AHRQ Patient Safety Network

The Collection > Community Pharmacy

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Safety Target

•Diagnostic Errors (1)

•Discontinuities, Gaps, and Hand-Off Problems (2)

•Medication Safety (100)

•Medical Complications (1)

•Surgical Complications (1)

Origin/Sponsor

Resource Types

•Journal Article (67)

•Newspaper/Magazine Article (16)

•Press Release/Announcement (1)

•Tools/Toolkit (5)

•Web Resource (1)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (44)

•Active Errors (26)

•Latent Errors (9)

•Near Miss (4)

Approach to Improving Safety

•Quality Improvement Strategies (13)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (21)

•Communication Improvement (38)

•Human Factors Engineering (15)

•Teamwork (2)

•Specialization of Care (4)

•Logistical Approaches (6)

•Culture of Safety (4)

•Technologic Approaches (32)

•Education and Training (21)

Clinical Areas
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Community Pharmacy

Target Audience

•Health Care Providers (78)

•Health Care Executives and Administrators (26)

•Non-Health Care Professionals (20)

•Patients (22)

Setting of Care

•Hospitals (6)

•Ambulatory Care (97)

1 - 20 of 102

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STUDY

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

STUDY

Literacy and misunderstanding prescription drug labels.

Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.

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].

STUDY

Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.

Wang CJ, Patel MH, Schueth AJ, et al. J Am Med Inform Assoc. 2009;16:493-502.

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.

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.

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

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

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.

STUDY

In-home medication reviews: a novel approach to improving patient care through coordination of care.

Willis JS, Hoy RH, Jenkins WD. J Community Health. 2011;36:1027-1031.

STUDY

Bayesian cohort and cross-sectional analyses of the PINCER trial: a pharmacist-led intervention to reduce medication errors in primary care.

Hemming K, Chilton PJ, Lilford RJ, Avery A, Sheikh A. PLoS ONE. 2012;7:e38306.

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

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.

AUDIOVISUAL PRESENTATION

Medication error death rate up 500 percent.

Spiesel S, Chadwick A. "Day to Day." National Public Radio. August 27, 2008.

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

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.

FACT SHEET/FAQS

ISMP List of High-Alert Medications in Community/Ambulatory Healthcare.

Institute of Safe Medication Practices. 2011.

STUDY

Mix of methods is needed to identify adverse events in general practice: a prospective observational study.

Wetzels R, Wolters R, van Weel C, Wensing M. BMC Fam Pract. 2008;9:35.

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