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psnet.ahrq.gov/issue/safe-chemotherapy-administration-using-failure-mode-and-effects-analysis-computerized
October 19, 2022 - Commentary
Safe chemotherapy administration: using failure mode and effects analysis in computerized prescriber order entry.
Citation Text:
Kozakiewicz JM, Benis LJ, Fisher SM, et al. Safe chemotherapy administration: Using failure mode and effects analysis in computerized prescriber o…
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psnet.ahrq.gov/issue/formal-medicine-reconciliation-within-emergency-department-reduces-medication-error-rates
May 01, 2019 - Study
Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.
Citation Text:
Mills PR, McGuffie AC. Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admiss…
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psnet.ahrq.gov/issue/safe-implementation-standard-concentration-infusions-paediatric-intensive-care
June 17, 2014 - Study
Safe implementation of standard concentration infusions in paediatric intensive care.
Citation Text:
Arenas-López S, Stanley IM, Tunstell P, et al. Safe implementation of standard concentration infusions in paediatric intensive care. Journal of Pharmacy and Pharmacology. 2016;69(5)…
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psnet.ahrq.gov/issue/overcoming-barriers-adopting-and-implementing-computerized-physician-order-entry-systems-us
July 10, 2008 - Study
Classic
Overcoming barriers to adopting and implementing computerized physician order entry systems in U.S. hospitals.
Citation Text:
Poon EG, Blumenthal D, Jaggi T, et al. Overcoming barriers to adopting and implementing computerized physician order ent…
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psnet.ahrq.gov/issue/horus-meets-nightingale-modern-age-how-nursing-communicates-pharmacy-hcit-era
July 10, 2008 - Study
Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.
Citation Text:
Armstrong I, Cox MA. Horus meets Nightingale in the modern age: How nursing communicates with pharmacy in HCIT era. Stud Health Technol Inform. 2006;122:585-6.
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psnet.ahrq.gov/issue/quantifying-nursing-workflow-medication-administration
January 07, 2009 - Study
Quantifying nursing workflow in medication administration.
Citation Text:
Keohane CA, Bane AD, Featherstone E, et al. Quantifying nursing workflow in medication administration. J Nurs Adm. 2007;38(1):19-26. doi:10.1097/01.nna.0000295628.87968.bc.
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…
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psnet.ahrq.gov/issue/using-bar-coded-medication-administration-system-prevent-medication-errors-community-hospital
October 01, 2008 - Study
Using a bar-coded medication administration system to prevent medication errors in a community hospital network.
Citation Text:
Sakowski J, Leonard T, Colburn S, et al. Using a bar-coded medication administration system to prevent medication errors in a community hospital network…
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psnet.ahrq.gov/issue/recognition-and-management-potential-drug-drug-interactions-patients-internal-medicine-wards
October 21, 2015 - Study
Recognition and management of potential drug-drug interactions in patients on internal medicine wards.
Citation Text:
Vonbach P, Dubied A, Beer JH, et al. Recognition and management of potential drug-drug interactions in patients on internal medicine wards. Eur J Clin Pharmacol. …
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psnet.ahrq.gov/issue/impact-antiretroviral-stewardship-strategy-medication-error-rates
August 04, 2021 - Study
Impact of an antiretroviral stewardship strategy on medication error rates.
Citation Text:
Shea KM, Hobbs AL, Shumake JD, et al. Impact of an antiretroviral stewardship strategy on medication error rates. Am J Health Syst Pharm. 2018;75(12):876-885. doi:10.2146/ajhp170420.
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psnet.ahrq.gov/issue/implementation-medication-error-reporting-through-med-safe-tool-clinical-pharmacists-and
December 16, 2011 - Study
Implementation of medication error reporting through Med Safe Tool: the clinical pharmacists and the inpatient nursing staff collaborative approach.
Citation Text:
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe Tool. J Patient …
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psnet.ahrq.gov/issue/emergency-department-discharge-prescription-interventions-emergency-medicine-pharmacists
September 22, 2021 - Study
Emergency department discharge prescription interventions by emergency medicine pharmacists.
Citation Text:
Cesarz JL, Steffenhagen AL, Svenson J, et al. Emergency department discharge prescription interventions by emergency medicine pharmacists. Ann Emerg Med. 2013;61(2):209-214…
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psnet.ahrq.gov/issue/oncology-medication-safety-3d-status-report-2008
March 26, 2015 - Study
Oncology medication safety: a 3D status report 2008.
Citation Text:
Johnson PE, Chambers C, Vaida AJ. Oncology medication safety: a 3D status report 2008. J Oncol Pharm Pract. 2008;14(4):169-80. doi:10.1177/1078155208097634.
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DOI Google Scholar …
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psnet.ahrq.gov/node/49583/psn-pdf
April 01, 2009 - Eptifibatide Epilogue
April 1, 2009
Churchill WW, Fiumara K. Eptifibatide Epilogue. PSNet [internet]. 2009.
https://psnet.ahrq.gov/web-mm/eptifibatide-epilogue
The Case
A 62-year-old man was admitted at 11:00 PM on a Saturday night with the provisional diagnosis of acute
coronary syndrome. Serial testing for mark…
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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/node/36699/psn-pdf
March 28, 2011 - Hospital staff should use more than one method to detect
adverse events and potential adverse events: incident
reporting, pharmacist surveillance and local real-time
record review may all have a place.
March 28, 2011
Olsen S, Neale G, Schwab K, et al. Hospital staff should use more than one method to detect advers…
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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