atrial fibrillation … Risk of thromboembolism with short-term interruption of warfarin
therapy. … Warfarin monitoring in ambulatory older individuals
receiving antimicrobial therapy. … Randomized controlled trial of supervised patient self-testing of warfarin
therapy using an internet-based
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psnet.ahrq.gov/node/44823/psn-pdf
February 15, 2017 - Therapeutic errors, such as dosing mistakes,
accounted for another 37% of exposures. … out-hospital-medication-errors-6-year-analysis-national-poison-data-system
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/web-mm/antiseizure-medication-disorder
April 01, 2006 - A phenobarbital level was 30 (therapeutic, 10–40 mcg/mL), and phenytoin level was 19 (therapeutic, 10 … which control seizures successfully in approximately two-thirds of patients, are the primary mode of treatment … The therapeutic index (ratio between toxic dose and therapeutic dose, a measure of the relative safety … regarding recent dosage adjustments, changes in product appearance, and alterations in concomitant drug therapies … caregivers doubting their diagnosis of phenytoin toxicity on day 2 and embarking on inappropriate tests or treatments
-
psnet.ahrq.gov/node/43643/psn-pdf
November 04, 2014 - issue/unit-measurement-used-and-parent-medication-dosing-errors
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/node/38902/psn-pdf
November 13, 2009 - steep-increase-domestic-fatal-medication-errors-use-alcohol-andor-street-drugs
https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers … https://psnet.ahrq.gov/issue/tenfold-therapeutic-dosing-errors-young-children-reported-us-poison-control-centers
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psnet.ahrq.gov/web-mm/watch-warfarin
December 01, 2013 - inpatient and outpatient settings regarding changes in other medications, clinical status, and warfarin treatment … Meta-analysis: antithrombotic therapy to prevent stroke in patients who have nonvalvular atrial fibrillation … Risk of thromboembolism with short-term interruption of warfarin therapy. … Warfarin monitoring in ambulatory older individuals receiving antimicrobial therapy. … Randomized controlled trial of supervised patient self-testing of warfarin therapy using an internet-based
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psnet.ahrq.gov/node/49682/psn-pdf
April 01, 2013 - The patient was started on steroid and cyclophosphamide therapy and discharged after
improvement in … or
through the application of incorrect treatments.(1) This estimate accounts neither for deaths from … partial or no response to treatment), then the absence of a therapeutic response implies very little … Then we can talk about treatment." … like this when the working
diagnosis has apparently been confirmed by pathology and potentially toxic therapies
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psnet.ahrq.gov/web-mm/possible-probable-sure-wrong-premature-closure-and-anchoring-complicated-case
October 02, 2013 - The patient was started on steroid and cyclophosphamide therapy and discharged after improvement in his … or through the application of incorrect treatments.( 1 ) This estimate accounts neither for deaths from … a partial or no response to treatment), then the absence of a therapeutic response implies very little … Then we can talk about treatment." … like this when the working diagnosis has apparently been confirmed by pathology and potentially toxic therapies
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psnet.ahrq.gov/issue/oncology-pharmacist-led-medication-reconciliation-among-cancer-patients-initiating
March 24, 2021 - independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy … March 1, 2023
Use of therapeutic outcomes monitoring method for performing of pharmaceutical … May 29, 2024
Uncovering the risks of anticancer therapy through incident report analysis … December 22, 2021
Use of therapeutic outcomes monitoring method for performing of pharmaceutical … December 29, 2014
Chemotherapy medication errors in a pediatric cancer treatment center
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psnet.ahrq.gov/taxonomy/term/3475
June 09, 2025 - other words, there are likely many more instances in which the provision of additional diagnostic, therapeutic
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psnet.ahrq.gov/node/49551/psn-pdf
December 01, 2007 - as a treatment option remains common in clinical practice. … Moreover, we found no systematic reviews or
RCTs that supported the clinical effectiveness of thermal treatment … references
https://psnet.ahrq.gov//#references
https://psnet.ahrq.gov//#references
demonstrates that this treatment … In other words, thermal therapy has a relatively
narrow therapeutic window-the difference between a … It is time that the use of unregulated local heat therapy disappeared from the therapeutic armamentarium