AHRQ Patient Safety Network

The Collection > Hospital Pharmacy

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Safety Target

•Device-related Complications (18)

•Identification Errors (3)

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

•Medication Safety (368)

•Medical Complications (8)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (4)

Origin/Sponsor

•Africa (1)

•Asia (9)

•Australia and New Zealand (11)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (275)

•Legislation/Regulation (9)

•Newspaper/Magazine Article (65)

•Press Release/Announcement (3)

•Special or Theme Issue (1)

•Tools/Toolkit (5)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (130)

•Active Errors (84)

•Latent Errors (26)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (63)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (68)

•Communication Improvement (89)

•Human Factors Engineering (75)

•Teamwork (5)

•Specialization of Care (88)

•Logistical Approaches (25)

•Culture of Safety (17)

•Technologic Approaches (184)

•Education and Training (49)

Clinical Areas
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Hospital Pharmacy

Target Audience

•Health Care Providers (285)

•Health Care Executives and Administrators (265)

•Non-Health Care Professionals (110)

•Patients (12)

Setting of Care

•Hospitals (351)

•Psychiatric Facilities (1)

•Ambulatory Care (7)

•Outpatient Surgery (2)

1 - 20 of 375

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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

Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

REVIEW

Effect of clinical pharmacists on care in the emergency department: a systematic review.

Cohen V, Jellinek SP, Hatch A, Motov S. Am J Health Syst Pharm. 2009;66:1353-1361.

STUDY

Effect of computer order entry on prevention of serious medication errors in hospitalized children.

Walsh KE, Landrigan CP, Adams WG, et al. Pediatrics. 2008;121:e421-e427.

STUDY

Role of pharmacist counseling in preventing adverse drug events after hospitalization.

Schnipper JL, Kirwin JL, Cotugno MC, et al. Arch Intern Med. 2006;166:565-571.

STUDY

Emergency department discharge prescription interventions by emergency medicine pharmacists.

Cesarz JL, Steffenhagen AL, Svenson J, Hamedani AG. Ann Emerg Med. 2013;61:209-214.e1.

STUDY

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.

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

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.

Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.

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

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

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