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psnet.ahrq.gov/issue/morphine-overdose-error-propagation-acute-pain-service-une-surdose-de-morphine-resultant-de
January 13, 2016 - January 13, 2016
Former pharmacist indicted for manslaughter after med error.
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psnet.ahrq.gov/issue/surveillance-strategy-improving-patient-safety-acute-and-critical-care-units
September 27, 2016 - January 12, 2011
An evaluation of a collaborative, safety focused, nurse–pharmacist intervention
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psnet.ahrq.gov/issue/instrument-count-sheets-and-set-reviews-patient-safety-tools
February 28, 2011 - Undergraduate Nursing Education in Patient Safety
November 27, 2023
Impact of pharmacist-led
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psnet.ahrq.gov/issue/performance-improvement-plan-increase-nurse-adherence-use-medication-safety-software
March 13, 2024 - April 21, 2021
Multicomponent pharmacist intervention did not reduce clinically important
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psnet.ahrq.gov/issue/determining-state-knowledge-implementing-universal-protocol-recommendations-integrative
March 15, 2016 - June 19, 2024
A medical resident–pharmacist collaboration improves the rate of medication
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psnet.ahrq.gov/issue/teaching-diagnostic-process-model-improve-medical-education
September 20, 2012 - May 15, 2024
Evaluation of effectiveness and safety of pharmacist independent prescribers
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psnet.ahrq.gov/issue/team-training-medical-students-21st-century-would-flexner-approve
November 21, 2012 - September 28, 2016
Systematic review and meta-analysis of the effectiveness of pharmacist-led
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psnet.ahrq.gov/issue/identifying-violation-provoking-conditions-healthcare-setting
April 18, 2011 - January 31, 2018
Pharmacist work stress and learning from quality related events.
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psnet.ahrq.gov/issue/dangerous-deception-hiding-evidence-adverse-drug-events
November 09, 2022 - April 28, 2021
Multicomponent pharmacist intervention did not reduce clinically important
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psnet.ahrq.gov/issue/standardizing-hospital-discharge-planning-mayo-clinic
October 19, 2022 - May 25, 2011
Evaluation of effectiveness and safety of pharmacist independent prescribers
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psnet.ahrq.gov/issue/misinformation-medical-literature-what-role-do-error-and-fraud-play
November 02, 2011 - September 30, 2020
Evaluation of effectiveness and safety of pharmacist independent prescribers
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psnet.ahrq.gov/issue/checklist-recognize-limits-harness-its-power
September 07, 2016 - and Workforce Safety Culture in Healthcare
March 27, 2024
Multicomponent pharmacist
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www.ahrq.gov/sites/default/files/wysiwyg/hai/tools/perinatal-care-2/hemorrhage_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/hai/tools/perinatal-care-2/hemorrhage_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?
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/4_TK1_T1-SBAR_UTI_Final.pdf
June 01, 2014 - _________________________________ Dose: ________ Route: ________ Duration: ________
¨ ¨ No ¨ Yes Pharmacist
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psnet.ahrq.gov/issue/criminalization-human-error-and-guilty-verdict-travesty-justice-threatens-patient-safety
September 07, 2022 - Newspaper/Magazine Article
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety.
Citation Text:
Criminalization of human error and a guilty verdict: a travesty of justice that threatens patient safety. ISMP Medication Safety Alert! Acut…
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psnet.ahrq.gov/issue/costs-medical-injuries-utah-and-colorado
June 30, 2021 - January 25, 2023
Pharmacist transition-of-care services improve patient satisfaction
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psnet.ahrq.gov/issue/drug-shortages-national-survey-reveals-high-level-frustration-low-level-safety
April 05, 2023 - Newspaper/Magazine Article
Drug shortages: national survey reveals high level of frustration, low level of safety.
Citation Text:
Drug shortages: national survey reveals high level of frustration, low level of safety. ISMP Medication Safety Alert! Acute Care Edition. September 23, 2010:1…
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psnet.ahrq.gov/issue/time-ordered-comorbidity-correlations-identify-patients-risk-mis-and-overdiagnosis
December 07, 2022 - August 26, 2020
Impact of a pharmacist-administered deprescribing intervention on nursing
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psnet.ahrq.gov/issue/next-generation-doctors-may-be-learning-bad-habits-teaching-hospitals-many-safety-violations
June 28, 2023 - Newspaper/Magazine Article
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations.
Citation Text:
The next generation of doctors may be learning bad habits at teaching hospitals with many safety violations. Blau M. STAT. April 20, 2018…