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psnet.ahrq.gov/node/33729/psn-pdf
May 01, 2012 - using a
combination of "voluntary and verbally solicited reports from house officers, nurses, and pharmacists
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psnet.ahrq.gov/web-mm/forgotten-line
March 11, 2011 - , (ii) assigning roles to team members (e.g., the nurses talk about pain, family issues, lines; the pharmacists
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psnet.ahrq.gov/web-mm/saved-ecmo
May 05, 2017 - December 31, 2014
A clinical pharmacist-led transitions of care program for veterans
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psnet.ahrq.gov/node/49625/psn-pdf
May 01, 2011 - computerized documentation of administration, standardized anesthesia carts, and the
addition of a clinical … pharmacist to the operating room (OR) team.
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psnet.ahrq.gov/web-mm/patient-allergies-and-electronic-health-records
August 21, 2005 - WebM&M Cases
Correct Treatment Plan for Incorrect Diagnosis: A Pharmacist
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psnet.ahrq.gov/node/49866/psn-pdf
June 01, 2019 - errors—in that perioperative medications are typically
ordered, prepared, and administered without pharmacist
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psnet.ahrq.gov/node/49439/psn-pdf
March 01, 2004 - Lethal Cap
March 1, 2004
Schillinger D. Lethal Cap. PSNet [internet]. 2004.
https://psnet.ahrq.gov/web-mm/lethal-cap
The Case
A 9-month-old child was seen by her pediatrician for a fever and decreased appetite. She was found to
have otitis media and was prescribed amoxicillin. The doctor gave the first dose to th…
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.260_slideshow.ppt
February 01, 2012 - medication to be taken T.I.D., it would automatically print for the patient as “3 times a day,” instead of pharmacist
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psnet.ahrq.gov/perspective/conversation-withdonald-norman-phd
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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psnet.ahrq.gov/sites/default/files/2023-04/april_2023_spotlight_the_dose_makes_the_poison.pdf
January 01, 2023 - Improving Patient Safety: Standardized Medication
Dosing and Labeling (4)
• The availability of a clinical … pharmacist provides another important and useful
resource when high-risk medications are administered … • Clinical pharmacists can provide guidance and oversight throughout the
medication ordering and
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psnet.ahrq.gov/web-mm/fatal-oversight-misdiagnosis-nocturnal-chest-pain-elevated-d-dimer
May 01, 2005 - Regimen, Wrong Cancer: Patient Catches Medical Error
May 1, 2013
The impact of pharmacists-led
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psnet.ahrq.gov/web-mm/hyperglycemia-and-switching-subcutaneous-insulin
May 19, 2021 - nurses upon change of shift and change in level of care Poor teamwork between nurses, physicians, and pharmacists
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psnet.ahrq.gov/web-mm/discharging-our-responsibility
January 16, 2019 - Patient education may be provided by bedside nurses, advance practice nurses, pharmacists, and physicians
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Oakbrook Terrace, IL: Joint
Commission Resources and the American Society of Health-System Pharmacists
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psnet.ahrq.gov/node/49570/psn-pdf
October 01, 2008 - individual clinicians can do to solve the overarching problem, it is vital that doctors,
nurses, and pharmacists
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - Many physicians, pharmacists, and nurses are unfamiliar with diabetes technology and therefore require
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psnet.ahrq.gov/node/33723/psn-pdf
December 01, 2011 - staff who can contribute to fall prevention, including doctors,
nurses, physical therapists, managers, pharmacists
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psnet.ahrq.gov/web-mm/when-taking-sglt2-inhibitor-remember-sstop-stop-sglt2-inhibitor-three-days-bef-o-re
February 01, 2023 - medication regimens. 14 This approach involves multiple stakeholders, including prescribers, nurses, pharmacists
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psnet.ahrq.gov/node/73300/psn-pdf
July 01, 2022 - members
of the immediate care team (e.g., physicians, bedside nurses, case managers, therapists,
pharmacists
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psnet.ahrq.gov/web-mm/dose-makes-poison-medication-error-during-procedural-sedation-pediatric-emergency-department
January 23, 2017 - made fewer medication errors and administered medications more quickly. 32,33 The availability of a clinical … pharmacist provides another important and useful resource when high-risk medications are administered … Clinical pharmacists can provide guidance and oversight throughout the medication ordering and administration