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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/node/33687/psn-pdf
August 01, 2009 - warnings to obtain and administer excessively large doses of medications
rather than contacting the pharmacist
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psnet.ahrq.gov/web-mm/lethal-cap
December 19, 2018 - Lethal Cap
Citation Text:
Schillinger D. Lethal Cap. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality, US Department of Health and Human Services. 2004.
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Do…
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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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psnet.ahrq.gov/web-mm/misread-label
August 28, 2024 - February 10, 2021
Analysis of pharmacist-identified medication-related problems at two
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psnet.ahrq.gov/node/33821/psn-pdf
December 01, 2016 - errors and near-miss incidents, such as when a doctor records the wrong dose in a
prescription but a pharmacist
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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/perspective/key-issues-developing-successful-hospital-safety-program
July 01, 2006 - The ideal Patient Safety Officer generally has a clinical background, such as a nurse, physician, or pharmacist … Certainly nurses, pharmacists, and other specialty folks can do very well, but physician engagement is
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psnet.ahrq.gov/perspective/care-transitions
December 01, 2007 - will play a critical role in improving care transitions as they work in collaboration with nurses, pharmacists … January 25, 2017
Effect of pharmacist counseling intervention on health care utilization
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psnet.ahrq.gov/perspective/conversation-withallan-frankel-md
July 01, 2006 - Certainly nurses, pharmacists, and other specialty folks can do very well, but physician engagement is … The ideal Patient Safety Officer generally has a clinical background, such as a nurse, physician, or pharmacist
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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
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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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psnet.ahrq.gov/web-mm/pocket-syringe-swap
July 01, 2006 - 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/one-bronchoscopy-two-errors
December 09, 2020 - June 18, 2014
Effect of an in-hospital multifaceted clinical pharmacist intervention
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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/node/49808/psn-pdf
October 01, 2017 - Once the patient was stabilized, a pharmacist was consulted, and the patient was
restarted on a lower
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psnet.ahrq.gov/node/33628/psn-pdf
February 01, 2006 - From
the standpoint of the organization, though, you must look at this erring nurse, pharmacist, physician
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psnet.ahrq.gov/node/33658/psn-pdf
October 01, 2007 - So there's
that nurse or pharmacist or physician making choices that they perceive to be in the best
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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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psnet.ahrq.gov/web-mm/overriding-considerations
March 09, 2009 - March 3, 2020
Pharmacist work stress and learning from quality related events.