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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3_communication.pptx
July 01, 2023 - Pharmacist was the sender.
Resident was the receiver. … The pharmacist says, “correct."
What communication errors were avoided? … Pharmacist did not rely on memory to give correct dosing information. … Sender = pharmacist
Receiver = resident
How did they complete the check-back? … Resident repeated the order; pharmacist confirmed
What communication errors were avoided?
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Woods_78.pdf
July 23, 2008 - 90-minute focus groups comprising representatives from
varied clinician groups (physicians, nurses, pharmacists … consisted of focus
groups that comprised hospital-based attending physicians, residents, nurses, and pharmacists … identification of the addition of advanced practice
nurses (APNs), hospitalists, and occasionally, pharmacists … Clinicians suggested the inclusion of pharmacists and nutritionists into interdisciplinary rounds
to
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www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/long-term-care/antibiotic-targets-facilitator-guide.docx
June 01, 2021 - This includes frontline staff like nurses and nursing assistants, as well as pharmacists and prescribers … The consultant and dispensing pharmacist(s) will have a distinct point of view, as will people from administration … The antibiotic stewardship team generally consists of a physician lead, pharmacist lead, and nurse lead
-
www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter3.html
December 01, 2017 - Before the project was initiated, there was limited information on pharmacist documentation of provided … coding and documentation of these services were found to be variable and the data footprint left by pharmacists … could include any combination of the three IHS pharmacist provider codes, 116 IHS clinic codes, three
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_6.pdf
October 01, 2016 - 1 Behavioral Health Clinician PhD-level clinical psychologist.
0.4 Behavioral Health Intern
0.3 Clinical … Pharmacist Ambulatory pharmacy support for K-15 is co-
located with clinic.
2 RN Insurer-employed … Coaches are RNs or clinical pharmacists trained in motivational interviewing, with protocols for
titrating … A clinical pharmacist partners with PCP teams to
analyze services for patients, mail medications, provide … Clinical pharmacist is
involved for patients with polypharmacy and recently discharged from hospital
-
www.ahrq.gov/ncepcr/tools/workforce-financing/case-example-6.html
July 01, 2019 - Health Clinician
PhD-level clinical psychologist.
0.4
Behavioral Health Intern
0.3
Clinical … Pharmacist
Ambulatory pharmacy support for K-15 is co-located with clinic.
2
RN
Insurer-employed … Coaches are RNs or clinical pharmacists trained in motivational interviewing, with protocols for titrating … A clinical pharmacist partners with PCP teams to analyze services for patients, mail medications, provide … Clinical pharmacist is involved for patients with polypharmacy and recently discharged from hospital.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/McPhillips.pdf
January 01, 2004 - without the medication present; (7)
the prescription must be legible and correctly interpreted by the pharmacist … ; and
(8) the pharmacist must dispense the appropriate medication in its appropriate
formulation labeled … .4–6 For example, a 1.0 mg dose may be misread as a 10 mg
dose and not recognized as an error by a pharmacist … Expert opinion (pharmacist from University of
Massachusetts with expertise in
psychopharmacology) … Medication
error prevention by clinical pharmacists in two
children’s hospitals.
-
www.ahrq.gov/ncepcr/reports/2024-annual-report/recent-grants-systems.html
May 01, 2024 - Integrating Pharmacists into an Automated Discharge Process to Promote Comprehensive Medication Management … Farley Organization: University of Minnesota Examines pharmacist-provided comprehensive medication management … information exchange’s automated electronic alert system notifies primary care sites when patients need pharmacist-provided
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www.ahrq.gov/es/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Pharmacist reviews medication orders prior to verification and dispensing.
-
www.ahrq.gov/patient-safety/settings/hospital/match/figure-txt.html
July 01, 2022 - Pharmacist reviews medication orders prior to verification and dispensing.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/teambased-2.pdf
May 01, 2016 - coordinator
(medical assistant or licensed practical nurse),
patient access coordinator, and even pharmacist
-
www.ahrq.gov/sites/default/files/wysiwyg/questions/be-engaged.pdf
December 01, 2020 - £ Talk with your doctor or pharmacist before
you stop taking any medicines that your doctor
prescribed
-
www.ahrq.gov/hai/cusp/toolkit/content-calls/briefing-slides/slides.html
October 01, 2014 - often left with patient information to pass on to another provider; few conversations from MD to MD
Pharmacists
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www.ahrq.gov/hai/cusp/modules/assemble/team-slides.html
December 01, 2012 - Pharmacists.
Respiratory therapists.
Patient safety officers.
Chief quality officers.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/medicaidreadmitguide/aspire_webinar3/aspire_webinar3.pptx
December 01, 2014 - Readmission flags, high risk flags in EMR
Post-discharge follow up calls
Centralized appointment scheduling
Pharmacists
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Hannah_23.pdf
February 24, 2008 - their low participation; they are counted in the
“Other” group, as are the somewhat more numerous pharmacists … 386 (19.6) 413 (24.1)
Other and unknowna 389 (19.8) 308 (17.9)
Total 1,967 1,717
a Includes pharmacists … states, “…most of the efforts to enhance reporting of
medication errors have been led by nurses and pharmacists … Pharmacist
participation on physician rounds and adverse drug
events in the intensive care unit.
-
www.ahrq.gov/patient-safety/settings/long-term-care/resource/injuries/fallspx/risk.html
February 01, 2023 - Benzodiazepines
___ Sedatives/hypnotics
___ Digoxin
___ N/A
___ Medication review by consultant pharmacist
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hypertension_3-communication-speaker-notes.pdf
July 01, 2023 - Pharmacist was the sender.
Resident was the receiver. … The pharmacist says, “correct."
What communication errors were avoided? … Pharmacist did not rely on memory to give correct dosing information. … o Sender = pharmacist
o Receiver = resident
• How did they complete the check‐back? … o Resident repeated the order; pharmacist confirmed
• What communication errors were avoided?
-
www.ahrq.gov/patient-safety/reports/engage/addresources.html
April 01, 2018 - include a doctor or nurse practitioner, registered nurse, care team coordinator, scheduler, and even a pharmacist
-
www.ahrq.gov/teamstepps-program/curriculum/communication/tools/teachback.html
May 01, 2023 - In telling a patient how to take a new medication, a pharmacist or other provider would describe how