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psnet.ahrq.gov/issue/supplemental-perioperative-oxygen-and-risk-surgical-wound-infection-randomized-controlled
March 09, 2022 - The authors suggest that use of oxygen therapy provides a low-cost intervention that poses an opportunity … strategies that demonstrate unquestioned benefit, such as the timing and delivery of prophylactic antibiotic therapy
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psnet.ahrq.gov/issue/ismp-gap-analysis-tool-gat-safe-iv-push-medication-practices
June 13, 2018 - Standardized practices have not been uniformly adopted to support safe IV medication therapy . … December 15, 2021
2017 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy
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psnet.ahrq.gov/issue/cdc-guideline-prescribing-opioids-chronic-pain-united-states-2016
June 14, 2019 - These guidelines do not apply to patients receiving cancer treatment, palliative care, or end-of-life … For acute pain, they recommend limiting duration of therapy, stating that more than 1 week of medications … October 26, 2016
The effectiveness and risks of long-term opioid therapy for chronic
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psnet.ahrq.gov/issue/use-therapeutic-outcomes-monitoring-method-performing-pharmaceutical-care-oncology-patients
April 21, 2021 - Study
Use of therapeutic outcomes monitoring method for performing of pharmaceutical … Use of therapeutic outcomes monitoring method for performing of pharmaceutical care in oncology patients … independent double checks during cognitive order verification of outpatient parenteral anti-cancer therapy … impact of pharmacological/pharmaceutical care on medication safety and patient-reported outcomes during treatment … April 27, 2010
Minimising treatment-associated risks in systemic cancer therapy.
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psnet.ahrq.gov/web-mm/dont-wait-collect-accurate-weight-case-subtherapeutic-insulin-therapy
July 01, 2008 - Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy
Citation … Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. … Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy. … The Commentary By Brittany Newton, PharmD, and Roslyn Seitz, MPH, MSN Treatment of DKA is characterized … Don’t Wait to Collect an Accurate Weight: A Case of Subtherapeutic Insulin Therapy.
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psnet.ahrq.gov/node/48060/psn-pdf
June 19, 2019 - opioid-prescribing-patterns-emergency-physicians-and-risk-long-term-use
https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications … https://psnet.ahrq.gov/issue/incident-and-long-term-opioid-therapy-among-patients-psychiatric-conditions-and-medications
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psnet.ahrq.gov/node/49706/psn-pdf
January 01, 2015 - last 10 years and will likely
continue to change with the introduction of novel antibiotics, adjunct therapies … problems may arise when a patient transitions out of the hospital while
continuing oral vancomycin therapy … other unusual or nonstandard medication needs,
there are several opportunities to minimize gaps in therapy … These pharmacies provide more
flexibility and customization of medication therapy than typically available … However, in most cases of CDI—including severe
episodes—appropriate antibiotic therapy should result
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psnet.ahrq.gov/issue/hidden-danger-obvious-opportunity-error-and-risk-management-cancer
June 07, 2018 - This commentary provides context on risks, errors, and safety in cancer treatment in light of a recent … analysis by the Chief Medical Officer for the United Kingdom regarding error in radiation therapy. … August 15, 2018
Modern palliative radiation treatment: do complexity and workload contribute … April 17, 2013
Radiation Therapy Safety: The Critical Role of the Radiation Therapist … September 30, 2011
Unintended Exposure of Patient Lisa Norris During Radiotherapy Treatment
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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/37959/psn-pdf
January 11, 2017 - anticoagulant medications (including warfarin and heparin)
lacked adequate documentation of the duration of therapy … Ensuring the safety of
anticoagulant therapy is a Joint Commission National Patient Safety Goal.
