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www.ahrq.gov/patient-safety/settings/index.html
December 01, 2024 - Labor and Delivery Units
Emergency Department
Long-Term Care
Ambulatory Care
ESRD Clinics
Pharmacy
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes-7.html
March 01, 2022 - Pharmacy education needs to address diagnostic safety . Am J Pharm Educ. 2019;83(6):7442. … Making diagnostic instruction explicit in U.S. pharmacy education . … A model for implementing diagnostic instruction within Doctor of Pharmacy degree programs . … Clinical reasoning in pharmacy. In: Higgs J, Jensen G, Loftus S, Christensen N, eds. … Pharmacist instruction of physical assessment for pharmacy students .
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www.ahrq.gov/research/findings/final-reports/environmental-scan-programs/envscan-program-ape.html
April 01, 2018 - -- Medical/Surgical/Psychiatric Nursing
0
365
-- Obstetrical Nursing
0
368
Pharmacy … 34
370
-- Community Pharmacy
0
369
-- Hospital Pharmacy
1
Return to
-
www.ahrq.gov/sites/default/files/2024-01/higginson-report.pdf
January 01, 2024 - Oregon LTC providers, state agencies, pharmacy companies, and medical providers are
collaborating on … There are very little data on wrong resident/patient errors in the
literature; prescriber, pharmacy, … They
received pharmacy services from four large contract pharmacy companies, and all belonged to the … Q:0.25
E t161
Pharmacy ...
Q:0.5
E t684
Med receiver ...
Q:0.999
E t560
Administering ... … Over 50% of
errors not detected by the
pharmacy.
-
www.ahrq.gov/patient-safety/reports/hotline/appb.html
May 01, 2016 - Brennan, MD, MPH
Executive Vice President and Chief Medical Officer,
CVS Caremark Corporation and CVS Pharmacy
-
www.ahrq.gov/diagnostic-safety/resources/issue-briefs/education-dx-outcomes.html
March 01, 2022 - Minnesota Medical School
Jennifer Danielson, Pharm.D., M.B.A., CDECS
University of Washington School of Pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/primary-care/workforce-financing/case_example_2.pdf
October 01, 2016 - program with an onsite automated dispensing unit (ADU) and a shared pharmacy
(remote). … Program
As patients of an FQHC, THC’s clientele are eligible for 340B pharmacy program discounts. … The certified pharmacy technician
supports access to the onsite ADU and mail-order medications. … Matthew, 59 percent of patients receive their medications via the 340B mail-
order pharmacy. … Furthermore, THC has found a
way to provide pharmacy services onsite.
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol3/Kravitz.pdf
February 09, 2005 - A policy at Hospital F permitting warfarin orders
“per pharmacy” (i.e., a pharmacist calculates and … Pharmacy managers at two other previously committed hospitals concluded
that the WARFDOCS trial would … Pharmacy administrators, swamped by competing demands,
were unavailable to help solve study-related … In general, physicians appeared to welcome increased pharmacy
involvement. … University of California, Davis Health System, Pharmacy, Sacramento, CA
(WED).
