-
psnet.ahrq.gov/node/40830/psn-pdf
October 05, 2011 - "Tech-check-tech": a review of the evidence on its safety
and benefits.
October 5, 2011
Adams AJ, Martin SJ, Stolpe SF. "Tech-check-tech": a review of the evidence on its safety and benefits.
Am J Health Syst Pharm. 2011;68(19):1824-33. doi:10.2146/ajhp110022.
https://psnet.ahrq.gov/issue/tech-check-tech-review-ev…
-
psnet.ahrq.gov/node/39519/psn-pdf
June 16, 2019 - ISMP medication error report analysis.
June 16, 2019
Cohen MR, Smetzer JL. Neuromuscular Blocker Mix-up in the Pharmacy; ISMP and Doctor's Digest
Launch New iPhone Application; “UD” for “Ut Dictum”—an Ambiguous and Dangerous Abbreviation; Order
by Metric Weight, Not Volume. Hosp Pharm. 2010;45(4). doi:10.1310/hpj45…
-
psnet.ahrq.gov/node/40655/psn-pdf
September 12, 2016 - Impact of drug shortages on U.S. health systems.
September 12, 2016
Kaakeh R, Sweet B, Reilly C, et al. Impact of drug shortages on U.S. health systems. Am J Health Syst
Pharm. 2011;68(19):1811-9. doi:10.2146/ajhp110210.
https://psnet.ahrq.gov/issue/impact-drug-shortages-us-health-systems
This study surveyed pharm…
-
psnet.ahrq.gov/node/50582/psn-pdf
October 23, 2019 - Medication errors: the year in review.
October 23, 2019
Valentine D, Ingram V, Fobi B et al. Pharmacy Practice News. September 10, 2019.
https://psnet.ahrq.gov/issue/medication-errors-year-review
Medication error prevention is an evolving goal for health care. This article discusses distinct medications
and errors…
-
psnet.ahrq.gov/node/41673/psn-pdf
September 12, 2012 - A root cause analysis project in a medication safety
course.
September 12, 2012
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ.
2012;76(6):116. doi:10.5688/ajpe766116.
https://psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
This commentary descri…
-
psnet.ahrq.gov/node/37819/psn-pdf
April 14, 2010 - Standardizing Medication Labels: Confusing Patients
Less, Workshop Summary.
April 14, 2010
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice,
Institute of Medicine. Washington, DC: National Academies Press; 2008.
https://psnet.ahrq.gov/issue/standardizing-medica…
-
psnet.ahrq.gov/node/60653/psn-pdf
April 25, 2020 - Health Care Delivery and Pharmacists During the COVID-
19 Pandemic
June 29, 2020
Dopp AL, Fitall E, Hall KK, et al. Health Care Delivery and Pharmacists During the COVID-19 Pandemic.
PSNet [internet]. 2020.
https://psnet.ahrq.gov/perspective/health-care-delivery-and-pharmacists-during-covid-19-pandemic
Medication…
-
psnet.ahrq.gov/node/849660/psn-pdf
May 31, 2023 - Strategies to Improve Organizational Health Literacy.
May 31, 2023
Seidel E, Cortes T, Chong C. Strategies to Improve Organizational Health Literacy. PSNet [internet]. 2023.
https://psnet.ahrq.gov/primer/strategies-improve-organizational-health-literacy
Background
Health literacy is important at both the personal …
-
psnet.ahrq.gov/node/42807/psn-pdf
February 17, 2015 - ASPEN parenteral nutrition safety consensus
recommendations.
February 17, 2015
Ayers P, Adams S, Boullata JI, et al. A.S.P.E.N. parenteral nutrition safety consensus recommendations.
JPEN J Parenter Enteral Nutr. 2014;38(3):296-333. doi:10.1177/0148607113511992.
https://psnet.ahrq.gov/issue/aspen-parenteral-nutrit…
-
psnet.ahrq.gov/node/42130/psn-pdf
June 10, 2018 - Survey results: community liaison programs to decrease
hospital readmissions.
