-
psnet.ahrq.gov/node/50843/psn-pdf
January 29, 2020 - Unfortunately, the free-text comment was missed both
by the pharmacist and the ICU nurse, resulting … primarily related to a breakdown in communication among the nephrologist, intensivist,
bedside nurse and pharmacist … enter a
personalized order with free-text instructions, but these instructions were missed by the pharmacist … orders for high-risk medications, such as the hypertonic saline in this case, should be reviewed by a
pharmacist
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol4/Miranda.pdf
July 01, 2004 - For
example, they indicated an unwillingness to check on medications dispensed by
pharmacists (e.g. … Step two: keep and bring a list of ALL the medicines you take
• Give your doctor and pharmacist a list … • Ask the pharmacist about your medicine if it looks different than
you expected. … believed strongly
that this step was needed to help patients better understand the different roles of
pharmacists … Prescription errors tied to lack of advice:
pharmacists skirting law, Mass. study finds.
-
www.ahrq.gov/hai/cusp/toolkit/shadowing.html
December 01, 2012 - If you shadowed a pharmacist:
Did the pharmacist face obstacles in dispensing on time
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/cusptoolkit/toolkit/shadowing.doc
June 02, 2025 - If you shadowed a pharmacist:
Did the pharmacist face obstacles in dispensing on time?
-
www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK2_P4O-Comprehensive_Antibiogram_Toolkit_Phase_4_Monitoring.pdf
May 01, 2014 - will require the advice of the nursing home’s infectious diseases consultant (if
available), the pharmacist … based on recent guidelines.2 This list should be developed in
conjunction with the medical director, pharmacist
-
www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/professional-tool.html
July 01, 2023 - If you shadowed a pharmacist:
Did the pharmacist face obstacles in dispensing on time
-
www.ahrq.gov/patient-safety/reports/engage/methods.html
March 01, 2017 - reconciliation systems) among caregivers (e.g., physicians and nurses, hospital and primary care staff, pharmacists … medication overuse
Other
Not addressed
Safety Solutions
Care team models, including pharmacists … Pharmacists and other affiliated health care providers.
-
digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end/citation/shared
January 01, 2023 - System
SMART/FHIR
Document Type
Journal Publication
Population
Patient
Pharmacist
-
psnet.ahrq.gov/node/43465/psn-pdf
February 18, 2015 - project-boost-mentored-implementation-program
https://psnet.ahrq.gov/primer/medication-reconciliation
https://psnet.ahrq.gov/issue/role-pharmacist-counseling-preventing-adverse-drug-events-after-hospitalization
-
psnet.ahrq.gov/node/37909/psn-pdf
February 23, 2009 - prevalence-adverse-drug-combinations-large-post-mortem-toxicology-database
https://psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
-
psnet.ahrq.gov/node/41917/psn-pdf
May 04, 2022 - updated report describes best practices to ensure safety when preparing sterile compounds, including
pharmacist
-
psnet.ahrq.gov/node/44425/psn-pdf
February 24, 2016 - hospital-admission-due-high-dose-methotrexate-drug-interaction
https://psnet.ahrq.gov/issue/learning-use-patient-stories
https://psnet.ahrq.gov/issue/pharmacist-workload-and-pharmacy-characteristics-associated-dispensing-potentially-clinically
-
psnet.ahrq.gov/node/47129/psn-pdf
September 05, 2018 - methods to improve medication
reconciliation at the time of hospital discharge, most of which involved a pharmacist-mediated
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy/citation/evaluation
January 01, 2023 - Technology
Mobile Device
Document Type
Journal Publication
Population
Pharmacist
-
digital.ahrq.gov/ahrq-funded-projects/improving-patient-safety-and-clinician-cognitive-support-through-emar-redesign/final-report
January 01, 2023 - Natural Language Processing System
Document Type
Report
Population
Nurse
Pharmacist
-
www.ahrq.gov/prevention/guidelines/tobacco/clinicians/presentations/2008update-full/slide173.html
October 01, 2014 - Communicate to each staff member (e.g., nurse, physician, medical assistant, pharmacist, or other clinician
-
digital.ahrq.gov/ahrq-funded-projects/cancelrx-health-it-tool-decrease-medication-discrepancies-outpatient-setting/final-report
January 01, 2023 - Electronic Prescribing
Pharmacy Information System
Document Type
Report
Population
Pharmacist
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-medication-cpoe-safety-and-quality-indications-based-prescribing/final-report
January 01, 2023 - Electronic Medical Record
Document Type
Report
Population
Clinical Staff/Clinician
Pharmacist
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-spread-and-scale-patienttoc-primary-care-community-pharmacy/final-report
January 01, 2023 - Mobile Device
Patient-Generated Health Data
Document Type
Report
Population
Pharmacist
-
digital.ahrq.gov/ahrq-funded-projects/design-and-testing-mobile-cardiovascular-risk-service-patient-partners/final-report
January 01, 2023 - Type
Journal Publication
Population
Adults
Individuals with Chronic Care Needs
Pharmacist