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digital.ahrq.gov/sites/default/files/docs/page/health-information-technology-evaluation-toolkit-2009-update.pdf
January 01, 2009 - Health Information Technology Evaluation Toolkit: 2009 Update
Health Information Technology
Eva lua tion Toolkit
2009 Update
Prepared for:
Agency for Healthcare Research and Quality
U.S. Department of Health and Human Services
540 Gaither Road
Rockville, MD 20850
www.ahrq.gov
Contract No. 2…
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digital.ahrq.gov/sites/default/files/docs/AHRQ%20Transcript%208-27-10.pdf
June 16, 2021 - What we see when we look at these lists from pharmacies, doctors offices, the patient's
refrigerator … As this slide reminds us, there are
specialized IT applications for hospitals, doctors, pharmacies … And then if you
want to get to all the pharmacies that prescribe for them, those are the six entities … Two long term care pharmacies, preferred and senior, and four retail chains. … Any of these major retail pharmacies that are in that business.
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psnet.ahrq.gov/issue/health-care-simulation-advance-safety-responding-ebola-and-other-threats
September 16, 2015 - September 16, 2015
Community Pharmacy Survey on Patient Safety Culture 2015 User Comparative
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psnet.ahrq.gov/issue/guidance-safe-medical-staffing-report-working-party
February 08, 2011 - October 7, 2020
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/correlates-medication-error-hospitals
August 24, 2022 - September 30, 2020
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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psnet.ahrq.gov/issue/contemporary-view-medication-related-harm-new-paradigm
July 20, 2012 - July 12, 2010
Medication incident recovery and prevention utilising an Australian community … pharmacy incident reporting system: the QUMwatch study.
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psnet.ahrq.gov/issue/medication-safety-and-hospital-referrals-report-health-and-disability-commissioner
March 30, 2022 - June 29, 2016
Community Pharmacy Survey on Patient Safety Culture: 2019 User Comparative
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/03-SOPS_101_Webcast-GRAY-Overview.pdf
June 02, 2025 - organizational culture supports patient safety
Hospital
Version
1.0 and 2.0
Nursing
Home
Medical
Office
Community … Pharmacy
Ambulatory
Surgery
Center
14
Areas of Patient Safety Culture Assessed
Across SOPS
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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…
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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…
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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…
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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
…
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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.…
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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…
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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-…
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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…
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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…
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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…
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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…
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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…