June 10, 2018
ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.
https://psnet.ahrq.gov/issue/survey-results-community-liaison-programs-decrease-hospital-readmissions
This newsletter article details the characteristic…
-
psnet.ahrq.gov/issue/targeted-medication-safety-best-practices-hospitals
January 26, 2023 - More
Related Resources
ISMP Targeted Medication Safety Best Practices for Community … Pharmacy.
-
psnet.ahrq.gov/issue/healthcare-failure-mode-and-effect-analysis-chemotherapy-preparation-process
March 09, 2022 - Study
Healthcare failure mode and effect analysis in the chemotherapy preparation process.
Citation Text:
Pueyo-López C, Sánchez-Cuervo M, Vélez-Díaz-Pallarés M, et al. Healthcare failure mode and effect analysis in the chemotherapy preparation process. J Oncol Pharm Pract. 2021;27(7):15…
-
psnet.ahrq.gov/issue/evaluation-quality-do-not-use-medication-abbreviation-audits-key-enabler-successful
September 15, 2021 - Study
Evaluation of the quality of 'do not use' medication abbreviation audits: a key enabler to successful implementation of audit and feedback.
Citation Text:
Li E, Marrandino J, Marshall S, et al. Evaluation of the quality of ‘do not use’ medication abbreviation audits: a key enabler…
-
psnet.ahrq.gov/issue/factors-influencing-providers-willingness-deprescribe-medications
November 17, 2021 - Study
Factors influencing providers' willingness to deprescribe medications.
Citation Text:
Davila H, Rosen AK, Stolzmann K, et al. Factors influencing providers' willingness to deprescribe medications. J Am Coll Clin Pharm. 2022;5:15-25. doi:10.1002/jac5.1537.
Copy Citation
Format…
-
psnet.ahrq.gov/issue/does-employee-safety-matter-patients-too-employee-safety-climate-and-patient-safety-culture
September 01, 2021 - Study
Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care.
Citation Text:
Mohr DC, Eaton JL, McPhaul KM, et al. Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. J P…
-
psnet.ahrq.gov/issue/preventable-adverse-drug-events-causing-hospitalisation-identifying-root-causes-and
March 05, 2008 - Study
Preventable adverse drug events causing hospitalisation: identifying root causes and developing a surveillance and learning system at an urban community hospital, a cross-sectional observational study.
Citation Text:
de Lemos J, Loewen PS, Nagle C, et al. Preventable adverse drug e…
-
psnet.ahrq.gov/issue/medication-reconciliation-patients-after-their-discharge-intensive-care-unit-hospital-ward
March 09, 2022 - Study
Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.
Citation Text:
Pradeda AM, Pérez MSA, Oliveira CF, et al. Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward. Farm Hos…
-
psnet.ahrq.gov/issue/some-unintended-consequences-information-technology-health-care-nature-patient-care
November 18, 2020 - Study
Classic
Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.
Citation Text:
Ash JS, Berg M, Coiera E. Some unintended consequences of information technology in health care: t…
-
psnet.ahrq.gov/issue/clinicians-use-health-information-exchange-technologies-medication-reconciliation-us
August 04, 2021 - Study
Clinicians' use of health information exchange technologies for medication reconciliation in the U.S. Department of Veterans Affairs: a qualitative analysis.
Citation Text:
Snyder ME, Nguyen KA, Patel H, et al. Clinicians' use of health information exchange technologies for medicat…
-
psnet.ahrq.gov/issue/safety-intravenous-drug-delivery-systems-update-current-issues-2009-consensus-development
November 16, 2022 - Commentary
The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference.
Citation Text:
Rodriguez R. The Safety of Intravenous Drug Delivery Systems: Update on Current Issues Since the 2009 Consensus Development Conference. Hos…