AHRQ Patient Safety Network

The Collection > Pharmacy

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Safety Target

•Device-related Complications (25)

•Diagnostic Errors (4)

•Identification Errors (7)

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

•Medication Safety (797)

•Medical Complications (16)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (7)

•Transfusion Complications (1)

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•Africa (1)

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•Clinical Guideline (1)

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Error Types

•Epidemiology of Errors and Adverse Events (256)

•Active Errors (158)

•Latent Errors (60)

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Approach to Improving Safety

•Quality Improvement Strategies (156)

•Legal and Policy Approaches (62)

•Error Reporting and Analysis (173)

•Communication Improvement (224)

•Human Factors Engineering (152)

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•Specialization of Care (118)

•Logistical Approaches (43)

•Culture of Safety (32)

•Technologic Approaches (300)

•Education and Training (132)

Clinical Areas
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Pharmacy

•Hospital Pharmacy (346)

•Community Pharmacy (82)

Target Audience

•Health Care Providers (653)

•Health Care Executives and Administrators (476)

•Non-Health Care Professionals (216)

•Patients (86)

Setting of Care

•Hospitals (428)

•Psychiatric Facilities (1)

•Residential Facilities (14)

•Ambulatory Care (152)

•Outpatient Surgery (2)

1 - 20 of 822

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NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

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

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

Medication errors: when pharmacy is closed.

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

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

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.

STUDY

A review of verbal order policies in acute care hospitals.

Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.

STUDY

Reporting trends in a regional medication error data-sharing system.

Anderson JG, Ramanujam R, Hensel DJ, Sirio CA. Health Care Manag Sci. 2010;13:74-83.

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

Rural inpatient telepharmacy consultation demonstration for after-hours medication review.

Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.

NEWSPAPER/MAGAZINE ARTICLE

Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).

ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.

COMMENTARY

Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.

Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.

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

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

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