-
psnet.ahrq.gov/issue/doctors-orders-killed-cancer-patient-dana-farber-admits-drug-overdose-caused-death-globe
March 10, 2021 - 10, 2021
The nature, severity and causes of medication incidents from an Australian community … pharmacy incident reporting system: the QUMwatch study.
-
psnet.ahrq.gov/issue/moving-towards-safety-ii-approach
May 18, 2022 - May 26, 2021
A systematic review of the effect of telepharmacy services in the community … pharmacy setting on care quality and patient safety.
-
psnet.ahrq.gov/issue/examining-relationship-between-health-it-and-ambulatory-care-workflow-redesign
December 24, 2008 - December 24, 2008
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative
-
psnet.ahrq.gov/issue/supplemental-item-set-nursing-home-sops-call-pilot-participants
December 24, 2008 - June 28, 2023
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative
-
psnet.ahrq.gov/node/45334/psn-pdf
September 07, 2016 - Why 'Universal Precautions' are needed for medication
lists.
September 7, 2016
Shane R. Why 'Universal Precautions' are needed for medication lists. BMJ Qual Saf. 2016;25(9):731-2.
doi:10.1136/bmjqs-2015-005116.
https://psnet.ahrq.gov/issue/why-universal-precautions-are-needed-medication-lists
Despite the support…
-
psnet.ahrq.gov/node/39161/psn-pdf
December 09, 2009 - Medication reconciliation at an academic medical center:
implementation of a comprehensive program from
admission to discharge.
December 9, 2009
Murphy EM, Oxencis CJ, Klauck JA, et al. Medication reconciliation at an academic medical center:
implementation of a comprehensive program from admission to discharge. A…
-
psnet.ahrq.gov/node/40091/psn-pdf
December 15, 2010 - Implementation of a telepharmacy service to provide
round-the-clock medication order review by pharmacists.
December 15, 2010
Wakefield DS, Ward MM, Loes JL, et al. Implementation of a telepharmacy service to provide round-the-
clock medication order review by pharmacists. American Journal of Health-System Pharmacy…
-
psnet.ahrq.gov/node/44415/psn-pdf
October 28, 2015 - Medication discrepancies at pediatric hospital discharge.
October 28, 2015
Gattari TB, Krieger LN, Hu HM, et al. Medication Discrepancies at Pediatric Hospital Discharge. Hosp
Pediatr. 2015;5(8):439-45. doi:10.1542/hpeds.2014-0085.
https://psnet.ahrq.gov/issue/medication-discrepancies-pediatric-hospital-discharge
…
-
psnet.ahrq.gov/node/37391/psn-pdf
February 15, 2011 - Implementation of medication error reporting through
Med Safe Tool: the clinical pharmacists and the inpatient
nursing staff collaborative approach.
February 15, 2011
Elnour AA, Ellahham NH, Al Qassas HI. Implementation of Medication Error Reporting Through Med Safe
Tool. J Patient Saf. 2008;3(4). doi:10.1097/pts.…
-
psnet.ahrq.gov/node/36011/psn-pdf
September 24, 2010 - Geometric probability distribution for modeling of error
risk during prescription dispensing.
September 24, 2010
Carnahan BJ, Maghsoodloo S, Flynn EA, et al. Geometric probability distribution for modeling of error risk
during prescription dispensing. Am J Health Syst Pharm. 2006;63(11):1056-61.
https://psnet.ahrq…
-
psnet.ahrq.gov/node/36859/psn-pdf
May 11, 2014 - High-risk, high-alert medication management practices in
a regional state psychiatric facility.
May 11, 2014
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.
https://psnet.ahrq.gov/issue/high-…
-
psnet.ahrq.gov/node/60331/psn-pdf
May 13, 2020 - How a Doctor Confronts Medical Error.
May 13, 2020
People’s Pharmacy. Show 1209. April 28, 2020.
https://psnet.ahrq.gov/issue/how-doctor-confronts-medical-error
Accidental harm to patients is a persistent challenge in health care. This interview features Dr. Danielle Ofri
who provides an overview of error in…
-
psnet.ahrq.gov/node/46661/psn-pdf
January 26, 2018 - Burnout syndrome among healthcare professionals.
January 26, 2018
Bridgeman PJ, Bridgeman MB, Barone J. Burnout syndrome among healthcare professionals. Am J Health
Syst Pharm. 2018;75(3):147-152. doi:10.2146/ajhp170460.
https://psnet.ahrq.gov/issue/burnout-syndrome-among-healthcare-professionals
Burnout affects t…
-
psnet.ahrq.gov/node/35304/psn-pdf
July 14, 2009 - Medication error in the care of HIV/AIDS patients:
electronic surveillance, confirmation, and adverse events.
July 14, 2009
DeLorenze GN, Follansbee SF, Nguyen DP, et al. Medication error in the care of HIV/AIDS patients:
electronic surveillance, confirmation, and adverse events. Med Care. 2005;43(9 Suppl):III63-II…
-
psnet.ahrq.gov/node/35322/psn-pdf
July 14, 2009 - Safe chemotherapy administration: using failure mode
and effects analysis in computerized prescriber order
entry.
July 14, 2009
Kozakiewicz JM, Benis LJ, Fisher SM, et al. Safe chemotherapy administration: Using failure mode and
effects analysis in computerized prescriber order entry. American Journal of Health-Sy…
-
psnet.ahrq.gov/node/41040/psn-pdf
January 04, 2012 - Implementing an electronic medical record with
computerized prescriber order entry at a critical access
hospital.
January 4, 2012
Horning R. Implementing an electronic medical record with computerized prescriber order entry at a critical
access hospital. Am J Health Syst Pharm. 2011;68(23):2288-92. doi:10.2146/ajh…
-
psnet.ahrq.gov/node/35657/psn-pdf
July 05, 2013 - Pharmacist Staffing and the Use of Technology in Small
Rural Hospitals: Implications for Medication Safety.
July 5, 2013
Casey MM, Moscovice I, Davidson G. Minneapolis, MN: Upper Midwest Rural Health Research Center;
2005.
https://psnet.ahrq.gov/issue/pharmacist-staffing-and-use-technology-small-rural-hospitals-im…
-
psnet.ahrq.gov/node/47345/psn-pdf
January 27, 2019 - Fixed-dose combination antihypertensives and risk of
medication errors.
January 27, 2019
Moriarty F, Bennett K, Fahey T. Fixed-dose combination antihypertensives and risk of medication errors.
Heart. 2019;105(3):204-209. doi:10.1136/heartjnl-2018-313492.
https://psnet.ahrq.gov/issue/fixed-dose-combination-antihype…
-
psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - We see claims across healthcare settings, such as emergency departments, pharmacies,
and specialists
-
psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - Lastly, requiring pharmacies or drug manufacturers to prepare a “handout” (or display) at the point of