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psnet.ahrq.gov/node/49774/psn-pdf
November 01, 2016 - implement such a program is to create a team that includes key obstetricians, nurses,
anesthesiologists, pharmacists
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psnet.ahrq.gov/innovation/verification-screen-includes-prominent-patient-photograph-significantly-reduces-errors
October 30, 2024 - near misses” in which incorrectly placed orders were caught, questioned, and corrected by nurses or pharmacists
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psnet.ahrq.gov/periodic-issue/periodic-issue-275
January 29, 2021 - She is a pharmacist by training with a specialty in infectious diseases and a research concentration
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psnet.ahrq.gov/periodic-issue/periodic-issue-276
January 29, 2021 - She is a pharmacist by training with a specialty in infectious diseases and a research concentration
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psnet.ahrq.gov/periodic-issue/periodic-issue-344
May 16, 2022 - Measures such as involvement of a pharmacist in medication review could reduce risk of adverse drug events
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psnet.ahrq.gov/periodic-issue/periodic-issue-334
March 31, 2022 - reconciliation at hospital discharge has become a mainstay of patient safety efforts with most of the focus on pharmacist
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psnet.ahrq.gov/perspective/advancing-patient-safety-through-state-reporting-systems
June 01, 2007 - Events
Any instance of care ordered by or provided by someone impersonating a physician, nurse, pharmacist
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psnet.ahrq.gov/web-mm/elopement
July 14, 2010 - October 14, 2020
A realist synthesis of pharmacist-conducted medication reviews in primary
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psnet.ahrq.gov/innovation/abcdef-bundle-data-literacy-training-performance-measurement-tracking-and-performance
September 23, 2024 - Patient Safety Innovations
Adverse Drug Event (ADE) Surveillance and Pharmacist
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psnet.ahrq.gov/web-mm/out-sight-out-mind-out-office-test-result-management
September 01, 2007 - WebM&M Cases
Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist
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psnet.ahrq.gov/web-mm/e-cigarette-explosion-patient-room
March 15, 2023 - Telehealth and Patient Safety During the COVID-19 Response
May 14, 2020
Effect of pharmacist
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psnet.ahrq.gov/perspective/can-research-help-us-improve-medical-liability-system
March 01, 2012 - The error is intercepted by the hospital pharmacist before the medication is scheduled to be administered … However, because the pharmacist was not able to communicate this to the nurse in time, the medication
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psnet.ahrq.gov/perspective/conversation-richard-c-boothman-jd
March 01, 2012 - The error is intercepted by the hospital pharmacist before the medication is scheduled to be administered … However, because the pharmacist was not able to communicate this to the nurse in time, the medication
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psnet.ahrq.gov/node/841305/psn-pdf
January 27, 2023 - In a simulation scenario with real people, in their real roles, such as doctors, nurses, and
pharmacists
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psnet.ahrq.gov/periodic-issue/periodic-issue-292
May 26, 2021 - A pharmacist from the home infusion pharmacy notified the physician that an error in home PN mixing had
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psnet.ahrq.gov/node/838221/psn-pdf
September 28, 2022 - population health expert, as well as healthcare providers, nurse educators, behavioral health
counselors, clinical … pharmacists, and care coordinators.
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psnet.ahrq.gov/perspective/emergence-trigger-tool-premier-measurement-strategy-patient-safety
May 01, 2012 - events using a combination of "voluntary and verbally solicited reports from house officers, nurses, and pharmacists … all the positive medication safety triggers in a hospital with about 600 beds with about 3 hours of pharmacists
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psnet.ahrq.gov/perspective/conversation-withdavid-c-classen-md-ms
May 01, 2012 - all the positive medication safety triggers in a hospital with about 600 beds with about 3 hours of pharmacists … events using a combination of "voluntary and verbally solicited reports from house officers, nurses, and pharmacists
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psnet.ahrq.gov/node/33801/psn-pdf
February 01, 2016 - patients because not only was he more efficient, but because, when he had a
complex patient, he had a pharmacist
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psnet.ahrq.gov/node/49676/psn-pdf
February 01, 2013 - Death by PCA
February 1, 2013
Hicks RW. Death by PCA. PSNet [internet]. 2013.
https://psnet.ahrq.gov/web-mm/death-pca
The Case
A healthy 21-year-old pregnant woman delivered a healthy baby via Caesarean section after an
uncomplicated pregnancy. Two hours after delivery, the post-anesthesia care unit (PACU) nurse …