AHRQ Patient Safety Network

The Collection > Pharmacists

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Safety Target

•Device-related Complications (9)

•Diagnostic Errors (1)

•Identification Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (36)

•Medication Safety (418)

•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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•Newsletter/Journal (1)

•Newspaper/Magazine Article (79)

•Press Release/Announcement (9)

•Special or Theme Issue (3)

•Tools/Toolkit (13)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (109)

•Active Errors (54)

•Latent Errors (24)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (112)

•Legal and Policy Approaches (25)

•Error Reporting and Analysis (94)

•Communication Improvement (108)

•Human Factors Engineering (59)

•Teamwork (3)

•Specialization of Care (70)

•Logistical Approaches (22)

•Culture of Safety (18)

•Technologic Approaches (145)

•Education and Training (54)

Clinical Areas

•Allied Health Services (1)

•Medicine (169)

•Nursing (14)

•Pharmacy (339)

Target Audience
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Pharmacists

Setting of Care

•Hospitals (198)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (100)

•Outpatient Surgery (1)

1 - 20 of 432

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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.

COMMENTARY

How the US drug safety system should be changed.

Strom BL. JAMA. 2006;295:2072-2075.

STUDY

Medication dosing errors for patients with renal insufficiency in ambulatory care.

Yap C, Dunham D, Thompson J, Baker D. Jt Comm J Qual Patient Saf. 2005;31:514-521.

AUDIOVISUAL PRESENTATION

Medication error death rate up 500 percent.

Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008.

COMMENTARY

The (slowly) vanishing prescription pad.

Steinbrook R. N Engl J Med. 2008;359:115-117.

STUDY

A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs.

Phillips DP, Barker GEC, Eguchi MM. Arch Intern Med. 2008;168:1561-1566.

NEWSPAPER/MAGAZINE ARTICLE

The consumer: and now, a warning about labels.

Franklin D. New York Times. October 25, 2005:F1.

NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

Nurse Advise-ERR. April 2006;4:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

Institute for Healthcare Improvement Web site. March 20, 2006.

NEWSLETTER/JOURNAL

ISMP Medication Safety Alert® Acute Care Edition.

Institute for Safe Medication Practices. 200 Lakeside Drive, Suite 200; Horsham, PA 19044.

COMMENTARY

Medication reconciliation physician order form.

Lacy JL, Wilkinson ST. Hosp Pharm. 2006;41:1117-1120.

STUDY

Medication safety in the ambulatory chemotherapy setting.

Gandhi TK, Bartel SB, Shulman LN, et al. Cancer. 2005;104:2477-2483.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

Sittig DF, Ash JS, Guappone KP, Campbell EM, Dykstra RH. Int J Med Inform. 2008;77:440-447.

STUDY

Assessing and monitoring override medications in automated dispensing devices.

Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.

STUDY

Suboptimal prescribing in elderly outpatients: potentially harmful drug-drug and drug-disease combinations.

Zhan C, Correa-de-Araujo R, Bierman AS, et al. J Am Geriatr Soc. 2005;53:262-267.

NEWSPAPER/MAGAZINE ARTICLE

The 'second victims' of medication errors begin to gain support.

Blum K. Pharm Pract News. November 2011.

COMMENTARY

What medications does your patient take? Enhancing medication safety in the outpatient setting.

Institute for Healthcare Improvement. March 14, 2007.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

STUDY

Personal digital assistant-based drug information sources: potential to improve medication safety.

Galt KA, Rule AM, Houghton B, Young DO, Remington G. J Med Libr Assoc. 2005;93:229-236.

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