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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/complexity-medication-related-verbal-orders
November 17, 2010 - Study
Complexity of medication-related verbal orders.
Citation Text:
Wakefield DS, Ward MM, Groath D, et al. Complexity of medication-related verbal orders. Am J Med Qual. 2008;23(1):7-17. doi:10.1177/1062860607310922.
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Format:
DOI Google Scholar PubMed BibTe…
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psnet.ahrq.gov/node/60542/psn-pdf
May 27, 2020 - Life-Threatening Infant Overdose of Sodium Chloride
May 27, 2020
Hamline M, McGlynn G, Lee A, et al. Life-Threatening Infant Overdose of Sodium Chloride. PSNet
[internet]. 2020.
https://psnet.ahrq.gov/web-mm/life-threatening-infant-overdose-sodium-chloride
The Case
An infant with trisomy 21 underwent repair of a…
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psnet.ahrq.gov/curated-article-libraries
March 18, 2025 - Obstetrical Nursing
(2)
Palliative Care
(1)
Pharmacy
(5)
Community … Pharmacy
(2)
Hospital Pharmacy
(4)
Error Types
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psnet.ahrq.gov/node/858168/psn-pdf
December 13, 2023 - building-safety-program-using-principles-resilience-engineering
https://psnet.ahrq.gov/issue/mapping-resilience-performance-community-pharmacy-maintain-patient-safety-during-covid
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psnet.ahrq.gov/node/39477/psn-pdf
April 28, 2010 - Effects of an adverse-drug-event alert system on cost and
quality outcomes in community hospitals.
April 28, 2010
Piontek F, Kohli R, Conlon P, et al. Effects of an adverse-drug-event alert system on cost and quality
outcomes in community hospitals. Am J Health Syst Pharm. 2010;67(8):613-20. doi:10.2146/ajhp090056.…
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psnet.ahrq.gov/node/837748/psn-pdf
August 05, 2022 - Challenges of Diabetes Management and Medication
Reconciliation
August 5, 2022
Lee S, Molla M. Challenges of Diabetes Management and Medication Reconciliation . PSNet [internet].
2022.
https://psnet.ahrq.gov/web-mm/challenges-diabetes-management-and-medication-reconciliation
The Cases
Case #1: A 53-year-old man …
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psnet.ahrq.gov/node/49681/psn-pdf
April 01, 2013 - Total Parenteral Nutrition, Multifarious Errors
April 1, 2013
Boullata JI. Total Parenteral Nutrition, Multifarious Errors. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/total-parenteral-nutrition-multifarious-errors
Case Objectives
Define parenteral nutrition (PN).
Describe the PN-use process.
Identify …
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www.ahrq.gov/sites/default/files/wysiwyg/hai/abate/introduction/prelaunch-activities.pdf
March 01, 2022 - Toolkit Prelaunch Activities
Decolonization of
Non-ICU Patients With Devices
Section 8 – Toolkit Prelaunch Activities
We recommend that you follow the prelaunch checklist below (Table 8-1) for successful
implementation. As is the case with many infection prevention programs, it will take time to
achie…
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psnet.ahrq.gov/web-mm/medication-reconciliation-pitfalls
May 01, 2006 - Medication Reconciliation Pitfalls
Citation Text:
Weber RJ. Medication Reconciliation Pitfalls. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2010.
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psnet.ahrq.gov/node/863212/psn-pdf
February 28, 2024 - common in community settings including primary
care, general practice, mental health services, and community … pharmacy.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/Translation-Guidelines-SOPS-090222.pdf
September 02, 2022 - Spanish translations for all five core SOPS surveys (i.e., Hospital, Medical Office, Nursing Home,
Community … Pharmacy, and Ambulatory Surgery Center) and the supplemental item sets have been
developed by AHRQ … pharmacy, or ambulatory surgery center providers and staff). … pharmacies, or ambulatory surgery centers. … o Recruit providers and staff (hospital, medical office, nursing home,
community pharmacy, and ambulatory
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psnet.ahrq.gov/web-mm/death-pca
January 06, 2017 - Death by PCA
Citation Text:
Hicks RW. Death by PCA. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2013.
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Format:
Google Scholar BibTeX EndNote X3 XML EndNote 7 XML Endnote tagged PubMedId RIS
Dow…
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psnet.ahrq.gov/issue/community-acquired-and-hospital-acquired-medication-harm-among-older-inpatients-and-impact
August 28, 2024 - Study
Community-acquired and hospital-acquired medication harm among older inpatients and impact of a state-wide medication management intervention.
Citation Text:
Pellegrin K, Lozano A, Miyamura J, et al. Community-acquired and hospital-acquired medication harm among older inpatients an…
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psnet.ahrq.gov/issue/assessing-potential-adoption-and-usefulness-concurrent-action-oriented-electronic-adverse
October 01, 2014 - Study
Assessing the potential adoption and usefulness of concurrent, action-oriented, electronic adverse drug event triggers designed for the outpatient setting.
Citation Text:
Mull HJ, Rosen AK, Shimada SL, et al. Assessing the potential adoption and usefulness of concurrent, action-ori…
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psnet.ahrq.gov/issue/rural-va-multi-center-medication-reconciliation-quality-improvement-study-r-va-marquis
September 30, 2020 - Study
The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS).
Citation Text:
Presley CA, Wooldridge KT, Byerly SH, et al. The Rural VA Multi-Center Medication Reconciliation Quality Improvement Study (R-VA-MARQUIS). Am J Health Syst Pharm. 2020;77(2)…
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psnet.ahrq.gov/issue/some-version-most-time-surgical-safety-checklist-patient-safety-and-everyday-experience
December 15, 2021 - Study
"Some version, most of the time": the surgical safety checklist, patient safety, and the everyday experience of practice variation.
Citation Text:
Hammond Mobilio M, Paradis E, Moulton C-A. “Some version, most of the time”: The surgical safety checklist, patient safety, and the eve…
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psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-pharmacist-service
August 05, 2020 - Study
Improved medication management with introduction of a perioperative and prescribing pharmacist service.
Citation Text:
Nguyen AD, Lam A, Banakh I, et al. Improved medication management with introduction of a perioperative and prescribing pharmacist service. J Pharm Pract. 2020;33(3…
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psnet.ahrq.gov/issue/chemotherapy-regimen-checks-performed-pharmacists-contribute-safe-administration-chemotherapy
April 01, 2010 - Study
Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.
Citation Text:
Suzuki S, Chan A, Nomura H, et al. Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy. J Oncol Pract. 2017;23(1…
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psnet.ahrq.gov/issue/economic-outcomes-associated-safety-interventions-pharmacist-adjudicated-prior-authorization
September 23, 2020 - Study
Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service.
Citation Text:
Jacob S, Britt RB, Bryan WE, et al. Economic Outcomes Associated with Safety Interventions by a Pharmacist-Adjudicated Prior Authorization Consult …