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 (33)

•Medication Safety (343)

•Medical Complications (8)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (4)

Origin/Sponsor

•Asia (7)

•Australia and New Zealand (7)

•Central and South America (2)

Resource Types

•Clinical Guideline (1)

•Journal Article (257)

•Legislation/Regulation (8)

•Newspaper/Magazine Article (61)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

•Tools/Toolkit (5)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (117)

•Active Errors (77)

•Latent Errors (25)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (58)

•Legal and Policy Approaches (17)

•Error Reporting and Analysis (64)

•Communication Improvement (82)

•Human Factors Engineering (69)

•Teamwork (5)

•Specialization of Care (80)

•Logistical Approaches (24)

•Culture of Safety (16)

•Technologic Approaches (183)

•Education and Training (44)

Clinical Areas
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Hospital Pharmacy

Target Audience

•Health Care Providers (269)

•Health Care Executives and Administrators (251)

•Non-Health Care Professionals (108)

•Patients (12)

Setting of Care

•Hospitals (328)

•Psychiatric Facilities (1)

•Ambulatory Care (7)

•Outpatient Surgery (2)

1 - 20 of 350

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NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

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

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

STUDY

ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.

Pedersen CA, Schneider P, Scheckelhoff DJ. Am J Health Syst Pharm. 2009;66:926-946.

COMMENTARY

Implementing a bar-code medication administration system.

Weber RJ. Hosp Pharm. 2008;43:1016-1023.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

STUDY

Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.

Piontek F, Kohli R, Conlon P, Ellis JJ, Jablonski J, Kini N. Am J Health Syst Pharm. 2010;67:613-620.

STUDY

Designing decision support for insulin ordering in a computerized provider order entry system.

Wright L, Feldott CC, Hargrove FR. Hosp Pharm. 2007;42:158–161.

STUDY

Improving insulin distribution and administration safety using Lean Six Sigma methodologies.

Yamamoto J, Abraham D, Malatestinic B. Hosp Pharm. 2010;45:212-224.

NEWSPAPER/MAGAZINE ARTICLE

Don't underestimate the impact of change on risk potential.

ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.

STUDY

Early cost and safety benefits of an inpatient electronic health record.

Zlabek JA, Wickus JW, Mathiason MA. J Am Med Inform Assoc. 2011;18:169-172.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

COMMENTARY

Medication reconciliation at an academic medical center: implementation of a comprehensive program from admission to discharge.

Murphy EM, Oxencis CJ, Klauck JA, Meyer DA, Zimmerman JM. Am J Health Syst Pharm. 2009;66:2126-2131.

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

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

BOOK/REPORT

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

STUDY

The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.

Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.

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