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psnet.ahrq.gov/issue/parent-reported-errors-and-adverse-events-hospitalized-children
June 29, 2009 - November 3, 2015
Monitoring adverse drug reactions in children using community pharmacies
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psnet.ahrq.gov/issue/electronic-prescribing-improves-medication-safety-community-based-office-practices
January 19, 2014 - electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community … pharmacies.
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psnet.ahrq.gov/issue/identifying-factors-influencing-clinicians-reporting-medication-errors-systematic-review-and
December 11, 2013 - July 1, 2017
Monitoring adverse drug reactions in children using community pharmacies
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psnet.ahrq.gov/node/73180/psn-pdf
April 28, 2021 - In this study, admission medication histories were obtained from family members or outpatient
pharmacies
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psnet.ahrq.gov/issue/improving-medication-safety-icu-pharmacists-role
April 20, 2022 - Commentary
Improving medication safety in the ICU: the pharmacist's role.
Citation Text:
Lee AJ, Chiao TB, Lam JT, et al. Improving Medication Safety in the ICU: The Pharmacist's Role. Hosp Pharm. 2010;42(4):337-344. doi:10.1310/hpj4204-337.
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psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge
January 29, 2020 - Study
Medication discrepancies at pediatric hospital discharge.
Citation Text:
Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085.
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psnet.ahrq.gov/issue/case-study-safety-impact-implementing-smart-patient-controlled-analgesic-pumps-tertiary-care
August 31, 2016 - Study
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Citation Text:
Tran M, Ciarkowski S, Wagner D, et al. A case study on the safety impact of implementing smart patient-controlled analgesic pumps at…
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psnet.ahrq.gov/issue/development-training-program-bar-code-assisted-medication-administration-inpatient-pharmacy
September 22, 2021 - Commentary
Development of a training program for bar-code–assisted medication administration in inpatient pharmacy.
Citation Text:
Dartt LR, Schneider R. Development of a training program for bar-code-assisted medication administration in inpatient pharmacy. Am J Health Syst Pharm. 2010…
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psnet.ahrq.gov/issue/medical-reconciliation-patients-discharged-emergency-department
March 04, 2015 - Study
Medical reconciliation in patients discharged from the emergency department.
Citation Text:
Sharma AN, Dvorkin R, Tucker V, et al. Medical reconciliation in patients discharged from the emergency department. J Emerg Med. 2012;43(2):366-73. doi:10.1016/j.jemermed.2011.05.080.
Co…
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psnet.ahrq.gov/node/43568/psn-pdf
April 25, 2016 - medication-safety-operating-room-survey-preparation-methods-and-drug-
concentration
In 2010, the Anesthesia Patient Safety Foundation recommended that hospital pharmacies
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psnet.ahrq.gov/node/45729/psn-pdf
September 20, 2017 - Discussing how
pharmacies have increasingly implemented workflow management systems to automate compounded
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psnet.ahrq.gov/node/60652/psn-pdf
June 29, 2020 - working more on the non-acute side in the outpatient setting, whether it’s in ambulatory clinics or in
pharmacies … ALD: Some of our members work in outpatient pharmacies and ambulatory settings, in addition to inpatient … One exciting thing that
came out of HHS is that pharmacies are now authorized to order and administer … I think there is
a great opportunity for pharmacies to step in now that they can be a part of the test-and-triage
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psnet.ahrq.gov/issue/err-human-patient-misinterpretations-prescription-drug-label-instructions
February 28, 2011 - Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies … January 21, 2009
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Community Pharmacy
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psnet.ahrq.gov/node/47097/psn-pdf
June 26, 2018 - indicators of opioid misuse (e.g., obtaining opioids from more
than five prescribers or more than five pharmacies
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - wait times and errors related to illegible handwriting by transmitting prescriptions electronically to pharmacies … make errors initially and must use the e-prescribing system routinely to gain experience with it
Some pharmacies … Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies
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psnet.ahrq.gov/node/39456/psn-pdf
May 04, 2010 - A prior study found that translated drug
labels are available in many pharmacies, but this study found
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psnet.ahrq.gov/issue/themed-issue-innovations-medication-safety
August 30, 2017 - Related Resources
Errors originating in hospital and health-system outpatient pharmacies … December 29, 2014
Communicating medication changes to community pharmacy post-discharge
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psnet.ahrq.gov/node/47579/psn-pdf
December 12, 2018 - indications on prescriptions, ensuring a readily available
and accurate medication list, notifying pharmacies
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psnet.ahrq.gov/web-mm/mistaken-dose-naloxone
March 21, 2009 - with reviewing naloxone prescriptions and providing education for patients within the health system's pharmacies … , but no such mechanism existed for "outside pharmacies." … a need for alternative, proactive education plans for situations in which prescriptions are sent to pharmacies … 2022
WebM&M Cases
Medication Errors in Retail Pharmacies
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psnet.ahrq.gov/node/41863/psn-pdf
November 21, 2012 - compared the accuracy of patient-reported
medication lists with a "gold standard" list compiled from pharmacies