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psnet.ahrq.gov/node/44231/psn-pdf
January 22, 2016 - Just-in-time training for high-risk low-volume therapies:
an approach to ensure patient safety. … Just-in-Time Training for High-Risk Low-Volume Therapies: An
Approach to Ensure Patient Safety. … https://psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient … and competency shortcomings for bedside
nurses on an as-needed basis, given the demands of complex treatments … https://psnet.ahrq.gov/issue/just-time-training-high-risk-low-volume-therapies-approach-ensure-patient-safety
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psnet.ahrq.gov/issue/clinical-and-safety-impact-inpatient-pharmacist-directed-anticoagulation-service
September 23, 2020 - Patients receiving warfarin therapy are at high risk for adverse events . … 2018
Reduce the likelihood of patient harm associated with the use of anticoagulant therapy
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psnet.ahrq.gov/sites/default/files/2022-01/final_spotlight_stacked_opioid_administration_01.03.2022.pdf
January 01, 2022 - drug class, opioids are associated with wide interindividual variability
in response and a narrow therapeutic … treating pain can help
address its multifactorial nature and provide personalized pain
management.
– Treatment … – Treatment modalities that incorporate non-pharmacologic therapy, ice/heat,
elevation, and physical … A comparison of long- and short-acting opioids for the treatment of chronic noncancer pain: tailoring … therapy to
meet patient needs.
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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/44177/psn-pdf
November 10, 2015 - guideline-adherence
Guidelines for the care of patients with acute coronary syndromes recommend aggressive therapy … with
certain medications, such as antiplatelet therapies that carry a risk of bleeding complications … study found only a weak relationship between quality (measured as adherence to guideline-recommended
therapy … doing-right-things-and-doing-them-right-way-association-between-hospital-guideline-adherence
https://psnet.ahrq.gov/issue/excess-dosing-antiplatelet-and-antithrombin-agents-treatment-non-st-segment-elevation-acute
-
psnet.ahrq.gov/node/49690/psn-pdf
September 01, 2013 - hydrocodone and 83% of all
oxycodone worldwide.(1,3,4)
Unfortunately, the dramatic rise in use of therapeutic … 41% of patients.(19) Consequently, the overuse and abuse of opioids, including the escalation of the
therapeutic … Informed consent and a treatment agreement can be essential and should
include clear descriptions of … Use of Chronic Opioid Therapy in Chronic Non-cancer Pain: Evidence Review. … Trends in long-term opioid therapy for chronic non-cancer
pain.
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psnet.ahrq.gov/node/49486/psn-pdf
August 21, 2005 - web-mm/impatient-inpatient-dosing
Case Objectives
Appreciate the challenges of initiating warfarin therapy … Fourth, there is wide inter-subject variation in the dose of warfarin required to raise the INR to a therapeutic … 1.3, indicating that a maintenance dose of approximately 1 mg
will be needed to achieve the usual therapeutic … On the fourth day of warfarin therapy, the INR was 1.8. … If one wanted to shorten the time required to achieve a therapeutic INR of 2.5, one could give a modestly
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psnet.ahrq.gov/node/867137/psn-pdf
November 13, 2024 - psnet.ahrq.gov/issue/enteral-nutrition-underappreciated-source-patient-safety-events
Enteral nutrition (EN) therapies … use-barcode-scanning-prevent-errors-enteral-nutrition-feedings
https://psnet.ahrq.gov/issue/improving-administration-and-documentation-enteral-nutrition-support-therapy-veteran-affairs
-
psnet.ahrq.gov/node/40930/psn-pdf
November 23, 2011 - patient-safety-primary-allied-health-care-what-can-we-learn-incidents-dutch-
exploratory
This study sought to quantify adverse events associated with physical therapy … and occupational therapy in
the outpatient setting but was limited by incomplete record keeping.
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psnet.ahrq.gov/node/35048/psn-pdf
June 22, 2009 - reduction-warfarin-adverse-events-requiring-patient-hospitalization-after-
implementation
This study compared two strategies for managing patients on warfarin therapy … The
authors suggest that similar programs may be effective at reducing complications from warfarin therapy