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Journal Article > Study
Szeinbach S, Seoane-Vazquez E, Parekh A, Herderick M. Int J Qual Health Care. 2007;19:203-09.
Medication errors may originate at each step of the prescribing process, and a prior study conducted in the inpatient setting demonstrated that nearly 4% of medication orders may be dispensed incorrectly. In this study, community pharmacists were surveyed regarding their perceptions of the frequency of dispensing errors and factors contributing to errors. Respondents felt that dispensing errors were relatively frequent and were more likely when pharmacists were overworked, a sentiment supported by prior research. Bar coding has been advocated as one means of potentially reducing drug dispensing errors.
Journal Article > Study
Elston Lafata J, Simpkins J, Kaatz S, et al. Jt Comm J Qual Patient Saf. 2007;33:395-400.
Drug–drug interactions resulting in adverse drug events are common causes of preventable harm to patients. This study used retrospective medical record review to assess if physicians were aware of potential drug–drug interactions, and if so, if patient education was provided. Although physicians generally documented medication lists appropriately, patient education on the potential for drug interactions and their symptoms was generally not documented. Though lack of documentation does not always indicate lack of knowledge or inappropriate management, the study results raise the concern that patients may be left unaware of the risks of polypharmacy.
McCoy K, Brady E. USA Today. February 11, 2008:A1.
This series of investigative articles uncovers the factors involved in pharmacy errors, relates stories of patients harmed by such errors, and includes steps that consumers can take to minimize their risk.
Grant > Government Resource
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; October 2008.
This AHRQ grantee announcement lists 13 projects funded to demonstrate effective strategies in identifying and addressing risks and in improving processes in ambulatory care.
Mulligan M. Drug Topics. July 1, 2009;153:22-24,26.
This article reports on an informal survey and shares anecdotes from community pharmacists about how workload and patient consultation can affect medication safety.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2012;17:1-4.
This newsletter article discusses results from a survey of community pharmacists on how time guarantees affect their practice.
McKinnon C. WBZ-TV. February 13, 2015.
Famolaro T, Yount ND, Hare R, et al. Rockville, MD: Agency for Healthcare Research and Quality; April 2019. AHRQ Publication No. 19-0033.
The Agency for Healthcare Research and Quality conducts safety culture surveys in a wide variety of clinical settings and makes the results publicly available on a regular basis. This report contains responses to the Community Pharmacy Survey on Patient Safety Culture from 331 participating pharmacies, most of which were chain drugstores or pharmacies within integrated health systems. The areas of strength were similar to the 2015 report, with most community pharmacies scoring well for patient counseling and openness of communication regarding unsafe situations. Inadequate staffing and production pressures were the commonly identified barriers to safety. A PSNet perspective explored safety issues in the community pharmacy setting in detail.
Journal Article > Commentary
Rupp MT. J Am Pharm Assoc (2003). 2019;59:474-478.
Medication safety in the ambulatory setting is an ongoing challenge, partly driven by the workload and ineffective computer systems. This commentary explores how to enhance the safety of community pharmacy practice and recommends improvements in reimbursement, quality metrics, training, electronic information tools, and staffing to achieve safe medication use at the community level.