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Community Pharmacy
PATIENT SAFETY PRIMERS
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Diagnostic Errors (1)
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Discontinuities, Gaps, and Hand-Off Problems (3)
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Medication Safety (104)
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Epidemiology of Errors and Adverse Events (44)
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Community Pharmacy
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Ambulatory Care (104)
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STUDY
A steep increase in domestic fatal medication errors with use of alcohol and/or street drugs.
Phillips DP, Barker GEC, Eguchi MM. Arch Intern Med. 2008;168:1561-1566.
AUDIOVISUAL PRESENTATION
Medication error death rate up 500 percent.
Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008.
STUDY
Sources and types of discrepancies between electronic medical records and actual outpatient medication use.
Orrico KB. J Manag Care Pharm. 2008;14:626-631.
STUDY
Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.
Auger C, Forster AJ, Oake N, Tamblyn R. BMJ Qual Saf. 2013;22:306-316.
STUDY
Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.
Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.
STUDY
Literacy and misunderstanding prescription drug labels.
Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.
STUDY
A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.
Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.
STUDY
Ambulatory prescribing errors among community-based providers in two states.
Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.
REVIEW
E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.
Odukoya OK, Chui MA. Res Social Adm Pharm. 2012 Oct 10; [Epub ahead of print].
GRANT RECIPIENT
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; October 2008.
COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.
STUDY
Medication reconciliation in a community pharmacy setting.
Johnson CM, Marcy TR, Harrison DL, Young RE, Stevens EL, Shadid J. J Am Pharm Assoc. 2010;50:523-526.
STUDY
Improving patient understanding of prescription drug label instructions.
Davis TC, Federman AD, Bass PF III, et al. J Gen Int Med. 2009;24:57-62.
STUDY
Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.
Odukoya O, Chui MA. J Am Med Inform Assoc. 2012;19:1059-1065.
STUDY
Patient reported receipt of medication instructions for warfarin is associated with reduced risk of serious bleeding events.
Metlay JP, Hennessy S, Localio AR, et al. J Gen Intern Med. 2008;23:1589-1594.
COMMENTARY
Medication reconciliation campaign in a clinic for homeless patients.
Moczygemba LR, Gatewood SB, Kennedy AK, et al. Am J Health Syst Pharm. 2012;69:558-562.
FACT SHEET/FAQS
ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.
Institute of Safe Medication Practices. 2011.
BOOK/REPORT
Thinking Outside the Pillbox: A System-wide Approach to Improving Patient Medication Adherence for Chronic Disease.
Cambridge, MA: New England Healthcare Institute; August 12, 2009.
STUDY
Emergency department visits for antibiotic-associated adverse events.
Shehab N, Patel PR, Srinivasan A, Budnitz DS. Clin Infect Dis. 2008;47:735-743.
STUDY
Using nurses and office staff to report prescribing errors in primary care.
Kennedy AG, Littenberg B, Senders JW. Int J Qual Health Care. 2008;20:238-245.
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