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/OConnor.pdf
November 29, 2004 - patterns of diabetes-related medical errors in primary care settings using
diagnostic, laboratory, and pharmacy … Methods: Automated diagnostic,
laboratory, and pharmacy data were used to evaluate outpatient care received … diabetes who were (a) younger than 80 years; (b) had a Charlson
comorbidity score of 2 or lower; (c) had pharmacy … primary care physician, were classified as having a glycemic-control error, a
lipid-control error, or a pharmacy … Advances in Patient Safety: Vol. 1
372
Automated pharmacy data was used to ascertain names, dates
-
www.ahrq.gov/sites/default/files/wysiwyg/pqmp/toolkits/flow-diagrams.pdf
June 02, 2025 - data to input file
specifications1
Comorbidity
Claims (all medical
claims during time
frame)
Pharmacy … Source
1
Eligibility Table
(summary of continuous
enrollment periods by
payer and member)
Pharmacy
-
www.ahrq.gov/funding/process/study-section/hcrtrst.html
March 01, 2025 - Associate Professor Department of Pharmacy Practice School of Pharmacy and Health Professions Creighton
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/04-SOPS_101_Webcast-FAMOLARO.pdf
January 01, 2020 - 630
Hospitals
Nursing
Home
191
Nursing Homes
Medical
Office
2,437
Medical Offices
Community
Pharmacy … Ambulatory Surgery Center
(ASC) June
Note: There are no plans for community pharmacy database submission … purposes only
• De-identified Data Requests
► Hospital, medical office, nursing home, and community pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/highlights/ps-project-highlights-medication-safety.pdf
April 30, 2025 - Data
2003-2007
$930,778
Final Report
Purpose: Refine and implement a pharmacy alert system that … A cost-benefit analysis revealed
that implementation of a hospital-based pharmacy barcode system for … The modules can also be used in pharmacy experiential education, including
both Introductory Pharmacy … Practice Experiences and Advanced Pharmacy Practice
Experiences. … Pharmacy and respiratory therapy
consultations were the easiest to deploy.
-
www.ahrq.gov/news/newsroom/case-studies/201511.html
May 01, 2015 - medication list, and these errors would flow downstream," said Joel Tucker, Pharm.D., director of the pharmacy … During a two-month study, the pharmacy corrected 2.3 errors per patient.
St.
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/nh-workplace-safety-ginsberg.pdf
January 01, 2015 - Hospital
2004:
Version 1.0
2019:
Version 2.0
Nursing
Home
2008
Medical
Office
2009
Community
Pharmacy … Diagnostic
Safety
Hospital ✓ ✓ ✓
Medical Office ✓ ✓
Nursing Home ✓
Ambulatory Surgery Center
Community Pharmacy
-
www.ahrq.gov/topics/medical-errors.html
Topic: Medical Errors
Medical errors can occur anywhere in the health care system--in hospitals, clinics, surgery centers, doctors' offices, nursing homes, pharmacies, and patients' homes--and can have serious consequences. Errors can involve medicines, surgery, diagnosis, equipment, or lab reports. AHRQ has sponsore…
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol4/Advances-Devine_83.pdf
April 06, 2008 - (Prescribing software does not currently allow for full electronic
transfer to retail pharmacy order … The printed prescription is maintained by the
retail pharmacy as part of the patient record. … Leadership educated members of
6
the Washington State Board of Pharmacy regarding the benefits … This, in turn, improved patient care by
decreasing wait times at the pharmacy and by eliminating a step … The Pharmacy and Therapeutics Committee is overseeing
the customization of drug-allergy and drug-drug
-
www.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops_101_webcast-2022-gray.pdf
January 01, 2022 - Hospital
2004:
Version 1.0
2019:
Version 2.0
Nursing
Home
2008
Medical
Office
2009
Community
Pharmacy … Hospital
Medical Office
Nursing Home In development
Ambulatory Surgery Center
Community Pharmacy
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol3/Advances-Lavelle_33.pdf
March 12, 2008 - Despite “standardization,” the contents of code carts and pharmacy emergency drug boxes
varied among … Preparation for workshops
Review
• List of standardized medications on code carts
and in pharmacy … The corrective action plan for pharmacy-
physician prescription concerns had very limited involvement … Of particular concern were the
emergency medications in the pharmacy drug boxes. … Sound-alike medications were not an issue, but some pharmacy drug boxes had look-alike
medications in
-
www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Magid.pdf
January 01, 2004 - In this paper, we show how the RE-AIM approach is being used to evaluate a
pharmacy alert intervention … (e.g., false-positive alerts), and potential negative impacts (e.g.,
repeat patient visits to the pharmacy … In this project, a pharmacy alert system electronically
screens prescriptions for potential errors using … University of Colorado School of Pharmacy (MAR, EJK). … The Institute of Medicine report on medical
error: overview and implications for pharmacy.