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 (448)

•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 (321)

•Legislation/Regulation (7)

•Meeting/Conference (3)

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•Newspaper/Magazine Article (78)

•Press Release/Announcement (11)

•Special or Theme Issue (3)

•Tools/Toolkit (16)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (121)

•Active Errors (57)

•Latent Errors (26)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (115)

•Legal and Policy Approaches (25)

•Error Reporting and Analysis (104)

•Communication Improvement (115)

•Human Factors Engineering (60)

•Teamwork (3)

•Specialization of Care (75)

•Logistical Approaches (22)

•Culture of Safety (22)

•Technologic Approaches (151)

•Education and Training (60)

Clinical Areas

•Allied Health Services (1)

•Medicine (182)

•Nursing (14)

•Pharmacy (368)

Target Audience
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Pharmacists

Setting of Care

•Hospitals (209)

•Psychiatric Facilities (1)

•Residential Facilities (2)

•Ambulatory Care (108)

•Outpatient Surgery (1)

1 - 20 of 464

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NEWSPAPER/MAGAZINE ARTICLE

Building a case for medication reconciliation.

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

COMMENTARY

Medication reconciliation physician order form.

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

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.

STUDY

Implementation of an electronic system for medication reconciliation.

Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.

NEWSPAPER/MAGAZINE ARTICLE

Accuracy at every step: the challenge of medication reconciliation.

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

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

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

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

NEWSPAPER/MAGAZINE ARTICLE

The consumer: and now, a warning about labels.

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

COMMENTARY

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

Institute for Healthcare Improvement. March 14, 2007.

BOOK/REPORT

Medication Reconciliation Handbook.

Oakbrook Terrace, IL: Joint Commission Resources and the American Society of Health-System Pharmacists; 2006. ISBN: 0866889566.

STUDY

Medication safety in the ambulatory chemotherapy setting.

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

COMMENTARY

Developing a medication patient safety program, part 2: process and implementation.

Mark SM, Weber RJ. Hosp Pharm. 2007;42:249–254.

COMMENTARY

Improving care transitions: current practice and future opportunities for pharmacists.

American College of Clinical Pharmacy, Hume AL, Kirwin J, et al. Pharmacotherapy. 2012;32:e326-e337.

STUDY

Challenges in posthospital care: nurses as coaches for medication management.

Costa LL, Poe SS, Lee MC. J Nurs Care Qual. 2011;26:243-251.

STUDY

Effects of an automatic drug dispensing system on medication adverse event occurrences and cost containment at SAMSO.

Dib JG, Abdulmohsin SA, Farooki MU, et al. Hosp Pharm. 2006;41:1180-1184.

NEWSPAPER/MAGAZINE ARTICLE

Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.

NEWSPAPER/MAGAZINE ARTICLE

JCAHO views medication reconciliation as adverse-event prevention.

Thompson CA. Am J Health Syst Pharm. 2005;62:1528-1532.

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

PA-PSRS Patient Saf Advis. June 2006;3:1-5.

NEWSPAPER/MAGAZINE ARTICLE

Results of our survey on drug storage, stability, compatibility, and beyond use dating.

ISMP Medication Safety Alert! Acute Care Edition. March 22, 2012;17:1-4.

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