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psnet.ahrq.gov/issue/medication-errors-attributed-health-information-technology
March 27, 2018 - Newspaper/Magazine Article
Medication errors attributed to health information technology.
Citation Text:
Medication errors attributed to health information technology. Lawes S, Grissinger M. PA-PSRS Patient Saf Advis. March 2017;14:1-8.
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psnet.ahrq.gov/issue/doctors-were-alarmed-would-i-have-my-children-have-surgery-here
February 19, 2020 - Newspaper/Magazine Article
Doctors were alarmed: would I have my children have surgery here?
Citation Text:
Doctors were alarmed: would I have my children have surgery here? Gabler E. New York Times. May 31, 2019.
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psnet.ahrq.gov/issue/avoid-punitive-approach-your-safety-event-reporting
October 23, 2019 - Newspaper/Magazine Article
Avoid punitive approach to your safety event reporting,
Citation Text:
Avoid punitive approach to your safety event reporting, Cheney C. HealthLeaders. September 4, 2020.
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psnet.ahrq.gov/issue/perinatal-patient-safety-perspective-nurse-executives-round-table-discussion
August 13, 2010 - Commentary
Perinatal patient safety from the perspective of nurse executives: a round table discussion.
Citation Text:
Perinatal patient safety from the perspective of nurse executives: a round table discussion. Thorman KE; Capitulo KL; Dubow J; Hanold K; Noonan M; Wehmeyer J.
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psnet.ahrq.gov/issue/small-effort-big-payoffautomated-maximum-dose-alerts-hard-stops
June 10, 2018 - Newspaper/Magazine Article
Small effort, big payoff...automated maximum dose alerts with hard stops.
Citation Text:
Small effort, big payoff...automated maximum dose alerts with hard stops. ISMP Medication Safety Alert! Acute care edition! September 19, 2013;18:1-4.
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psnet.ahrq.gov/issue/promote-culture-safety-good-catch-reports
November 06, 2015 - Newspaper/Magazine Article
Promote a culture of safety with good catch reports.
Citation Text:
Promote a culture of safety with good catch reports. Wallace SC, Mamrol C, Finley E. PA-PSRS Patient Saf Advis. September 2017;14.
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psnet.ahrq.gov/issue/medication-errors-affecting-pediatric-patients-unique-challenges-special-population
January 20, 2016 - Newspaper/Magazine Article
Medication errors affecting pediatric patients: unique challenges for this special population.
Citation Text:
Medication errors affecting pediatric patients: unique challenges for this special population. Grissinger M. PA-PSRS Patient Saf Advis. September 2015;…
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psnet.ahrq.gov/issue/artificial-intelligence-will-improve-medical-treatments
February 06, 2019 - Newspaper/Magazine Article
Artificial intelligence will improve medical treatments.
Citation Text:
Artificial intelligence will improve medical treatments. The Economist. June 7, 2018.
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digital.ahrq.gov/sites/default/files/docs/page/implementing_an_ehr_in_medicaid_chip_agencies__a_practical_review_of_benefits__costs__models__opportunities__and_challenges_5.pdf
September 01, 2011 - Centered Medical Home (PCMH)
• Electronic Health Record (EHR)
– HIE framework—interoperability, MMIS,
pharmacy … to public health
• Empowers consumers with access to personal health
care information
Web-based Pharmacy … Issues
Personal Health Record
Electronic Health Record (EHR)
Web-based Pharmacy Tool
EPSDT Functionality
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - included a review of
medical records of patients aged 18 years or younger that had been identified by pharmacy … The CHB departments of pharmacy and information services developed
a “clot buster report,” a comprehensive … Reduced Variation in Prescribing Practices
In 2004, the Pharmacy and Therapeutics Committee embarked
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www.ahrq.gov/research/findings/studies/index.html?page=327
January 01, 2024 - confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy … They found that across two distinct pharmacy chains, there is a strong and significant association between … confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy
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www.ahrq.gov/research/findings/studies/index.html?page=465
January 01, 2024 - Patient-Centered Outcomes Research, Women
Tang DH , Warholak TL , Hines LE Evaluation of Pharmacy … This study was conducted to evaluate changes in CER knowledge, attitudes, and ability among Pharmacy … Evaluation of Pharmacy and Therapeutic (P&T) Committee member knowledge, attitudes and ability regarding
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psnet.ahrq.gov/web-mm/mismanagement-acute-decompensated-heart-failure-hypertensive-emergency
May 01, 2018 - The University of Maryland School of Pharmacy is accredited by the Accreditation Council for Pharmacy … Education as a provider of continuing pharmacy education.
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psnet.ahrq.gov/web-mm/hospital-acquired-diabetic-ketoacidosis
October 28, 2020 - discrepancies at transitions in care, as these inconsistencies may lead to adverse events. 10 In many EDs, pharmacy … Dahlia Zuidema, PharmD, BC-ADM, CDCES
Assistant Clinical Professor, UCSF School of Pharmacy
Department … of Pharmacy Services
UC Davis Health
Berit Bagley MSN, CDCES, BC-ADM
Inpatient Glycemic Team
Department
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Harney_89.pdf
May 01, 2007 - included a review of
medical records of patients aged 18 years or younger that had been identified by pharmacy … The CHB departments of pharmacy and information services developed
a “clot buster report,” a comprehensive … Reduced Variation in Prescribing Practices
In 2004, the Pharmacy and Therapeutics Committee embarked
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psnet.ahrq.gov/node/866618/psn-pdf
December 31, 2024 - The University of Maryland School of Pharmacy is accredited by the Accreditation Council for Pharmacy … Education as a provider of continuing pharmacy education.
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ce.effectivehealthcare.ahrq.gov/research/findings/studies/index.html?page=482
January 01, 2024 - Keywords: Patient Safety, Nursing, Workforce
Baur C , Brach C AHRQ Author: Brach C Pharmacy … Pharmacy research on health literacy can contribute to national goals and health care system improvements
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srdr.ahrq.gov/projects/1542/studies/186864
January 01, 2018 - Country
Department of Pharmacy, Faculty of Mathematics and Natural Sciences, University of Oslo … Pharmacoepidemiology & Drug Safety Research Group, School of Pharmacy, Faculty of Mathematics and … The University of Oslo School of Pharmacy, Oslo, Norway The University of Massachusetts Medical School … , Worcester, Massachusetts, USA PharmacoEpidemiology and Drug Safety Research Group, Department of Pharmacy
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ce.effectivehealthcare.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Cook.pdf
January 01, 2004 - While most
hospitals had an onsite pharmacy (82.8 percent), only 34.5 percent had a full-time,
onsite … The e-mail questionnaires allowed us to
explore information about specific issues, such as pharmacy … When explaining
pharmacy protocols, a pharmacist noted that incorrect medication orders, received
from … physicians, were not logged as errors as long as the pharmacy intercepted
and corrected them.
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digital.ahrq.gov/sites/default/files/docs/citation/AppendixE_HIT_Hazard_Manager_Beta_Test.pdf
May 23, 2013 - Systems Involved
Two sites selected inpatient, two different sites selected pharmacy; the three other … local IT) (1)
• Training for end users (4)
Vetting and Resolution
Items selected for vetting:
• Pharmacy … department (3)
• Laboratory (1)
• End-user (3)
• Other: EHR policy
Items selected for mitigation:
• Pharmacy … (5)
• Training for end users (3)
12
Vetting and Resolution
Items selected for vetting:
• Pharmacy