AHRQ Patient Safety Network

The Collection > Pharmacists

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Safety Target

•Device-related Complications (10)

•Diagnostic Errors (1)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (37)

•Medication Safety (416)

•Medical Complications (5)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (2)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (4)

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Resource Types

•Journal Article (298)

•Legislation/Regulation (7)

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•Newspaper/Magazine Article (71)

•Press Release/Announcement (11)

•Special or Theme Issue (3)

•Tools/Toolkit (14)

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Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (52)

•Latent Errors (26)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (111)

•Legal and Policy Approaches (23)

•Error Reporting and Analysis (98)

•Communication Improvement (107)

•Human Factors Engineering (56)

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•Specialization of Care (65)

•Logistical Approaches (21)

•Culture of Safety (18)

•Technologic Approaches (146)

•Education and Training (56)

Clinical Areas

•Allied Health Services (1)

•Medicine (169)

•Nursing (14)

•Pharmacy (338)

Target Audience
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Pharmacists

Setting of Care

•Hospitals (197)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (87)

•Outpatient Surgery (1)

1 - 20 of 428

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COMMENTARY

A Troubling Amine

Flynn EA. AHRQ WebM&M [serial online]. September 2006.

COMMENTARY

Surprise Wire

Pearl JM, Donaldson NE. AHRQ WebM&M [serial online]. July/August 2005.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

STUDY

High rates of adverse drug events in a highly computerized hospital.

Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

COMMENTARY

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

NEWSPAPER/MAGAZINE ARTICLE

Generic drug names: fertile ground for errors?

Wynn P. Drug Topics Supplements. August 8, 2005.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:725-728.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

FACT SHEET/FAQS

Medication safety issue brief. Bar code implementation strategies.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:1148-1151.

NEWSPAPER/MAGAZINE ARTICLE

Practitioners agree on medication reconciliation value, but frustration and difficulties abound.

ISMP Medication Safety Alert! Acute Care Edition. July 13, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Tablet splitting: Do it only if you "half" to, and then do it safely.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

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