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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Raebel_53.pdf
May 07, 2008 - Alert System (PAS) that uses linked data from
pharmacy and clinical information systems to identify … The individual projects were collaboratively developed and implemented by the Pharmacy
Department and … We
intend to evaluate the impact of the combined pharmacy-based and EMR-based alerts. … We believe that a
pharmacy-based alert program is complementary to EMR alerts. … Chester); Kaiser Permanente Colorado Pharmacy Department, Aurora, CO (Dr.
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www.ahrq.gov/news/newsroom/case-studies/ktcquips79.html
October 01, 2014 - The hospital pharmacy is now responsible for medication order clarification, and interventions have led … With a new medication reconciliation process that involves the hospital pharmacy, audits show pharmacy … To reinforce the "One Source of Truth" concept, pharmacy staff were given access to the medication reconciliation
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www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/chapter9.html
December 01, 2017 - Project 2: Examine Utilization, Outcomes, and Costs of Advanced Practice Pharmacy Services
The data … This project requires enhancements to the data mart to improve measures of advanced practice pharmacy … Project 4: Assessing Pharmacy Utilization
Persons with chronic disease may be high users of prescribed … The pharmacy data may be used to assess existing medication utilization and options for improving drug
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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-5.html
March 01, 2022 - Pharmacy, nursing, and medicine have all made important progress in diagnosis education by contributing … Pharmacy Education
The case for incorporating diagnosis-related competencies has been made, 90 , 91 … 94 In addition, the responsible professional organization, the American Association of Colleges of Pharmacy … Pharmacy students are taught physical exam skills in many schools, 98 and pharmacy students are more
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www.ahrq.gov/patient-safety/resources/index.html
December 01, 2022 - CUSP Success Stories
Health Literacy
AHRQ Health Literacy Universal Precautions Toolkit
Pharmacy … Pediatric Quality Measures Program
Pharmacy Health Literacy Center
This site provides pharmacists … Home Survey on Patient Safety Culture
Medical Office Survey on Patient Safety Culture
Community Pharmacy
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www.ahrq.gov/sites/default/files/2024-01/weingart-report.pdf
January 01, 2024 - In a survey
of US cancer centers, pharmacy directors reported serious oral chemotherapy-related adverse … DFCI pharmacy staff members reviewed each DFCI safety report and pharmacy intervention –
including reports … Interventions
1/12/04 –
4/29/08
Pharmacy interventions
reported at cancer center
177
(25.2) … P X X X 3
Errors when transmitting Rx to pharmacy P X X X 3
Wrong tabs, wrong liquid, wrong
dose, … Dispensing strategies included the use of pharmacy
barcode scanning systems; installing visual cues
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www.ahrq.gov/ncepcr/communities/pbrn/registry/index.html?page=1
: Inactive
Medication Safety Research Network of Indiana Acronym: Rx-SafeNet Network Type: Pharmacy … Medicine Clinicians) Network Category: Established State: Minnesota Status: Inactive
Minnesota Pharmacy … Practice-Based Research Network Acronym: Minnesota Pharmacy PBRN Network Type: Pharmacy Network (at … dentists) Network Category: Affiliate State: Missouri Status: Inactive
Network to Support Pharmacy … practice Innovation, Research and patient carE Acronym: NSPIRE Network Type: Pharmacy Network (at
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/dischargeprep.docx
June 02, 2025 - Pharmacy
Uses hospital pharmacy? … No ____ Yes ____
Community Pharmacy Name
Phone #, Street Address, City
Pt. plan to pick
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www.ahrq.gov/research/shuttered/toolkitchecklist/medancillary2.html
July 01, 2018 - Date: __________ Location: ________________ Team Member: _______________________________
Pharmacy
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www.ahrq.gov/sites/default/files/wysiwyg/sops/quality-patient-safety/patientsafetyculture/hospital/healthitwebinar/sops-hit-webcast2-brady.pdf
June 02, 2025 - supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community
Pharmacy … homes
12,395
respondents
Medical
Office
2,437
Medical offices
35,523
respondents
Community
Pharmacy
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Devine.pdf
July 01, 2003 - The prescribing
software does not currently allow for full electronic transfer to retail pharmacy
order … Therefore, the printed prescription is not eliminated, and the
retail pharmacy maintains this printed … Thus, study methods included prescriptions transmitted to
and filled solely at a pharmacy owned and … The clinic Pharmacy and Therapeutics Committee approved the
use of Beers criteria and the Laboratory … Errors in pharmacy practice. US Pharm
1996;21:122–132.
