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psnet.ahrq.gov/node/42178/psn-pdf
April 10, 2013 - These high stakes have led many
institutions to routinely require outside case review prior to treatment … An AHRQ WebM&M commentary highlights a diagnostic pathology error that nearly led to the
incorrect initiation
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psnet.ahrq.gov/innovation/clinical-pharmacy-specialists-provide-transitional-care-and-improve-medication-safety
October 30, 2024 - readmissions, the Memphis Veterans Affairs Medical Center (VAMC) started a transitional care clinic (TCC) led … Previous studies have shown that pharmacist-led post-discharge transition services can be effective in … Sustaining This Innovation
To be sustainable, the innovation team recommend that a CPS-led TCC clinic … Implementation of a pharmacist-led transitional care clinic. … Implementation of a pharmacist-led transitional care clinic.
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psnet.ahrq.gov/node/44244/psn-pdf
November 03, 2015 - Second opinions led to a change in diagnosis or treatment in more than 40% of participants. … It is not clear how often the second opinions were correct and
whether they actually led to better patient
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psnet.ahrq.gov/issue/medical-diagnoses-commonly-associated-pediatric-malpractice-lawsuits-united-states
November 16, 2022 - Missed diagnoses of meningitis, appendicitis, and pneumonia most commonly led to malpractice suits. … 17, 2024
Differences in outcomes between ICU attending and senior resident physician led
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psnet.ahrq.gov/node/38245/psn-pdf
February 18, 2011 - examine clinical outcomes or actual errors in documentation, the potential safety issues raised have led … commentary discussed how inaccurate clinical information
pasted forward through a hospitalization led
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psnet.ahrq.gov/node/43346/psn-pdf
August 02, 2015 - diffusion-surgical-innovations-patient-safety-and-minimally-invasive-radical-
prostatectomy
The increasing technological sophistication of hospital care has led … Safety
Indicators to examine whether the introduction of a new medical device, the da Vinci robot, led
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psnet.ahrq.gov/issue/human-factors-subsystems-approach-trauma-care
October 08, 2013 - Human factors analysis led to five system changes in trauma care: standardizing equipment storage, incorporating … Implementation of improved processes led to decreased treatment time and length of hospital stay, emphasizing
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psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after-leaving-hospital
December 16, 2020 - Pharmacist-led medication reconciliation after hospital discharge has been found to reduce medication … In this evidence synthesis, the authors explored the reasons why pharmacist-led medication reconciliation
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psnet.ahrq.gov/issue/findings-first-consensus-conference-medical-emergency-teams
August 04, 2021 - The authors did not endorse a specific model for the efferent limb, stating that physician-led or nurse-led
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psnet.ahrq.gov/issue/role-bias-clinical-decision-making-people-serious-mental-illness-and-medical-co-morbidities
November 10, 2021 - A prior WebM&M describes how diagnostic overshadowing of a patient with substance use disorder led … February 17, 2021
Impact of pharmacist-led multidisciplinary medication review on the
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psnet.ahrq.gov/issue/using-incident-reports-assess-communication-failures-and-patient-outcomes
February 06, 2019 - Communication problems most often led to delays in care without physical harm, highlighting the difficulty … A WebM&M commentary discussed a series of communication errors that led to a child's death.
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psnet.ahrq.gov/issue/effects-pharmacist-conducted-medication-reconciliation-discharge-30-day-readmission-rates
September 08, 2021 - Pharmacist-led medication reconciliation has been found to reduce medication discrepancies for some … September 8, 2021
Oncology pharmacist-led medication reconciliation among cancer patients
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psnet.ahrq.gov/issue/primary-care-medication-safety-surveillance-integrated-primary-and-secondary-care-electronic
November 25, 2015 - July 31, 2019
Scaling-up a pharmacist-led information technology intervention (PINCER … Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led … June 5, 2024
A pharmacist-led information technology intervention for medication errors
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psnet.ahrq.gov/issue/effect-ward-based-pharmacy-team-preventable-adverse-drug-events-surgical-patients-surepill
March 11, 2015 - January 15, 2009
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Related Resources
Impact of pharmacist-led … February 12, 2020
The impact of pharmacists-led medicines reconciliation on healthcare … July 11, 2018
Economic value of pharmacist-led medication reconciliation for reducing
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psnet.ahrq.gov/node/46542/psn-pdf
June 19, 2018 - Pharmacist and technician
reconciliation led to similarly large decreases in minor and life-threatening … Although pharmacist-led reconciliation reduces in-hospital ADEs in research settings, real-world
implementation
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psnet.ahrq.gov/node/38455/psn-pdf
January 02, 2017 - Although past research led to controversy over their widespread adoption, the ability to identify at- … The
guidelines also required timely discussion with an attending physician, which ultimately led to
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psnet.ahrq.gov/issue/rescue-me-saving-vulnerable-non-icu-patient-population
June 01, 2011 - A nurse-led rapid response team achieved significant reductions in cardiac arrests and unanticipated … November 21, 2016
Four years' experience with a hospitalist-led medical emergency team
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psnet.ahrq.gov/issue/clinical-nurse-specialist-intervention-facilitate-safe-transfer-icu
January 15, 2014 - This commentary describes a formal assessment, consultation, and follow-up initiative led by a clinical … January 9, 2014
Association between implementation of an intensivist-led medical emergency
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psnet.ahrq.gov/issue/insurers-care-transition-program-emphasizes-medication-reconciliation-reduces-readmissions
November 08, 2017 - These results add to the existing literature supporting the utility of pharmacist-led care transition … October 19, 2022
Economic value of pharmacist-led medication reconciliation for reducing
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psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
May 26, 2011 - higher pharmacy workload, defined as the number of prescriptions dispensed per pharmacist work hour, led … The study did not address whether these potential drug interactions led to actual adverse events .