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psnet.ahrq.gov/issue/critical-incident-technique-bibliography-2001
February 15, 2011 - March 4, 2015
Former pharmacist indicted for manslaughter after med error.
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psnet.ahrq.gov/issue/medical-errors-dentistry
September 18, 2013 - September 29, 2010
Former pharmacist indicted for manslaughter after med error.
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psnet.ahrq.gov/issue/delivering-right-diet-right-patient-every-time
March 27, 2018 - Government Resource
Delivering the right diet to the right patient every time.
Citation Text:
Delivering the right diet to the right patient every time. Wallace SC. PA-PSRS Patient Saf Advis. 2015;12:62-70.
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psnet.ahrq.gov/issue/doctor-doesnt-listen-her-media-starting
August 12, 2020 - )
Improved medication management with introduction of a perioperative and prescribing pharmacist
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psnet.ahrq.gov/issue/medication-errors-2018-year-review
October 23, 2019 - Newspaper/Magazine Article
Medication errors 2018: the year in review.
Citation Text:
Medication errors 2018: the year in review. Valentine D, Ingram V, Fobi BNN, Brahmbhatt V. Pharmacy Practice News. April 4, 2018.
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psnet.ahrq.gov/issue/shared-mdis-can-cross-contamination-be-avoided
May 03, 2023 - Newspaper/Magazine Article
Shared MDIs: can cross-contamination be avoided?
Citation Text:
Shared MDIs: can cross-contamination be avoided? ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
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psnet.ahrq.gov/issue/fatal-outcome-after-inadvertent-injection-topical-epinephrine
May 07, 2018 - Newspaper/Magazine Article
Fatal outcome after inadvertent injection of topical epinephrine.
Citation Text:
Fatal outcome after inadvertent injection of topical epinephrine. ISMP Medication Safety Alert! Acute Care Edition. March 26, 2009;14:1-2.
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psnet.ahrq.gov/issue/iv-vincristine-survey-shows-safety-improvements-needed
March 14, 2023 - Newspaper/Magazine Article
IV vincristine survey shows safety improvements needed.
Citation Text:
IV vincristine survey shows safety improvements needed. ISMP Medication Safety Alert! Acute care edition. February 23, 2006.
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psnet.ahrq.gov/issue/34-ways-survive-your-next-trip-hospital
May 02, 2018 - Newspaper/Magazine Article
34 ways to survive your next trip to the hospital.
Citation Text:
34 ways to survive your next trip to the hospital. Crouch M. Reader's Digest. April 2018.
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psnet.ahrq.gov/node/50927/psn-pdf
February 21, 2020 - One study found that automated phone
calls with the option of transfer to a live pharmacist were effective … psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled-phone-based-pharmacist … psnet.ahrq.gov/issue/screening-adverse-drug-events-randomized-trial-automated-calls-coupled-phone-based-pharmacist
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psnet.ahrq.gov/issue/high-prevalence-medication-discrepancies-between-home-health-referrals-and-centers-medicare
December 23, 2011 - September 23, 2020
A clinical pharmacist-led transitions of care program for veterans
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psnet.ahrq.gov/issue/medicine-communication-hospital-residential-aged-care-facilities-cross-sectional-survey-aged
December 06, 2023 - August 14, 2024
A clinical pharmacist-led transitions of care program for veterans with
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psnet.ahrq.gov/perspective/conversation-gregg-s-meyer-md-msc
June 01, 2016 - As a pharmacist working in patient safety and quality, I felt compelled to become a Certified Professional … I was pleased that, after a few years, the frontline pharmacists matured into an army of medication safety … The decentralized pharmacists would bring issues to my attention and say, "This is a patient safety issue
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psnet.ahrq.gov/node/33601/psn-pdf
December 15, 2024 - the CPOE system required physicians to select the medication schedule, a function that nurses or
pharmacists … The system configuration
also presented barriers to pharmacist consultation on insulin selection, reducing
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psnet.ahrq.gov/node/49496/psn-pdf
December 01, 2005 - given written information sheets regarding his medications and received
counseling from a nurse and a pharmacist … In this case, counseling provided by a nurse and a pharmacist was ineffective because they did not realize
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psnet.ahrq.gov/node/33591/psn-pdf
March 15, 2025 - Therefore,
pharmacists and patient safety personnel could use that trigger to identify cases that may
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psnet.ahrq.gov/web-mm/confusion-acetaminophen
December 01, 2009 - Physicians’ office personnel, pharmacists, and all health care providers play an important role in educating … be aware of agents that might amplify acetaminophen toxicity and adjust dosing accordingly using a pharmacist
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psnet.ahrq.gov/node/866217/psn-pdf
July 10, 2024 - Many health plans have pharmacists who help support
patient safety functions, such as medication reconciliation … that within
days of a member getting home, a healthcare professional such as a home health nurse or pharmacist
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - knowing different
formulations and ordering potassium and magnesium is not
always clear
• Inpatient pharmacists … Insulin is the agent of choice
• A multidisciplinary approach with a physician,
dietary consultation, pharmacist
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psnet.ahrq.gov/node/866265/psn-pdf
July 31, 2024 - In most hospitals, emergency medication kits are prepared by pharmacy technicians and checked by
pharmacists … Officer
Department of Pharmacy
UC Davis Health
pmacdowell@ucdavis.edu
Eloh McGee, PharmD
Resident Pharmacist