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psnet.ahrq.gov/node/38997/psn-pdf
September 30, 2009 - /harm-pharmacy-misfills
This newspaper article reports on numerous prescription mistakes in retail pharmacies
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digital.ahrq.gov/sites/default/files/docs/page/2006Dye_051111comp.pdf
June 05, 2006 - A Three-pronged Approach to Monitoring the Effect of an EMR Implementation on Medication-related Events in a Pediatric Hospital
A three-pronged approach to monitoring the effect
of an EMR implementation on medication-related
events in a pediatric hospital
AHRQ 2006 Annual Conference
on Patient Safety and Health …
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psnet.ahrq.gov/node/865873/psn-pdf
May 15, 2024 - A review of medication errors and the second victim in
pediatric pharmacy.
May 15, 2024
Bredenkamp K, Raschka MJ, Holmes A. A review of medication errors and the second victim in pediatric
pharmacy. J Pediatr Pharmacol Ther. 2024;29(2):100-106. doi:10.5863/1551-6776-29.2.100.
https://psnet.ahrq.gov/issue/review-me…
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psnet.ahrq.gov/primer/pharmacists-role-medication-safety
March 14, 2018 - View More
See More About The Topic
Pharmacists
Hospital Pharmacy
Community … Pharmacy
Medication Errors/Preventable Adverse Drug Events
Epidemiology of Errors and Adverse
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psnet.ahrq.gov/issue/impact-pharmacist-directed-pain-management-service-inpatient-opioid-use-pain-control-and
February 11, 2015 - Study
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety.
Citation Text:
Impact of a pharmacist-directed pain management service on inpatient opioid use, pain control, and patient safety. Poirier RH; Brown CS; Baggenstos YT; …
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psnet.ahrq.gov/issue/root-cause-analysis-project-medication-safety-course
October 07, 2020 - Commentary
A root cause analysis project in a medication safety course.
Citation Text:
Schafer JJ. A root cause analysis project in a medication safety course. Am J Pharm Educ. 2012;76(6):116. doi:10.5688/ajpe766116.
Copy Citation
Format:
DOI Google Scholar PubMed BibTeX …
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digital.ahrq.gov/sites/default/files/docs/page/medication-turnaround-time-quick-reference-guide.pdf
August 05, 2025 - Medication Turnaround Time in the Inpatient Setting
Advancing Excellence in Health Care www.ahrq.gov
Agency for Healthcare Research and Quality
Health IT
Medication Turnaround Time
in the Inpatient Setting
Medication turnaround time is defined as the
interval from the time a medication order is written
(man…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Steele_100.pdf
March 18, 2008 - Efficiency Gains with Computerized Provider Order Entry
Efficiency Gains with Computerized
Provider Order Entry
Andrew M. Steele, MD, MPH, MSc; Mical DeBrow, PhD, RN
Abstract
Objective: The objective of this project was to measure efficiency gains in turnaround times
with the implementation of a computer…
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/2-SOPS_101_Webcast_2020-Gray.pdf
January 01, 2020 - culture supports patient safety
9
Hospital
Version
1.0 and 2.0
Nursing
Home
Medical
Office
Community … Pharmacy
Ambulatory
Surgery
Center
Areas of Patient Safety Culture Assessed
Across SOPS Surveys … sites
Coming
Soon 2021 Report
Nursing
Home
(2019)
191
sites
Medical
Office
(2020)
1,475
sites
Community … Pharmacy
(2019)
331
sites
Ambulatory
Surgery Center
(ASC)
(2020)
282
sites
Why Participate … pharmacy database submission through 2022.
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psnet.ahrq.gov/node/841306/psn-pdf
December 14, 2022 - https://psnet.ahrq.gov/issue/understanding-procedural-violations-using-safety-i-and-safety-ii-case-community-pharmacies
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www.ahrq.gov/news/newsletters/e-newsletter/936.html
November 01, 2024 - Handing off electronic prescription data from prescribers to community pharmacies: a qualitative analysis
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psnet.ahrq.gov/issue/what-evidence-pharmacy-team-working-acute-or-emergency-medicine-department-improves-outcomes
August 10, 2022 - Review
What is the evidence that a pharmacy team working in an acute or emergency medicine department improves outcomes for patients: a systematic review.
Citation Text:
Punj E, Collins A, Agravedi N, et al. What is the evidence that a pharmacy team working in an acute or emergency medic…
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psnet.ahrq.gov/issue/medication-reconciliation-performed-pharmacy-technicians-time-preoperative-screening
August 18, 2010 - Study
Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.
Citation Text:
van den Bemt PM, van den Broek S, van Nunen AK, et al. Medication reconciliation performed by pharmacy technicians at the time of preoperative screening. Ann Pharmaco…
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psnet.ahrq.gov/issue/ashp-ppag-guidelines-providing-pediatric-pharmacy-services-hospitals-and-health-systems
April 24, 2018 - Commentary
ASHP–PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems.
Citation Text:
Eiland LS, Benner K, Gumpper KF, et al. ASHP-PPAG Guidelines for Providing Pediatric Pharmacy Services in Hospitals and Health Systems. J Pediatr Pharmacol Ther. 2018…
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psnet.ahrq.gov/issue/integrating-patient-safety-and-clinical-pharmacy-services-care-high-risk-ambulatory
April 08, 2020 - Study
Integrating patient safety and clinical pharmacy services into the care of a high-risk, ambulatory population: a collaborative approach.
Citation Text:
Robbins CM, Stillwell T, Johnson D, et al. Integrating Patient Safety and Clinical Pharmacy Services Into the Care of a High-Ris…
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psnet.ahrq.gov/node/35746/psn-pdf
July 15, 2010 - https://psnet.ahrq.gov/issue/availability-spanish-prescription-labels
The authors surveyed pharmacies
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psnet.ahrq.gov/node/37186/psn-pdf
September 25, 2008 - Labels also varied considerably between different pharmacies.
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psnet.ahrq.gov/node/39162/psn-pdf
January 04, 2010 - psnet.ahrq.gov/issue/online-consultations-cyberpharmacies-completeness-and-patient-safety
Many online pharmacies
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psnet.ahrq.gov/node/41807/psn-pdf
October 31, 2012 - sterile-compounding-tragedy-symptom-broken-system-many-levels
This piece reviews risks associated with the use of compounding pharmacies
-
digital.ahrq.gov/sites/default/files/docs/HealthITandUnderservedPopulations.pdf
September 17, 2010 - coordination among
organizations
Silos of Data
• Specialized HIT
– hospital
– doctors
– pharmacies … Care summaries H&Ps
Clinical messages Radiology reports
Lab results
Adm/Disch notices
Payers Pharmacies … Data Aggregation
Secure Messaging
Quality Reporting
Admit / Discharge
Notification
Payers
Pharmacies … summaries
Secure messages
Physicians
Care summaries
Clinical messages
Adm/Disch notices
Payers Pharmacies … Care summaries H&Ps
Clinical messages Radiology reports
Lab results
Adm/Disch notices
PBMs Pharmacies