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psnet.ahrq.gov/node/41725/psn-pdf
January 01, 2013 - smoothing the coordination of care and communication between
hospital and primary care providers and pharmacists
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psnet.ahrq.gov/node/838923/psn-pdf
October 26, 2022 - -2-years-covid-19
https://psnet.ahrq.gov/issue/burnout-and-secondary-traumatic-stress-health-system-pharmacists-during-covid
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www.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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psnet.ahrq.gov/node/37706/psn-pdf
December 23, 2016 - standard-drug-concentrations-and-smart-pump-technology-reduce-continuous-medication-infusion
https://psnet.ahrq.gov/issue/prevention-pediatric-medication-errors-hospital-pharmacists-and-potential-benefit
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psnet.ahrq.gov/node/40353/psn-pdf
September 27, 2017 - order entry system with a
structured event reporting system that was used by physicians, nurses, and pharmacists
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psnet.ahrq.gov/node/36852/psn-pdf
August 29, 2011 - In this study, two pediatric pharmacists used a data collection
instrument to retrospectively characterize
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psnet.ahrq.gov/node/856586/psn-pdf
November 29, 2023 - This qualitative
study of primary care and hospital physicians, nurses, and pharmacists highlights several
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psnet.ahrq.gov/node/35889/psn-pdf
March 10, 2011 - implemented a custom-built computerized system with potential events undergoing review by medication
safety pharmacists
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psnet.ahrq.gov/node/60335/psn-pdf
May 13, 2020 - The piece highlights the role of
pharmacists in keeping this marginalized patient population safe.
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psnet.ahrq.gov/primers-0
March 15, 2025 - (3)
Research Directions
(1)
Specialization of Care
(5)
Clinical … Pharmacist Involvement
(2)
Specialized Teams
(3)
Rapid Response Team
(2) … Library
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Pharmacists
-
psnet.ahrq.gov/perspective/role-bar-coding-and-smart-pumps-safety
September 01, 2008 - scope of this Perspective, it is important to emphasize that many nontechnologic interventions, such as clinical … pharmacists on physician rounds, can be equally effective in improving medication safety.( 2 )
Research … heparin vials of different concentrations are stocked in patient care areas, allowing them to bypass pharmacist … Clinical pharmacists and inpatient medical care: a systematic review. … Bethesda, MD: American Society of Health-System Pharmacists; February 24, 2008.
14.
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psnet.ahrq.gov/issue/misidentification-alphanumeric-symbols-both-handwritten-and-computer-generated-information
May 07, 2018 - Newspaper/Magazine Article
Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
Citation Text:
Misidentification of alphanumeric symbols in both handwritten and computer-generated information. ISMP Medication Safety Alert! Acute Care Edition. …
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psnet.ahrq.gov/issue/eric-cropp-weighs-error-sent-him-prison
May 07, 2018 - This article discusses how a criminal prosecution has deeply affected an Ohio pharmacist who lost his
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/mcaidread_tool3_hosp_inv.docx
June 02, 2025 - Identify the “learner” or care plan partner to include in education and discharge planning
· Use clinical … pharmacists to enhance medication optimization, education, reconciliation
· Use “teach-back” to
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psnet.ahrq.gov/perspective/computerized-provider-order-entry-and-patient-safety
January 01, 2014 - On an inpatient oncology unit, specialist pharmacist review of chemotherapy orders uncovered medication … need for ongoing oversight from health care professionals with specific expertise, such as oncology pharmacists … May 5, 2021
Annual Perspective
Pharmacist Role in Patient
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - Patient instructions (or ‘Sig’)
19
Medication Name
■ When NDCs in two systems didn’t match,
pharmacist … correct errors, especially to generate
accurate insurance claims
21
Patient Instructions
■ Pharmacists … Launch
► “Prescription Pad” Handout
Dear Pharmacist:
My prescription … Please show your pharmacist this card so that he or she is aware
that your prescription(s) have been … returned to prior levels
■ After an initial transition period, EPCS had a net
positive impact on pharmacist
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psnet.ahrq.gov/node/50611/psn-pdf
October 30, 2019 - The outpatient
pharmacist worked with the physician, wife, and patient to clarify the proper dosing. … often in free-text
fields) that turned out to be fields that were not transmitted to or seen by the pharmacist … Ironically, had the patient been on warfarin, he likely would have been more
closely monitored by a pharmacist … , nurse, or physician, and an error (on the part of the patient, pharmacist,
or computer) might have
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psnet.ahrq.gov/issue/safe-practice-environment-chapter-proposed-usp
May 02, 2018 - July 8, 2009
Anticoagulant safety practices call for pharmacist supervision.
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psnet.ahrq.gov/issue/five-steps-safer-health-care
July 21, 2021 - June 17, 2014
Pharmacist and prescriber responsibilities for avoiding prescription drug
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psnet.ahrq.gov/issue/heparin-errors-continue-despite-prior-high-profile-fatal-events
May 02, 2018 - October 21, 2009
Anticoagulant safety practices call for pharmacist supervision.