12. Bates DW, Teich JM, Lee J, et al.
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www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new_sops_diagnostic_safety-ginsberg.pdf
June 02, 2025 - supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community
Pharmacy … expected 2021)
Hospital
Medical Office
Nursing Home
Ambulatory
Surgery Center
Community
Pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/02-new-sops-workplace-safety-ginsberg.pdf
June 02, 2025 - supports patient safety
Hospital
(2004)
Nursing
Home
(2008)
Medical
Office
(2009)
Community
Pharmacy … Workplace Safety
Hospital
Medical Office
Nursing Home
Ambulatory
Surgery Center
Community
Pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/antibiotic-use/improve/program-part1-slides.pptx
November 01, 2019 - Pharmacist Interventions
Determining program goals
Coordination of data needs
Bridge to department of pharmacy … Development – Part 1
AHRQ Safety Program for Improving Antibiotic Use – Acute care
7
Essential Partners: Pharmacy … and P&T
Member Role
Department of Pharmacy Enforces prescribing policies
Generates data on antibiotic … non-stewardship pharmacists)
IV to oral conversion protocols
Therapeutic antibiotic monitoring protocols
Pharmacy … Antibiotic Use – Acute care
12
Establishing an AS Committee
Membership
ASP team
Senior executive
Pharmacy
-
www.ahrq.gov/es/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
March 01, 2025 - Consultations (if any) made prior to phone call: ___ None ___ Called MD ___ Called DE ___ Called outpatient pharmacy … called patient/caregiver back ___ Called DE and called patient/caregiver back ___ Called outpatient pharmacy … called patient/caregiver back ___ Called DE and called patient/caregiver back ___ Called outpatient pharmacy … called patient/caregiver back ___ Called DE and called patient/caregiver back ___ Called outpatient pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/settings/hospitals/red-toolkit/postdiscalldoc.docx
June 02, 2025 - call:
Consultations (if any) made prior to phone call:
None
Called MD
Called DE
Called outpatient pharmacy … physician and called patient/caregiver back
Called DE and called patient/caregiver back
Called outpatient pharmacy … physician and called patient/caregiver back
Called DE and called patient/caregiver back
Called outpatient pharmacy … physician and called patient/caregiver back
Called DE and called patient/caregiver back
Called outpatient pharmacy
-
www.ahrq.gov/patient-safety/settings/hospital/red/toolkit/postdischarge-doc.html
March 01, 2025 - Consultations (if any) made prior to phone call: ___ None ___ Called MD ___ Called DE ___ Called outpatient pharmacy … called patient/caregiver back ___ Called DE and called patient/caregiver back ___ Called outpatient pharmacy … called patient/caregiver back ___ Called DE and called patient/caregiver back ___ Called outpatient pharmacy … called patient/caregiver back ___ Called DE and called patient/caregiver back ___ Called outpatient pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol1/Advances-Kellie_30.pdf
April 21, 2008 - after the pharmacy steps. … That is, recovery from near misses in the pharmacy may
uncover system vulnerabilities outside the pharmacy … , as well as in the pharmacy. … The failure to transcribe the order occurred at the pharmacy,
largely due to lack of pharmacy understanding … Error
recovery in a hospital pharmacy. Ergonomics 2006;
49: 503-516.
29. Edmundson AC.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-family-engagement/pfeprimarycare/medication-mgmt-common-barriers-full.pdf
June 02, 2025 - Forget to refill: Write a longer prescription; suggest a
pharmacy refill reminder or auto-refill system … I can’t get to the pharmacy. … *A pharmacy delivery system that pre-sorts and packages medications, with each package labeled with the
-
www.ahrq.gov/funding/process/study-section/hsqrrst.html
February 01, 2025 - . * Assistant Professor Department Of Pharmacy Practice Purdue University Indianapolis, IN 46202 Ali, … Professor Department of Pharmacy Practice and Science University of Kentucky College of Pharmacy Lexington