AHRQ Patient Safety Network

The Collection > Pharmacy

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Safety Target

•Device-related Complications (16)

•Diagnostic Errors (4)

•Identification Errors (6)

•Discontinuities, Gaps, and Hand-Off Problems (69)

•Medication Safety (644)

•Medical Complications (13)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (7)

•Transfusion Complications (1)

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•Africa (1)

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•Clinical Guideline (1)

•Journal Article (452)

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•Newspaper/Magazine Article (98)

•Press Release/Announcement (19)

•Special or Theme Issue (4)

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Error Types

•Epidemiology of Errors and Adverse Events (245)

•Active Errors (125)

•Latent Errors (50)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (128)

•Legal and Policy Approaches (37)

•Error Reporting and Analysis (151)

•Communication Improvement (188)

•Human Factors Engineering (111)

•Teamwork (13)

•Specialization of Care (106)

•Logistical Approaches (30)

•Culture of Safety (26)

•Technologic Approaches (232)

•Education and Training (103)

Clinical Areas
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Pharmacy

•Hospital Pharmacy (276)

•Community Pharmacy (53)

Target Audience

•Health Care Providers (537)

•Health Care Executives and Administrators (408)

•Non-Health Care Professionals (178)

•Patients (55)

Setting of Care

•Hospitals (369)

•Psychiatric Facilities (1)

•Residential Facilities (13)

•Ambulatory Care (117)

•Outpatient Surgery (2)

1 - 20 of 659

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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.

STUDY

Effectiveness of a pharmacist–nurse intervention on resolving medication discrepancies for patients transitioning from hospital to home health care.

Setter SM, Corbett CF, Neumiller JJ, Gates BJ, Sclar DA, Sonnett TE. Am J Health Syst Pharm. 2009;66:2027-2031.

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

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.

Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

STUDY

Errors in medication history at hospital admission: prevalence and predicting factors.

Hellström LM, Bondesson A, Höglund P, Eriksson T. BMC Clin Pharmacol. 2012;12:9.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: when pharmacy is closed.

PA-PSRS Patient Saf Advis. March 2012;9:11-17.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

STUDY

Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

NEWSPAPER/MAGAZINE ARTICLE

Discharge missteps can send seniors back to hospital.

Korc B, Landers SJ. American Medical News. February 15, 2010.

NEWSPAPER/MAGAZINE ARTICLE

Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.

ISMP Medication Safety Alert! Acute Care Edition. November 15, 2012;17:1-3.

STUDY

Medication report reduces number of medication errors when elderly patients are discharged from hospital.

Midlöv P, Holmdahl L, Eriksson T, et al. Pharm World Sci. 2008;30:928-1231.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.

STUDY

Frequency of and risk factors for preventable medication-related hospital admissions in the Netherlands.

Leendertse AJ, Egberts ACG, Stoker LJ, van den Bemt PMLA, for the HARM Study Group. Arch Intern Med. 2008;168:1890-1896.

COMMENTARY

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.

Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.

STUDY

Potentially inappropriate medications defined by STOPP criteria and the risk of adverse drug events in older hospitalized patients.

Hamilton H, Gallagher P, Ryan C, Byrne S, O’Mahony D. Arch Intern Med. 2011;171:1013-1019.

STUDY

Medication reconciliation at hospital discharge: evaluating discrepancies.

Wong JD, Bajcar JM, Wong GG, et al. Ann Pharmacother. 2008;42:1373-1379.

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