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psnet.ahrq.gov/node/46275/psn-pdf
March 27, 2018 - Errors originating in hospital and health-system
outpatient pharmacies.
March 27, 2018
Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
https://psnet.ahrq.gov/issue/errors-originating-hospital-and-health-system-outpatient-pharmacies
According to this analysis of more than 1000 repor…
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psnet.ahrq.gov/node/843323/psn-pdf
February 01, 2023 - Long-Term Trends of Psychotropic Drug Use in Nursing
Homes.
February 1, 2023
Grimm CA. Washington DC: Office of the Inspector General; Nov 2022. Report no. OEI-07-20-
00500.
https://psnet.ahrq.gov/issue/long-term-trends-psychotropic-drug-use-nursing-homes
Misdiagnosis can result in inappropriate medication u…
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psnet.ahrq.gov/node/44733/psn-pdf
December 07, 2018 - Patient Safety in Ambulatory Settings: Technical Brief.
December 7, 2018
Evidence-based Practice Center. Rockville, MD: Agency for Healthcare Research and Quality; October 19,
2016.
https://psnet.ahrq.gov/issue/patient-safety-ambulatory-settings-technical-brief
The primary focus on patient safety research has been…
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psnet.ahrq.gov/node/40980/psn-pdf
December 31, 2014 - Transmitting and processing electronic prescriptions:
experiences of physician practices and pharmacies.
December 31, 2014
Grossman JM, Cross DA, Boukus ER, et al. Transmitting and processing electronic prescriptions:
experiences of physician practices and pharmacies. J Am Med Inform Assoc. 2012;19(3):353-9.
doi:1…
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psnet.ahrq.gov/node/42049/psn-pdf
February 20, 2013 - Mitigating error vulnerability at the transition of care
through the use of health IT applications.
February 20, 2013
Cortelyou-Ward K, Swain A, Yeung T. Mitigating Error Vulnerability at the Transition of Care through the
Use of Health IT Applications. J Med Syst. 2012;36(6). doi:10.1007/s10916-012-9855-x.
https:…
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psnet.ahrq.gov/node/37147/psn-pdf
October 04, 2011 - Design and implementation of a point-of-care
computerized system for drug therapy in Stockholm
metropolitan health region--bridging the gap between
knowledge and practice.
October 4, 2011
SJOBORG B, BACKSTROM T, ARVIDSSON L, et al. Design and implementation of a point-of-care
computerized system for drug therapy …
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psnet.ahrq.gov/node/36896/psn-pdf
March 10, 2011 - The utility of adding retrospective medication profiling to
computerized provider order entry in an ambulatory care
population.
March 10, 2011
Glassman PA, Belperio P, Lanto A, et al. The utility of adding retrospective medication profiling to
computerized provider order entry in an ambulatory care population. J A…
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psnet.ahrq.gov/node/40428/psn-pdf
May 04, 2011 - Does user-centred design affect the efficiency, usability
and safety of CPOE order sets?
May 4, 2011
Chan J, Shojania KG, Easty AC, et al. Does user-centred design affect the efficiency, usability and safety
of CPOE order sets? J Am Med Inform Assoc. 2011;18(3):276-81. doi:10.1136/amiajnl-2010-000026.
https://psne…
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psnet.ahrq.gov/node/851367/psn-pdf
July 12, 2023 - A hard look at hard stops and workarounds in the acute
care setting.
July 12, 2023
ISMP Medication Safety Alert! Acute care edition. June 29, 2023;28(13);1-4.
https://psnet.ahrq.gov/issue/hard-look-hard-stops-and-workarounds-acute-care-setting
Hard stops in the electronic medical record prevent continuation of ord…
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psnet.ahrq.gov/node/37482/psn-pdf
January 23, 2008 - Frequency of risk factors that potentially increase harm
from medications in older adults receiving primary care.
