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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/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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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
January 01, 2003 - DESIGN: A randomized, controlled trial targeting primary care physicians and pharmacists. … For the pharmacist intervention, "cardiac care suggestions generated by the [DSS] were stored in [an … electronic system] which ... printed a note ... instructing the pharmacist to view the care suggestions … The pharmacist had 3 options: fill the prescription(s) as usual, discuss the suggestion(s) with the patient … "The pharmacist intervention also had no effects on patients' care or their outcomes.
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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/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
*
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/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
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psnet.ahrq.gov/node/854995/psn-pdf
November 01, 2023 - Intervention of pharmacist included in multidisciplinary
team to reduce adverse drug event: a qualitative … Intervention of pharmacist included in multidisciplinary
team to reduce adverse drug event: a qualitative … https://psnet.ahrq.gov/issue/intervention-pharmacist-included-multidisciplinary-team-reduce-adverse-drug … -
event-qualitative
An increasing strategy to reduce adverse drug events (ADE) is pharmacist medication … Most teams consisted of a pharmacist, physician, and nurse, although some included other providers
such
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psnet.ahrq.gov/issue/medication-incident-recovery-and-prevention-utilising-australian-community-pharmacy-incident
July 28, 2021 - Community pharmacists play an important role in patient safety. … In this longitudinal study, community pharmacists reported 1,013 medication incidents, mainly at the … March 14, 2012
View More
See More About The Topic
Outpatient Pharmacy
Pharmacists
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psnet.ahrq.gov/issue/prescription-drug-time-guarantees-and-their-impact-patient-safety-community-pharmacies
June 10, 2018 - This newsletter article discusses results from a survey of community pharmacists on how time guarantees … March 16, 2025
Defining and enhancing collaboration between community pharmacists and … February 27, 2008
View More
See More About The Topic
Outpatient Pharmacy
Pharmacists
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psnet.ahrq.gov/issue/health-care-cost-drug-related-morbidity-and-mortality-nursing-facilities
September 19, 2016 - Using decision analysis techniques and an expert panel of physicians and pharmacists, investigators designed … The authors conclude that improved collaboration among physicians and pharmacists in the nursing home … July 1, 2020
Impact of a pharmacist-administered deprescribing intervention on nursing … July 1, 2020
Impact of pharmacist-led multidisciplinary medication review on the safety … February 12, 2020
Effect of a pharmacist-led multicomponent intervention focusing on
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psnet.ahrq.gov/node/72530/psn-pdf
January 01, 2021 - A realist synthesis of pharmacist-conducted medication
reviews in primary care after leaving hospital … A realist synthesis of pharmacist-conducted medication reviews in primary
care after leaving hospital … https://psnet.ahrq.gov/issue/realist-synthesis-pharmacist-conducted-medication-reviews-primary-care-after … -
leaving-hospital
Pharmacist-led medication reconciliation after hospital discharge has been found … healthcare utilization is not clear.In this evidence synthesis, the
authors explored the reasons why pharmacist-led
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psnet.ahrq.gov/node/43475/psn-pdf
July 18, 2016 - analysis investigating organizational
factors that influence near-miss error reporting among
hospital pharmacists … Analysis Investigating Organizational Factors That Influence
Near-Miss Error Reporting Among Hospital Pharmacists … feedback about
errors, and inadequate preventive processes affect near-miss reporting by hospital pharmacists … Using data
from the AHRQ Hospital Survey of Patient Safety Culture, researchers found that pharmacists … cross-sectional-analysis-investigating-organizational-factors-influence-near-miss-error
https://psnet.ahrq.gov/issue/clinical-pharmacists-and-inpatient-medical-care-systematic-review
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psnet.ahrq.gov/node/60804/psn-pdf
August 12, 2020 - Improved medication management with introduction of a
perioperative and prescribing pharmacist service … Improved medication management with introduction of a perioperative
and prescribing pharmacist service … ://psnet.ahrq.gov/issue/improved-medication-management-introduction-perioperative-and-prescribing-
pharmacist-service … This study evaluated the impact of the PeRiopErative and Prescribing (PREP) pharmacist, who is
responsible … Results indicate that the inclusion of the PREP pharmacist on the multidisciplinary surgical team improved
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - The development was based on our analysis of best practices of the clinical
pharmacist, who conducted … recruited during their hospitalization and participated in audio-recorded one-
on-one interviews with a clinical … pharmacist. … In our study, the
clinical pharmacist used this technique to test comprehension almost exclusively, … structure for repeated
interactions with the Post-hospital Louise, we followed the approach of the clinical