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psnet.ahrq.gov/node/34811/psn-pdf
March 28, 2005 - Medication error prevention by clinical pharmacists in two
children's hospitals. … Folli HL; Poole RL; Benitz WE; Russo JC
https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals … The authors
conclude that using specialized pharmacists to review every drug order can prevent medication … https://psnet.ahrq.gov/issue/medication-error-prevention-clinical-pharmacists-two-childrens-hospitals
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psnet.ahrq.gov/node/73374/psn-pdf
June 09, 2021 - Effects of pharmacist-conducted medication
reconciliation at discharge on 30-day readmission rates of … Effects of pharmacist-conducted medication reconciliation at discharge
on 30-day readmission rates of … https://psnet.ahrq.gov/issue/effects-pharmacist-conducted-medication-reconciliation-discharge-30-day- … This retrospective study examined the impact of pharmacist-conducted medication reconciliation
among … While pharmacist-conducted
medication reconciliation identified medication dosing and frequency errors
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psnet.ahrq.gov/issue/uptake-technologies-designed-influence-medication-safety-canadian-hospitals
March 10, 2021 - December 18, 2013
Drug related problems and pharmacist interventions in a geriatric unit … September 7, 2011
Implementation of medication error reporting through Med Safe Tool: the clinical … pharmacists and the inpatient nursing staff collaborative approach. … February 15, 2011
Pharmacist medication assessments in a surgical preadmission clinic … July 8, 2008
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Hospitals
Pharmacists
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psnet.ahrq.gov/issue/direct-oral-anticoagulants-review-common-medication-errors
January 12, 2022 - July 6, 2022
Direct oral anticoagulant-related medication incidents and pharmacists' … July 20, 2022
Impact of pharmacist interventions on medication errors in hospitalized … May 4, 2022
Impact of pharmacist-led multidisciplinary medication review on the safety … September 20, 2011
Clinical pharmacists and inpatient medical care: a systematic review
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psnet.ahrq.gov/node/852753/psn-pdf
August 23, 2023 - //psnet.ahrq.gov/issue/status-patient-safety-culture-community-pharmacy-settings-systematic-review
Community … pharmacists are perhaps the last line of defense in preventing medication errors in the
outpatient … Pharmacists and pharmacy staff rated overall patient safety highly, but more than half identified workload … status-patient-safety-culture-community-pharmacy-settings-systematic-review
https://psnet.ahrq.gov/perspective/role-community-pharmacists-patient-safety
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psnet.ahrq.gov/web-mm/situational-unawareness
August 01, 2009 - The pharmacist, uncomfortable with a 4-hour delay, manually overrode midnight and entered "9:00 PM," … Careful checking and rechecking of orders on the part of the prescribing physician and the pharmacist … Clinical decision support (CDS) in the form of an alert notifying the pharmacist of the 25-hour delay … Take-Home Points
Prescribers and pharmacists must check, then recheck, all medication orders. … March 4, 2015
Unit-based clinical pharmacists' prevention of serious medication errors
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psnet.ahrq.gov/issue/medication-errors-recovered-emergency-department-pharmacists
December 31, 2014 - Study
Medication errors recovered by emergency department pharmacists. … Medication errors recovered by emergency department pharmacists. … In this direct observation study, emergency department pharmacists identified approximately one actual … Medication errors recovered by emergency department pharmacists. … November 8, 2012
On-site pharmacists in the ED improve medical errors.
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psnet.ahrq.gov/issue/severe-hyperglycemia-patients-incorrectly-using-insulin-pens-home
December 15, 2021 - Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists … Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists … recommendations to reduce risks, such as training patients to properly use pen needles and engaging community … pharmacists in verifying that patients understand appropriate administration techniques. … Horsham, PA: Institute for Safe Medication Practices; Bethesda, MD: American Society of Health-System Pharmacists
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psnet.ahrq.gov/node/854897/psn-pdf
October 31, 2023 - When reviewing this medication
order, the pharmacist should have critically reviewed the medication … When a pharmacist requires clarification regarding a prescription, the
best practice is to reach out … dosage calculations.8 In many organizations, pharmacist
responsibilities are split between a clinical … pharmacist who thoroughly reviews the patient’s profile and
medication list, and an operational pharmacist … Pharmacists need to utilize their expertise when verifying and dispensing medications and clarify any
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psnet.ahrq.gov/issue/understanding-pharmacist-decision-making-adverse-drug-event-ade-detection
May 27, 2011 - Study
Understanding pharmacist decision making for adverse drug event (ADE) detection … Understanding pharmacist decision making for adverse drug event (ADE) detection. … This study explored information signals and their interpretation by pharmacists to better understand … Understanding pharmacist decision making for adverse drug event (ADE) detection.
