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psnet.ahrq.gov/issue/prevalence-severity-and-nature-preventable-patient-harm-across-medical-care-settings
February 17, 2021 - Study
Classic
Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.
Citation Text:
Panagioti M, Khan K, Keers RN, et al. Prevalence, severity, and nature of preventable patient harm across…
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psnet.ahrq.gov/issue/impact-introducing-automated-dispensing-cabinets-barcode-medication-administration-and-closed
March 10, 2021 - Review
Emerging Classic
The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: a systematic review.
C…
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psnet.ahrq.gov/issue/impact-computerized-provider-order-entry-medication-errors-multispecialty-group-practice
August 31, 2011 - Study
The impact of computerized provider order entry on medication errors in a multispecialty group practice.
Citation Text:
Devine EB, Hansen RN, Wilson-Norton JL, et al. The impact of computerized provider order entry on medication errors in a multispecialty group practice. J Am Med…
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psnet.ahrq.gov/issue/methodological-variations-and-their-effects-reported-medication-administration-error-rates
January 15, 2025 - Review
Methodological variations and their effects on reported medication administration error rates.
Citation Text:
McLeod MC, Barber N, Franklin BD. Methodological variations and their effects on reported medication administration error rates. BMJ Qual Saf. 2013;22(4):278-89. doi:10.…
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psnet.ahrq.gov/issue/qualitative-study-what-care-workers-do-provide-patient-safety-home-through-telecare
September 08, 2021 - Study
A qualitative study of what care workers do to provide patient safety at home through telecare.
Citation Text:
Stokke R, Melby L, Isaksen J, et al. A qualitative study of what care workers do to provide patient safety at home through telecare. BMC Health Serv Res. 2021;21(1):553. d…
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psnet.ahrq.gov/issue/medication-errors-during-simulated-paediatric-resuscitations-prospective-observational-human
February 23, 2022 - Study
Medication errors during simulated paediatric resuscitations: a prospective, observational human reliability analysis.
Citation Text:
Appelbaum N, Clarke J, Feather C, et al. Medication errors during simulated paediatric resuscitations: a prospective, observational human reliabilit…
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psnet.ahrq.gov/issue/pharmacist-led-intervention-reduction-inappropriate-medication-use-patients-heart-failure
December 22, 2021 - Study
Pharmacist-led intervention on the reduction of inappropriate medication use in patients with heart failure: a systematic review of randomized trials and non-randomized intervention studies.
Citation Text:
Hernández-Prats C, López-Pintor E, Lumbreras B. Pharmacist-led intervention …
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psnet.ahrq.gov/issue/artificial-intelligence-identifying-prevention-medication-incidents-causing-serious-or
March 11, 2020 - Study
Artificial intelligence for identifying the prevention of medication incidents causing serious or moderate harm: an analysis using incident reporters' views.
Citation Text:
Härkänen M, Haatainen K, Vehviläinen-Julkunen K, et al. Artificial intelligence for identifying the preventio…
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psnet.ahrq.gov/issue/using-automated-methods-detect-safety-problems-health-information-technology-scoping-review
April 07, 2019 - Review
Using automated methods to detect safety problems with health information technology: a scoping review.
Citation Text:
Surian D, Wang Y, Coiera E, et al. Using automated methods to detect safety problems with health information technology: a scoping review. J Am Med Inform Assoc. …
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psnet.ahrq.gov/node/861838/psn-pdf
January 31, 2024 - RaDonda Vaught, medication safety, and the profession of pharmacy: steps to
improve safety and ensure
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psnet.ahrq.gov/web-mm/one-dose-two-errors
September 29, 2017 - antimicrobial formulary require that an ID specialist communicate an antimicrobial approval directly to the pharmacy … The pharmacy was willing to accept the provider's word for the approval—a process that allows for errors
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psnet.ahrq.gov/node/33583/psn-pdf
March 01, 2023 - Assessment of pharmacy students' clinical skills using objective structured
clinical examination (OSCE … .2019.05.015
https://doi.org/10.1080/0142159x.2021.1887465
https://www.sysrevpharm.org/articles/assessment-of-pharmacy-students-clinical-skills-using-objective-structured-clinical-examination-osce-a-literature-review.pdf
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psnet.ahrq.gov/node/49531/psn-pdf
March 01, 2007 - Periodic pharmacy inspections of all drug storage areas, including
automated dispensing cabinets, can … HRC Risk Analysis: Pharmacy and Medications 1. Plymouth Meeting, PA: ECRI;
November 2004.
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psnet.ahrq.gov/node/49639/psn-pdf
November 01, 2011 - First, the pharmacy and therapeutics committee was
charged with modifying the ordering template for … Finally, the pharmacy was tasked with
adding a warning label to injectable cardioactive medications.
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psnet.ahrq.gov/node/61078/psn-pdf
October 28, 2020 - ucdavis.edu
Dahlia Zuidema, PharmD, BC-ADM, CDCES
Assistant Clinical Professor, UCSF School of Pharmacy …
Department of Pharmacy Services, UC Davis Health
Stephanie Crossen, MD, MPH
Assistant Professor
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psnet.ahrq.gov/web-mm/pain-relief-risk-case-suspected-opioid-overdose-pediatric-patient
October 04, 2023 - Pharmacists can play a role in increasing access to naloxone for pediatric patients, with all states allowing pharmacy … Vital Signs: Pharmacy-Based Naloxone Dispensing – United States, 2012-2018.
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psnet.ahrq.gov/web-mm/buprenorphine-and-medically-ill-patient
August 20, 2018 - The ED staff obtained outside medical and pharmacy records, which indicated the patient was hospitalized … given a prescription for oral antibiotics and other medications, which he never picked up from his pharmacy
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psnet.ahrq.gov/node/49760/psn-pdf
May 01, 2016 - , PharmD, MA, MAS Clinical Pharmacist UCSF Memory and Aging Center Associate Professor of
Clinical Pharmacy … UCSF School of Pharmacy
References
1.
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psnet.ahrq.gov/sites/default/files/import/webmm.ahrq.gov.254_slideshow.ppt
November 01, 2011 - procedure be modified so that, at discharge, all medications are packed together under nurse supervision
Pharmacy
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psnet.ahrq.gov/perspective/health-plan-patient-safety-initiatives
July 10, 2024 - The health plan conducted an analysis of pharmacy claims data and other data sources to understand prescribing … The plan may also learn a provider issued a prescription that was not picked up at the pharmacy by the