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Pharmacist Staffing and the Use of Technology in Small Rural Hospitals: Implications for Medication Safety.
Casey MM, Moscovice I, Davidson G. Upper Midwest Rural Health Research Center; December 2005.
The authors report the findings of a national study of small, rural hospitals in the United States. Results indicate a relationship between accreditation by the Joint Commission on Accreditation of Healthcare Organizations, financial status, pharmacy staffing, and technology use with the implementation of medication safety practices.
Beyzarov E. Drug Topics / Health-System Edition. September 18, 2006.
This article discusses the contamination and sterility issues inherent in the process of compounding drugs.
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals.
Adams M, Bates D, Coffman G, Everett W. Westborough, MA: Massachusetts Technology Collaborative and New England Healthcare Institute; 2008.
Analyzing patient charts at six community hospitals in Massachusetts, this report reveals to what extent adopting computerized physician order entry could affect clinical outcomes and impart financial savings.
Thompson CA. AJHP News. Am J Health Syst Pharm. 2009;66:433-434.
This news article discusses supervisory and procedural issues related to pharmacy technicians' participation in the medication reconciliation process.
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.
This article examines a case in which a health care professional faces criminal charges for a medication error. The piece discusses how criminalization of errors in health care could thwart broader efforts to learn from mistakes.
Journal Article > Review
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
This article reports results from a survey on the Centers for Medicare & Medicaid Services "30-minute rule" and provides a set of revised guidelines.
Journal Article > Review
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
Medication reconciliation was reinstated as a Joint Commission National Patient Safety Goal in 2011, with the goal of reducing adverse drug events (ADEs) due to inadvertent medication discrepancies. However, a lack of proven medication reconciliation strategies has resulted in frustrating experiences for many hospitals attempting to meet this requirement. This systematic review identified 26 studies of hospital-based medication reconciliation efforts, the majority of which relied on pharmacists or information technology–based interventions. Although pharmacist-led interventions and interventions focusing on high-risk patients were generally successful at reducing potential ADEs, the authors concluded that the overall literature base was insufficiently rigorous to draw firm conclusions about which strategies are both effective and generalizable.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; January 2015. Report No. OEI-01-13-00400.
A widely-reported meningitis outbreak in the United States uncovered quality and safety issues associated with the use of compounded sterile preparations. This publication describes an analysis of five accreditation organizations and their ability to provide oversight and inspection of Medicare hospitals that contract with compounding entities. The authors offer recommendations to help hospitals determine if their compounded sterile preparations contracts ensure products are prepared safely for use, including targeted training for surveyors related to compounding and improved contracting processes.