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psnet.ahrq.gov/issue/ismp-medication-safety-alert-communityambulatory-care-edition
April 24, 2018 - Safe Medication Practices (ISMP) monthly newsletter targets issues related to medication safety in the community … pharmacy environment.
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effectivehealthcare.ahrq.gov/sites/default/files/pdf/medication-therapy-management-1_research.pdf
July 01, 2012 - pharmacy. … Some community pharmacies already have an analogous
system in place. … New prescriptions or changes to medications were dispensed by the community pharmacy or
forwarded to … pharmacy. … Pay more
attention to multiple pharmacies.
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psnet.ahrq.gov/web-mm/citrate-mix
February 01, 2010 - Citrate Mix-Up
Citation Text:
Weber RJ. Citrate Mix-Up. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2006.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/fallsprev/fallspximplstrat.pdf
June 02, 2025 - Menu of Implementation Strategies - AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
AHRQ’s Safety Program for Nursing Homes: On-Time Falls Prevention
Menu of Implementation Strategies
The On-Time Falls Prevention Menu of Implementation Strategies for using reports is a list of
potential way…
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hcup-us.ahrq.gov/datainnovations/clinicalcontentenhancementtoolkit/mn18.pdf
June 21, 2014 - HL7 Drug Order Examples
8/26/2011
The following are examples of HL7 segments containing drug order data. This is not intended to explain all the fields in each of
these segments or describe the HL7 messaging process but to show the minimum type of drug order data to provide for review.
ORC – Common Order S…
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psnet.ahrq.gov/issue/policy-positions-and-guidelines
July 10, 2019 - Database/Directory
Policy Positions and Guidelines.
Citation Text:
Policy Positions and Guidelines. Amercian Society of Health-System Pharmacists; ASHP.
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psnet.ahrq.gov/issue/ashp-statement-role-medication-safety-leader
June 16, 2019 - Organizational Policy/Guidelines
ASHP statement on the role of the medication safety leader.
Citation Text:
ASHP Statement on the Role of the Medication Safety Leader. Am J Health-Syst Pharm. 2020;77(4):308-312. doi:10.1093/ajhp/zxz292.
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Format:
DOI Google Sc…
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meps.ahrq.gov/data_files/publications/mr9/mr9.pdf
May 01, 2000 - validates
information on medical care events reported in the
MEPS HC by contacting medical providers and
pharmacies … The
MPC sample includes all hospitals, hospital physicians,
home health agencies, and pharmacies reported … A separate pharmacy component in
MEPS that collected data from pharmacies on
expenditures for prescription
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Charles.pdf
January 24, 2004 - Regardless of where a prescription is filled
(e.g., military pharmacies, participating retail pharmacies … , or national mail-order
pharmacies), prescription information from the selected pharmacy is merged
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www.ahrq.gov/patient-safety/reports/index.html
August 01, 2023 - Hospital-Acquired Conditions
SOPS Database Reports :
Hospital
Medical Office
Nursing Home
Community … Pharmacy
Ambulatory Surgery Center
Understanding Omissions of Care in Nursing Homes .
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - safety
Hospital
2004:
Version 1.0
2019:
Version 2.0
Nursing
Home
2008
Medical
Office
2009
Community … Pharmacy
2012
Ambulatory
Surgery
Center
2015
5 Reasons to Use the AHRQ SOPS Surveys
1. … Safety
Hospital
Medical Office
Nursing Home In development
Ambulatory Surgery Center
Community … Pharmacy
Health Information Technology (Health IT)
Patient Safety Supplemental Item Set
• For hospitals
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effectivehealthcare.ahrq.gov/sites/default/files/obesity-horizon-scan-high-impact-1406.pdf
June 01, 2014 - resource,
GoodRx, lists pricing for 30-day supplies ranging from about $164 to $218 at various
pharmacies … prices, lists pricing for 30-tablet supplies
(10 mg/tablet) ranging from $110 to $116 at various pharmacies … program includes a Medication Guide, Healthcare Provider training, distribution through certified
pharmacies … , rather than offering it exclusively through
certified mail-order pharmacies. … VIVUS announces initial availability of Qsymia
through certified retail pharmacies. [internet].
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psnet.ahrq.gov/node/49459/psn-pdf
September 01, 2004 - Caution, Interrupted
September 1, 2004
Wears RL. Caution, Interrupted. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/caution-interrupted
The Case
A 55-year-old man with acute myelogenous leukemia and several recent hospitalizations for fever and
neutropenia presented to the emergency department (ED) with …
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digital.ahrq.gov/location/usa-mn-clouquet
January 01, 2023 - USA, MN, Clouquet
HIT-Based Regional Medication Management Pharmacy System
Description
Implemented an interactive video-conferencing system at rural hospitals to provide continuing education for pharmacist and pharmacy technicians as well as a model for bedside verification of…
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psnet.ahrq.gov/node/33921/psn-pdf
October 10, 2018 - ASHP guidelines on preventing medication errors in
hospitals.
October 10, 2018
ASHP guidelines on preventing medication errors in hospitals. American journal of hospital pharmacy.
1993;50(2):305-14.
https://psnet.ahrq.gov/issue/ashp-guidelines-preventing-medication-errors-hospitals
Strategies to prevent inpatient…
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/091-decolonization-implementation-fg.docx
April 01, 2025 - Not all pharmacies kept the CHG impregnated cloths in stock. … They decided to switch from CHG cloths to CHG liquid soap, which was stocked in most local pharmacies
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016156-obrien-final-report-2009.pdf
January 01, 2009 - Finally even though none of the hospital
pharmacies were a great distance from the nursing unit, having
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psnet.ahrq.gov/issue/secondary-use-data-support-medication-safety-hospital-setting-systematic-review-and-narrative
July 31, 2019 - Review
The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.
Citation Text:
Chaudhry NT, Franklin BD, Mohammed S, et al. The secondary use of data to support medication safety in the hospital setting: a systematic rev…
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psnet.ahrq.gov/issue/patient-perceptions-and-experiences-medication-related-activities-emergency-department
September 22, 2017 - Study
Patient perceptions and experiences with medication-related activities in the emergency department: a qualitative study.
Citation Text:
Zahl-Holmstad B, Garcia BH, Johnsgård T, et al. Patient perceptions and experiences with medication-related activities in the emergency department…
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psnet.ahrq.gov/issue/global-oncology-pharmacy-response-covid-19-pandemic-medication-access-and-safety
January 23, 2017 - Commentary
Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.
Citation Text:
Alexander M, Jupp J, Chazan G, et al. Global oncology pharmacy response to COVID-19 pandemic: medication access and safety. J Oncol Pharm Pract. 2020;26(5):1225-1229. doi:10.11…