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psnet.ahrq.gov/issue/high-risk-high-alert-medication-management-practices-regional-state-psychiatric-facility
January 06, 2017 - Study
High-risk, high-alert medication management practices in a regional state psychiatric facility.
Citation Text:
McKee J, Cleary S. High-Risk, High-Alert Medication Management Practices in a Regional State Psychiatric Facility. Hosp Pharm. 2007;42(4):323-330. doi:10.1310/hpj4204-323.…
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psnet.ahrq.gov/issue/developing-medication-patient-safety-program-infrastructure-and-strategy
May 11, 2014 - Commentary
Developing a medication patient safety program — infrastructure and strategy.
Citation Text:
Mark SM, Weber RJ. Developing a Medication Patient Safety Program – Infrastructure and Strategy. Hosp Pharm. 2010;42(2):149-154. doi:10.1310/hpj4202-149.
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psnet.ahrq.gov/issue/medication-safety-look-alike-sound-alike-medicines
November 19, 2014 - Book/Report
Medication Safety for Look-alike, Sound-alike Medicines.
Citation Text:
Medication Safety for Look-alike, Sound-alike Medicines. Galappatthy P, Mair A, Dhingra-Kumar N et al. Geneva, Switzerland: World Health Organization; 2023. ISBN 9789240058897.
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psnet.ahrq.gov/issue/irked-drug-interaction-alerts-customize-them-experts-advise
May 20, 2020 - Newspaper/Magazine Article
Irked by drug-interaction alerts? Customize them, experts advise.
Citation Text:
Irked by drug-interaction alerts? Customize them, experts advise. Dowhower Karpa K. Drug Topics. April 17, 2006.
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psnet.ahrq.gov/issue/answers-improved-medication-reconciliation-lie-pharmacists
June 13, 2011 - Newspaper/Magazine Article
Answers to improved medication reconciliation lie with pharmacists.
Citation Text:
Answers to improved medication reconciliation lie with pharmacists. Barbella M. Drug Topics. November 19, 2007.
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psnet.ahrq.gov/issue/designing-strategy-promote-safe-innovative-label-use-medications
May 06, 2009 - Commentary
Designing a strategy to promote safe, innovative off-label use of medications.
Citation Text:
Ansani N, Sirio CA, Smitherman T, et al. Designing a strategy to promote safe, innovative off-label use of medications. Am J Med Qual. 2006;21(4):255-261.
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psnet.ahrq.gov/issue/subtherapeutic-heparin-infusions-your-organization-risk-bypassing-soft-low-dose-alerts
November 18, 2020 - Newspaper/Magazine Article
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts?
Citation Text:
Subtherapeutic heparin infusions: is your organization at risk of bypassing soft low-dose alerts? ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/computerized-provider-order-entry-and-prescribing-and-evidence-safe-practice-update-clinical
November 03, 2015 - Review
Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse specialist.
Citation Text:
O'Malley P. Computerized provider order entry and prescribing and the evidence for safe practice: update for the clinical nurse speciali…
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psnet.ahrq.gov/issue/adverse-drug-events-hospitalized-cardiac-patients
July 26, 2023 - Study
Adverse drug events in hospitalized cardiac patients.
Citation Text:
Fanikos J, Cina J, Baroletti S, et al. Adverse drug events in hospitalized cardiac patients. Am J Cardiol. 2007;100(9):1465-9.
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psnet.ahrq.gov/issue/using-preprinted-medication-order-forms-improve-safety-investigational-drug-use
April 24, 2024 - Commentary
Using preprinted medication order forms to improve the safety of investigational drug use.
Citation Text:
Tamer H, Shehab N. Using preprinted medication order forms to improve the safety of investigational drug use. Am J Health Syst Pharm. 2006;63(11):1022, 1025-1026, 1028. …
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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/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/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/44393/psn-pdf
August 12, 2015 - look-alikesound-alike-drugs-literature-review-causes-and-solutions
https://psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
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psnet.ahrq.gov/topics-0
March 03, 2025 - Palliative Care Go to this topic
Pharmacy Go to this topic
Community … Pharmacy Go to this topic
Hospital Pharmacy Go to this topic
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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