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psnet.ahrq.gov/issue/mislabeling-event-batched-drugs-unintended-consequences-practice-changes
May 07, 2014 - Newspaper/Magazine Article
A mislabeling event with batched drugs: the unintended consequences of practice changes.
Citation Text:
A mislabeling event with batched drugs: the unintended consequences of practice changes. ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.&nbs…
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psnet.ahrq.gov/web-mm/chemotherapy-administration-safety-standards
March 30, 2016 - Chemotherapy Administration Safety Standards
Citation Text:
Bergsbaken J. Chemotherapy Administration Safety Standards. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2018.
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psnet.ahrq.gov/node/44653/psn-pdf
November 18, 2015 - data-quality-associated-handwritten-laboratory-test-requests-classification-and-frequency
https://psnet.ahrq.gov/issue/preventing-medication-errors-community-pharmacy-root-cause-analysis-transcription-errors
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psnet.ahrq.gov/web-mm/over-counter-oversight
March 21, 2009 - discrepancies from patient-generated medication lists and compared this with documentation from their pharmacies
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psnet.ahrq.gov/node/46706/psn-pdf
March 20, 2018 - Realizing e-prescribing's potential to reduce outpatient
psychiatric medication errors.
March 20, 2018
Hirschtritt ME, Chan S, Ly WO. Realizing E-Prescribing's Potential to Reduce Outpatient Psychiatric
Medication Errors. Psychiatr Serv. 2018;69(2):129-132. doi:10.1176/appi.ps.201700269.
https://psnet.ahrq.gov/iss…
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psnet.ahrq.gov/node/49529/psn-pdf
February 01, 2007 - Crossed Coverage
February 1, 2007
Kayser SR. Crossed Coverage. PSNet [internet]. 2007.
https://psnet.ahrq.gov/web-mm/crossed-coverage
The Case
A 27-year-old woman with a history of congenital heart disease was admitted for cardiac transplantation
evaluation. She had already undergone multiple surgeries, including…
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psnet.ahrq.gov/issue/effects-patient-handoff-characteristics-subsequent-care-systematic-review-and-areas-future
January 19, 2011 - failure mode and effects analysis to reduce patient safety risks related to the dispensing process in the community … pharmacy setting.
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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/node/43998/psn-pdf
May 28, 2015 - history, performing home visits to
follow up with patients, and collaboration between primary care and community … pharmacy can help reduce
adverse drug events after patients are discharged from the hospital.
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psnet.ahrq.gov/node/35497/psn-pdf
June 30, 2011 - Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process.
June 30, 2011
Bonnabry P, Cingria L, Ackermann M, et al. Use of a prospective risk analysis method to improve the
safety of the cancer chemotherapy process. Int J Qual Health Care. 2006;18(1):9-16.
https://psnet.ahr…
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psnet.ahrq.gov/node/838250/psn-pdf
October 06, 2022 - The impact of electronic communication of medication
discontinuation (CancelRx) on medication safety: a pilot
study.
October 6, 2022
Pitts S, Yang Y, Woodroof T, et al. The impact of electronic communication of medication discontinuation
(CancelRx) on medication safety: a pilot study. J Patient Saf. 2022;18(6):e93…
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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/web-mm/troubling-amine
September 01, 2003 - missed orders, but 20 errors out of 246 involved incorrect medication selection.( 5 ) In a study in 50 community … pharmacies, order entry errors were responsible for 48 of 63 (76%) dispensing errors on new prescriptions … National observational study of prescription dispensing accuracy and safety in 50 pharmacies. … Shake Well
September 1, 2003
Dispensing errors and counseling quality in 100 pharmacies
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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/issue/2004-ashp-leadership-conference-pharmacy-practice-management-executive-summary-improving
June 16, 2019 - Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies
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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/41863/psn-pdf
November 21, 2012 - compared the accuracy of patient-reported
medication lists with a "gold standard" list compiled from 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/46822/psn-pdf
April 12, 2019 - motivational interviews, and postdischarge follow-up with nursing homes,
primary care providers, and pharmacies
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psnet.ahrq.gov/node/42376/psn-pdf
December 18, 2013 - Changes to supervision in community pharmacy:
pharmacist and pharmacy support staff views. … Changes to supervision in community pharmacy: pharmacist
and pharmacy support staff views. … https://psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-
support-staff-views … This focus group study sought to establish which daily activities within a community pharmacy required … https://psnet.ahrq.gov/issue/changes-supervision-community-pharmacy-pharmacist-and-pharmacy-support-staff-views