January 23, 2008
McCarthy L, Dolovich L, Haq M, et al. Can J Clin Pharmacol. 2007;14(3):e283-e290.
https://psnet.ahrq.gov/issue/frequency-risk-factors-potentially-increase-harm-medications-older-adults-…
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psnet.ahrq.gov/node/74756/psn-pdf
February 09, 2022 - Medication errors in overweight and obese pediatric
patients: a systematic review.
February 9, 2022
Procaccini D, Kim JM, Lobner K, et al. Medication errors in overweight and obese pediatric patients: a
systematic review. Jt Comm J Qual Patient Saf. 2022;48(3):154-164. doi:10.1016/j.jcjq.2021.12.005.
https://psnet…
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psnet.ahrq.gov/node/41000/psn-pdf
December 14, 2011 - Severity and probability of harm of medication errors
intercepted by an emergency department pharmacist.
December 14, 2011
Patanwala AE, Hays DP, Sanders AB, et al. Severity and probability of harm of medication errors
intercepted by an emergency department pharmacist. Int J Pharm Pract. 2011;19(5):358-62.
doi:10.…
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psnet.ahrq.gov/node/849130/psn-pdf
May 17, 2023 - Comparing perspectives on organisational silence: an
analysis of the Gosport inquiry.
May 17, 2023
Powell M. J Health Org Manag. 2023;37(1):67-83.
https://psnet.ahrq.gov/issue/comparing-perspectives-organisational-silence-analysis-gosport-inquiry
Individual, team, and organizational willingness to identify and add…
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psnet.ahrq.gov/node/837209/psn-pdf
May 25, 2022 - Opioids and falls risk in older adults: a narrative review.
May 25, 2022
Virnes R-E, Tiihonen M, Karttunen N, et al. Opioids and falls risk in older adults: a narrative review. Drugs
Aging. 2022;39(3):199-207. doi:10.1007/s40266-022-00929-y.
https://psnet.ahrq.gov/issue/opioids-and-falls-risk-older-adults-narrative…
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psnet.ahrq.gov/node/37118/psn-pdf
October 04, 2011 - Knowledge translation in critical care: factors associated
with prescription of commonly recommended best
practices for critically ill patients.
October 4, 2011
Ilan R, Fowler RA, Geerts R, et al. Knowledge translation in critical care: factors associated with
prescription of commonly recommended best practices fo…
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psnet.ahrq.gov/node/41436/psn-pdf
October 19, 2012 - Which clinical errors lead to the referral of UK
paediatricians to the National Clinical Assessment
Service?
October 19, 2012
Raine J, Scarrott D. Which clinical errors lead to the referral of UK paediatricians to the National Clinical
Assessment Service? Eur J Pediatr. 2012;171(10):1449-52.
https://psnet.ahrq.go…
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psnet.ahrq.gov/node/40512/psn-pdf
September 07, 2016 - Shortage of perioperative drugs: implications for
anesthesia practice and patient safety.
September 7, 2016
De Oliveira GS, Theilken LS, McCarthy R. Shortage of perioperative drugs: implications for anesthesia
practice and patient safety. Anesth Analg. 2011;113(6):1429-35. doi:10.1213/ANE.0b013e31821f23ef.
https:/…
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psnet.ahrq.gov/node/35175/psn-pdf
June 23, 2009 - Overnight and postcall errors in medication orders.
June 23, 2009
Hendey GW, Barth BE, Soliz T. Overnight and postcall errors in medication orders. Acad Emerg Med.
2005;12(7):629-34.
https://psnet.ahrq.gov/issue/overnight-and-postcall-errors-medication-orders
This study examined the incidence of prescribing errors…
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psnet.ahrq.gov/perspective/pharmacist-role-patient-safety
June 29, 2020 - Annual Perspective
Pharmacist Role in Patient Safety
February 21, 2020
View more articles from the same authors.
Citation Text:
Dopp AL, Hall KK. Pharmacist Role in Patient Safety. PSNet [internet]. Rockville (MD): Agency for Healthcare Research and Quality,…
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