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psnet.ahrq.gov/perspective/human-factors-engineering-can-teach-you-how-be-surprised-again
November 01, 2006 - In the second case, maybe the pharmacist should have demonstrated the use of this unique nasal medication … How about if the pharmacist had demonstrated the new nasal medication delivery to the patient, but the
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015397-bates-final-report-2008.pdf
January 01, 2008 - Our study
pharmacist evaluated each prescription for potential errors and then conducted chart reviews … After chart review,
the pharmacist reviewer presents all suspected ADEs or potential ADEs to two physician
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Tupper_73.pdf
March 20, 2008 - hospital
Patient safety interventions 1 2 3 4 5 6 7 8
1 Patient identifiers x
2 24-hour pharmacist … x x x x
3 Personal digital assistant (PDA) x x x x x x x x
4 Pharmacist-managed IV x x x
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket_1.pdf
November 30, 2013 - Pharmacist medication review meeting
6. Rehab Department internal review
7. … Pharmacist medication review meeting
6. Rehab Department internal review
7. … Ad hoc team members include
the staff educator, medical director, pharmacist, nurse practitioner, and
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/long-term-care/resources/ontime/prevhosp/overviewmaterialspacket.pdf
November 30, 2013 - Pharmacist medication review meeting
6. Rehab Department internal review
7. … Pharmacist medication review meeting
6. Rehab Department internal review
7. … Ad hoc team members include
the staff educator, medical director, pharmacist, nurse practitioner, and
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www.ahrq.gov/sops/bibliography/index.html?page=7
January 01, 2025 - Associations between communication climate and the frequency of medical error reporting among pharmacists
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www.ahrq.gov/es/sops/bibliography/index.html?page=7
January 01, 2025 - Associations between communication climate and the frequency of medical error reporting among pharmacists
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psnet.ahrq.gov/perspective/patient-safety-and-opioid-medications
January 01, 2015 - Medication Safety
March 31, 2022
Annual Perspective
Pharmacist
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www.ahrq.gov/hai/universal-icu-decolonization/universal-icu-refs.html
September 01, 2013 - Bethesda, MD: American Society of Health-System Pharmacists, Inc; 2003 (plus supplements), p. 2621.
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www.ahrq.gov/es/hai/universal-icu-decolonization/universal-icu-refs.html
September 01, 2013 - Bethesda, MD: American Society of Health-System Pharmacists, Inc; 2003 (plus supplements), p. 2621.
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integrationacademy.ahrq.gov/products/playbooks/moud-playbook/implementing-treatment/mitigating-overdose-risk
January 01, 2019 - Prescribe To Prevent
Provides information to prescribers and pharmacists
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/mrsa-2/002-ss-antimicrobial-prophylaxis-part-1.pptx
April 01, 2025 - Coordinate with pharmacists to determine when vancomycin should be added to cefazolin.
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digital.ahrq.gov/electronic-prescribing-0
January 01, 2023 - Those uses include knowing what medications a patient has actually received from a pharmacist using data
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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - March 3, 2020
Pharmacist work stress and learning from quality related events.
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psnet.ahrq.gov/web-mm/toxic-tachycardia
March 01, 2005 - WebM&M Cases
Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist
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psnet.ahrq.gov/web-mm/wrong-route-nutrients
September 04, 2010 - review for medication dose errors in pediatric emergency department medication orders that bypassed pharmacist
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/warmhandoff-quickstartfull.pdf
January 27, 2017 - clinicians, medical assistants, front and back
office staff, and members of the extended care team (e.g., pharmacist
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psnet.ahrq.gov/web-mm/did-we-forget-something
April 28, 2021 - September 23, 2020
Partnered pharmacist charting on admission in the general medical
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psnet.ahrq.gov/web-mm/if-you-say-so-taking-syringe-face-value-operating-room
January 01, 2015 - errors—in that perioperative medications are typically ordered, prepared, and administered without pharmacist
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/acute_care_implementation_guide.pdf
November 01, 2019 - This may include
developing a business case for additional physician or pharmacist resources or gaining