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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - Pharmacist was the sender.
Resident was the receiver. … The pharmacist says, “correct."
What communication errors were avoided? … Pharmacist did not rely on memory to give correct dosing information. … Sender = pharmacist
Receiver = resident
How did they complete the check-back? … Resident repeated the order; pharmacist confirmed
What communication errors were avoided?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Pharmacist was the sender.
Resident was the receiver. … The pharmacist says, “correct."
What communication errors were avoided? … Pharmacist did not rely on memory to give correct dosing information. … o Sender = pharmacist
o Receiver = resident
• How did they complete the check‐back? … o Resident repeated the order; pharmacist confirmed
• What communication errors were avoided?
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preventiveservices.ahrq.gov/questions/resources/20-tips.html
November 01, 2020 - If you cannot read your doctor's handwriting, your pharmacist might not be able to either. … Ask your pharmacist for the best device to measure your liquid medicine.
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preventiveservices.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - If you shadowed a pharmacist:
Did the pharmacist face obstacles in dispensing on time?
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3-communication-speaker-notes.pdf
July 01, 2023 - Pharmacist was the sender.
Resident was the receiver. … The pharmacist says, “correct."
What communication errors were avoided? … Pharmacist did not rely on memory to give correct dosing information. … o Sender = pharmacist
o Receiver = resident
• How did they complete the check‐back? … o Resident repeated the order; pharmacist confirmed
• What communication errors were avoided?
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_3_communication.pptx
July 01, 2023 - Pharmacist was the sender.
Resident was the receiver. … The pharmacist says, “correct."
What communication errors were avoided? … Pharmacist did not rely on memory to give correct dosing information. … Sender = pharmacist
Receiver = resident
How did they complete the check-back? … Resident repeated the order; pharmacist confirmed
What communication errors were avoided?
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preventiveservices.ahrq.gov/ncepcr/research/health-literacy.html
September 01, 2022 - Advancing Pharmacy Health Literacy Practices Through Quality Improvement : Training modules to help pharmacist
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preventiveservices.ahrq.gov/funding/grantee-profiles/index.html
April 01, 2024 - helped ensure that warnings for drug-drug interactions are appropriate and useful to clinicians and pharmacists … AHRQ, I have been able to look at medication safety from a systems perspective and develop tools that community … pharmacists can use to reduce patient harm.”
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/2-preventablehospitalandedvisits-samplerpts_3.pdf
November 30, 2013 - improvement (QI) nurse, infection control nurse
Nursing leadership meeting
DON, nurse managers, pharmacist … , nursing supervisor Pharmacist medication review meeting
Rehab Department staff Rehab Department internal … improvement (QI) nurse, infection control nurse
Nursing leadership meeting
DON, nurse managers, pharmacist … , nursing supervisor Pharmacist medication review meeting
Rehab Department staff Rehab Department internal … review
DON or Assistant DON, nurse manager, dietitian, Rehab
director, medical director, consultant pharmacist
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/topics/diagnostic-safety-workgroup-march-2022-meeting-notes.pdf
January 01, 2022 - • The ICARE TOC Program
o Investigators will develop a pharmacist-led hospital-community
collaborative
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-card-4x6.pdf
January 11, 2017 - Consider switching to once-
a-day or combination therapy;
suggest pharmacist counseling.
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preventiveservices.ahrq.gov/questions/resources/glossary.html
November 01, 2020 - Top of Page
P
Pharmacist: A person licensed to prepare and give out (dispense) prescription drugs … Prescription: A direction written by the physician to the pharmacist for the preparation and use of
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/obsrounds.doc
August 07, 2012 - · Administrators, nurses, pharmacists, respiratory therapists, and medical and nursing students, to
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preventiveservices.ahrq.gov/patient-safety/settings/hospital/red/toolkit/redtool2.html
March 01, 2013 - University Medical Center, the RED components, except the followup phone call that was conducted by a pharmacist … Some RED components require a clinical background, which suggests hiring a nurse, pharmacist, physician's … Pharmacist
Pros: Has clinical expertise. … Evidence base for the RED process is based on a clinical pharmacist (PharmD) conducting postdischarge
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure.pptx
July 01, 2023 - Outpatient:
Physicians, nurses, sonographers
Inpatient:
Physicians, nurses, anesthesiologists,
technicians, pharmacists … Contingency Teams include:
Outpatient (prenatal clinic):
The Contingency Team may be composed of a pharmacist … medicine, pediatricians, anesthesiologist, NICU)
Executive partners
Additional Potential Contributors
Pharmacists … Additional members who would be helpful to involve in the initiative are—
Pharmacists,
Patient safety
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure-speaker-notes.pdf
July 01, 2023 - Physicians, nurses, sonographers
Inpatient:
o Physicians, nurses, anesthesiologists,
technicians, pharmacists … Contingency Teams include:
Outpatient (prenatal clinic):
The Contingency Team may be composed of a pharmacist … pediatricians, anesthesiologist, NICU)
• Executive partners
Additional Potential Contributors
• Pharmacists … Additional members who would be helpful to involve in the initiative are—
• Pharmacists,
• Patient
-
preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_2-team-structure.pptx
July 01, 2023 - Outpatient:
Physicians, nurses, sonographers
Inpatient:
Physicians, nurses, anesthesiologists,
technicians, pharmacists … Contingency Teams include:
Outpatient (prenatal clinic):
The Contingency Team may be composed of a pharmacist … medicine, pediatricians, anesthesiologist, NICU)
Executive partners
Additional Potential Contributors
Pharmacists … Additional members who would be helpful to involve in the initiative are—
Pharmacists,
Patient safety
-
preventiveservices.ahrq.gov/patient-safety/settings/pharmacy/index.html
February 01, 2018 - Patient Safety Programs by Setting: Pharmacy
The Pharmacy Health Literacy Center provides pharmacists
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_2-team-structure-speaker-notes.pdf
July 01, 2023 - Physicians, nurses, sonographers
Inpatient:
o Physicians, nurses, anesthesiologists,
technicians, pharmacists … Contingency Teams include:
Outpatient (prenatal clinic):
The Contingency Team may be composed of a pharmacist … Success
Key Team Members Additional Potential Contributors
• Nurses (including nurse educator, • Pharmacists … Additional members who would be helpful to involve in the initiative are—
• Pharmacists,
• Patient
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preventiveservices.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-hit-hie.pdf
June 01, 2023 - requires interoperability of systems and devices, allows healthcare providers (e.g., doctors, nurses, pharmacists … mind, such as
multiple redundant checks for protocol compliance,
dosage recalculation by nurses and pharmacists … coupling data available
from information systems with the knowledge and skills
of physicians and pharmacists … , and
then having pharmacists and physicians discuss safer
medication alternatives was effective at … 14
Rhode Island
Kate Lapane
Brown University
Providence, Rhode
Island
R18 HS11835
[Grant]
Pharmacist