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psnet.ahrq.gov/issue/prescribing-errors-resulting-adverse-drug-events-how-can-they-be-prevented
May 10, 2023 - Commentary
Prescribing errors resulting in adverse drug events: how can they be prevented?
Citation Text:
Thürmann PA. Prescribing errors resulting in adverse drug events: how can they be prevented? Expert Opin Drug Saf. 2006;5(4):489-93.
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psnet.ahrq.gov/issue/patient-safety-helping-medical-students-understand-error-healthcare
December 16, 2009 - Study
Patient safety: helping medical students understand error in healthcare.
Citation Text:
Patey R, Flin R, Cuthbertson BH, et al. Patient safety: helping medical students understand error in healthcare. Qual Saf Health Care. 2007;16(4):256-9.
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psnet.ahrq.gov/issue/evaluation-medication-errors-pediatric-surgical-service-experience
March 02, 2011 - Study
An evaluation of medication errors—the pediatric surgical service experience.
Citation Text:
Engum SA, Breckler FD. An evaluation of medication errors-the pediatric surgical service experience. J Pediatr Surg. 2008;43(2):348-52. doi:10.1016/j.jpedsurg.2007.10.042.
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psnet.ahrq.gov/issue/medication-safety-infrastructure-critical-access-hospitals-florida
December 06, 2017 - Study
Medication safety infrastructure in critical-access hospitals in Florida.
Citation Text:
Winterstein AG, Hartzema AG, Johns TE, et al. Medication safety infrastructure in critical-access hospitals in Florida. American Journal of Health-System Pharmacy. 2006;63(5). doi:10.2146/ajh…
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psnet.ahrq.gov/issue/medication-safety-issue-brief-small-and-rural-hospitals-unique-challenges-unique-solutions
June 17, 2014 - Fact Sheet/FAQs
Medication safety issue brief. Small and rural hospitals—unique challenges, unique solutions.
Citation Text:
Association AH, Pharmacists AS of H-S, Networks H & H. Medication Safety Issue Brief. Small and rural hospitals--unique challenges, unique solutions. Hospitals & h…
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psnet.ahrq.gov/issue/pharmacists-and-health-information-technology-emerging-issues-patient-safety
November 13, 2013 - Review
Pharmacists and health information technology: emerging issues in patient safety.
Citation Text:
Fuji KT, Galt KA. Pharmacists and Health Information Technology: Emerging Issues in Patient Safety. HEC Forum. 2008;20(3). doi:10.1007/s10730-008-9075-4.
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psnet.ahrq.gov/issue/jcaho-views-medication-reconciliation-adverse-event-prevention
March 06, 2013 - Newspaper/Magazine Article
JCAHO views medication reconciliation as adverse-event prevention.
Citation Text:
Thompson CA. JCAHO views medication reconciliation as adverse-event prevention. American journal of health-system pharmacy : AJHP : official journal of the American Society of H…
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psnet.ahrq.gov/node/39477/psn-pdf
April 28, 2010 - Effects of an adverse-drug-event alert system on cost and
quality outcomes in community hospitals.
April 28, 2010
Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality
outcomes in community hospitals. Am J Health Syst Pharm. 2010;67(8):613-20. doi:10.2146/ajhp090056.…
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psnet.ahrq.gov/node/858168/psn-pdf
December 13, 2023 - building-safety-program-using-principles-resilience-engineering
https://psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid
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psnet.ahrq.gov/node/50930/psn-pdf
February 21, 2020 - workarounds should be in place prior to implementation to ensure a safe and
https://psnet.ahrq.gov/issue/community-pharmacy-survey-patient-safety-culture … -2019-user-comparative-database-report
https://psnet.ahrq.gov/issue/community-pharmacy-medication-review-death-and-re-admission-after-hospital-discharge
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psnet.ahrq.gov/node/863212/psn-pdf
February 28, 2024 - common in community settings including primary
care, general practice, mental health services, and community … pharmacy.
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psnet.ahrq.gov/issue/exaggerated-benefits-failure
November 09, 2022 - Study
The exaggerated benefits of failure.
Citation Text:
Eskreis-Winkler L, Woolley K, Erensoy E, et al. The exaggerated benefits of failure. J Exp Psychol Gen. 2024;153(7):1920-1937. doi:10.1037/xge0001610.
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psnet.ahrq.gov/issue/characterization-prescribing-errors-internal-medicine-clinic
March 04, 2011 - Study
Characterization of prescribing errors in an internal medicine clinic.
Citation Text:
Devine EB, Wilson-Norton JL, Lawless NM, et al. Characterization of prescribing errors in an internal medicine clinic. Am J Health Syst Pharm. 2007;64(10):1062-70.
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psnet.ahrq.gov/issue/preventable-and-non-preventable-adverse-drug-events-hospitalized-patients-prospective-chart
March 04, 2011 - Study
Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.
Citation Text:
Dequito AB, Mol PGM, van Doormaal J, et al. Preventable and non-preventable adverse drug events in hospitalized patients: a prospective char…
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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