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psnet.ahrq.gov/node/45293/psn-pdf
February 01, 2017 - Patient safety incidents involving sick children in primary
care in England and Wales: a mixed methods analysis.
February 1, 2017
Rees P, Edwards A, Powell C, et al. Patient Safety Incidents Involving Sick Children in Primary Care in
England and Wales: A Mixed Methods Analysis. PLoS Med. 2017;14(1):e1002217.
doi:1…
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psnet.ahrq.gov/issue/safemedicationuseca
October 10, 2012 - Multi-use Website
SafeMedicationUse.ca.
Citation Text:
SafeMedicationUse.ca. Institute for Safe Medication Practices Canada; ISMP Canada.
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psnet.ahrq.gov/issue/empowered-improve
November 10, 2011 - Newspaper/Magazine Article
Empowered to improve.
Citation Text:
Empowered to improve. Gardner E.
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June 3…
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psnet.ahrq.gov/issue/critical-supply
June 16, 2019 - Audiovisual
Critical supply.
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April 3, 2013
View more articles from the same authors.
This news series reports on the drug shor…
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psnet.ahrq.gov/issue/towel-safety-message
October 24, 2012 - Newspaper/Magazine Article
A towel with a safety message.
Citation Text:
A towel with a safety message. Lerner M.
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psnet.ahrq.gov/issue/antidote-medical-errors
May 02, 2017 - Newspaper/Magazine Article
The antidote to medical errors.
Citation Text:
The antidote to medical errors. Price M.
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psnet.ahrq.gov/node/33579/psn-pdf
September 15, 2024 - process on a general hospital ward might
break down all steps from receipt of orders in the central pharmacy … to filling automated dispensing
machines by pharmacy technicians.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.98_slideshow.ppt
June 01, 2005 - RCA—Differential Diagnosis
No nursing guidelines or protocols for use of vasopressor medications
No process in pharmacy … is being given to right patient at the right dose
RCA—Differential Diagnosis
No process in pharmacy
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psnet.ahrq.gov/sites/default/files/2020-09/final_slides_sept_spotlight_case_when_the_lytes_go_out_slides_08.25.2020-revised.pdf
January 01, 2020 - often facilitate communication, but
more frequent brief communications between the bedside
nurse, pharmacy … ”
• Inclusion of an interprofessional team (medicine, nursing,
pharmacy, dietary) to coordinate management
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psnet.ahrq.gov/node/49590/psn-pdf
January 01, 2010 - have confirmed the patient's previous
theophylline doses and levels as well as adherence history.(8) Pharmacy … User experiences with pharmacy benefit manager
data at point of care.
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psnet.ahrq.gov/node/60169/psn-pdf
March 25, 2020 - Consideration should be given for irrigation solutions to be prepared in pharmacy and appropriately labelled … Pharmacy and Therapeutics
2013;38(4):187-89.
10.
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psnet.ahrq.gov/node/49578/psn-pdf
January 01, 2009 - However, even if there had been final pharmacy review, the
pharmacist may not have had access to the … The patient's outpatient pharmacy likely cannot access her complete medication list either, another missed
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.149_slideshow.ppt
May 01, 2007 - Alldredge, PharmD, UCSF School of Pharmacy
Editor, AHRQ WebM&M: Robert Wachter, MD
Spotlight Editor … pharmacist involvement in direct drug therapy
Pharmacist-managed drug therapy is fastest growing clinical pharmacy
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psnet.ahrq.gov/web-mm/getting-root-matter
September 01, 2005 - physician, as well as representatives from ICU nursing (both the nurse manager and a staff nurse), the pharmacy … nursing guidelines or protocols for use of vasopressor medications; and There was no process in the pharmacy … Pharmacy issues also figured prominently in this error. … clarity Process for administering meds not standardized/no formal design Low Pharmacy
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psnet.ahrq.gov/node/74226/psn-pdf
February 01, 2019 - While the VHA STORM program uses several data sources (demographic, diagnostic, pharmacy, and
healthcare … requires support from site leadership, access to robust and varied data (e.g.,
demographic, diagnostic, pharmacy … These providers might be from disciplines such as pain management, pharmacy, primary care, suicide
prevention … Department of Veterans Affairs, Veterans Health Administration, Pharmacy Benefits Management
Academic
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psnet.ahrq.gov/innovation/care-managers-use-software-aided-medication-review-protocol-frail-community-dwelling
September 13, 2023 - consultation, or per hour), while others build relationships with academic pharmacists who supervise pharmacy … drugs have more than one doctor who prescribes the medicines, and about one-third use more than one pharmacy … coach to inventory these items is more effective than relying on a list of prescriptions provided by a pharmacy … consultation, or per hour), while others build relationships with academic pharmacists who supervise pharmacy
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psnet.ahrq.gov/web-mm/syringe-swap-during-regional-block-case-medication-error-and-recovery
July 22, 2020 - medication errors that cause patient harm based on four avenues of approach: Standardization, Technology, Pharmacy … Pharmacy, information technology, and anesthesia care providers must interact regularly to ensure drug … Safety programs should integrate pharmacy, perioperative nursing units, and all anesthesia providers
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psnet.ahrq.gov/issue/characteristics-initial-prescription-episodes-and-likelihood-long-term-opioid-use-united
April 24, 2018 - See More About The Topic
Hospitals
Facility and Group Administrators
Policy Makers
Pharmacy
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psnet.ahrq.gov/issue/efficiency-and-thoroughness-trade-offs-high-volume-organisational-routines-ethnographic-study
June 14, 2017 - confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy
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psnet.ahrq.gov/issue/electronic-health-record-based-real-time-analytics-program-patient-safety-surveillance-and
May 19, 2018 - October 19, 2011
Horus meets Nightingale in the modern age: how nursing communicates with pharmacy