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psnet.ahrq.gov/node/47148/psn-pdf
June 25, 2018 - This commentary suggests engaging pharmacists in the transitions of care for these high-alert
patients … psnet.ahrq.gov/primer/medication-errors-and-adverse-drug-events
https://psnet.ahrq.gov/issue/comprehensive-pharmacist-intervention-reduce-morbidity-patients … -80-years-or-older-randomized
https://psnet.ahrq.gov/issue/barriers-and-facilitators-hospital-pharmacists-engagement-medication-safety-activities … https://psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk … https://psnet.ahrq.gov/issue/electronic-surveillance-and-pharmacist-intervention-vulnerable-older-inpatients-high-risk
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psnet.ahrq.gov/issue/pharmacy-prevalence-second-victim-syndrome-comprehensive-cancer-center
June 03, 2020 - At one comprehensive cancer center, 37% of pharmacists, pharmacy technicians, and pharmacy staff reported … March 12, 2025
Impact of pharmacist-led interventions on medication-related problems … Assessing the impact of an electronic chemotherapy order verification checklist on pharmacist … May 1, 2019
The impacts of a pharmacist-managed outpatient clinic and chemotherapy-directed … October 29, 2017
Evaluation of electronic health record implementation on pharmacist
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psnet.ahrq.gov/node/839822/psn-pdf
November 09, 2022 - understanding-factors-could-influence-patient-acceptability-use-pincer-
intervention-primary
Previous research found that the pharmacist-led … positive, but participants noted that PINCER acceptability can be improved through
enhanced patient-pharmacist … understanding-factors-could-influence-patient-acceptability-use-pincer-intervention-primary
https://psnet.ahrq.gov/issue/pharmacist-led-information-technology-intervention-medication-errors-pincer-multicentre … https://psnet.ahrq.gov/primer/pharmacists-role-medication-safety
https://psnet.ahrq.gov/primer/ambulatory-care-safety
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psnet.ahrq.gov/node/43680/psn-pdf
November 19, 2014 - FDA Pharmacists Help Consumers Use Medicines Safely. … https://psnet.ahrq.gov/issue/fda-pharmacists-help-consumers-use-medicines-safely
Studies have shown … that pharmacist involvement can prevent medication errors. … /issue/effect-pharmacist-intervention-clinically-important-medication-errors-after-hospital
https://psnet.ahrq.gov … /issue/medication-error-prevention-pharmacists
https://psnet.ahrq.gov/issue/consumermedsafetyorg
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psnet.ahrq.gov/node/49395/psn-pdf
April 01, 2003 - Later that day, a pharmacist called to alert the resident to his
mistake. … Pharmacists are often our first line of defense against medication errors, and ward-based clinical
pharmacists … Communicate directly to nurses and pharmacists regarding potentially confusing orders. … institutional employment of other systems-based error prevention strategies such as
employing ward-based clinical … pharmacists.
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psnet.ahrq.gov/issue/dispensing-errors-community-pharmacy-perceived-influence-sociotechnical-factors
October 03, 2011 - In this study, community pharmacists were surveyed regarding their perceptions of the frequency of dispensing … Respondents felt that dispensing errors were relatively frequent and were more likely when pharmacists … RIS
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Related Resources From the Same Author(s)
Pharmacists … Screening for adverse drug events: a randomized trial of automated calls coupled with phone-based pharmacist … March 28, 2011
Pharmacist workload and pharmacy characteristics associated with the dispensing
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.383_slideshow.ppt
September 01, 2016 - rate and nature of medication errors among elderly upon admission to hospital after implementation of clinical … pharmacist-led medication reconciliation. … three-arm pragmatic randomized controlled trial of adding admission medication history interviews by pharmacists … or pharmacist-supervised pharmacy technicians to usual care. … Available at http://dx.doi.org/10.17294/2330-0698.1089
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Post-discharge Follow-up
Pharmacists can
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psnet.ahrq.gov/web-mm/milliliters-vs-milligrams
September 01, 2004 - The pharmacist processed the order, dispensing a multidose 4 mg/mL 5 mL vial to the unit. … After questioning the nurse, the pharmacist determined that the patient was given the entire vial (20 … Bethesda, MD: American Society of Health-System Pharmacists; 2003:90. ISBN: 9781585280551.
5. … Medication error prevention by clinical pharmacists in two children's hospitals. … Bethesda, MD: American Society of Health-System Pharmacists Web site. [Available at]
9.
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psnet.ahrq.gov/issue/medicine-safety-take-care
February 21, 2018 - Pharmacists are emphasized as pivotal to medication safety improvement efforts. … July 10, 2019
Impact of medication reviews delivered by community pharmacist to elderly … June 26, 2019
Bridging the gap between hospital and primary care: the pharmacist home
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psnet.ahrq.gov/node/856589/psn-pdf
January 01, 2024 - Prevented harm and cost avoidance with pharmacist
intervention while utilizing a discharge medication … Prevented harm and cost avoidance with pharmacist intervention
while utilizing a discharge medication … https://psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing … -
discharge
Hospitals must balance costs associated with pharmacist medication reconciliation (e.g. … https://psnet.ahrq.gov/issue/prevented-harm-and-cost-avoidance-pharmacist-intervention-while-utilizing-discharge