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Defining the Issues | |
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Definitions | |
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Types of Medication Incidents | |
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Studies of Patient Safety | |
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The Impact of Adverse Drug Events and Medication Errors | |
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Summary | |
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Reflective Questions | |
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Why Medication Incidents Occur | |
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Error Theory | |
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Studies of Contributory Factors | |
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Classification of Contributory Factors | |
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Immediate or Common Causes of Medication Incidents | |
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Root or System Causes of Medication Incidents | |
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Summary | |
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Reflective Questions | |
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Prevention of Medication Incidents: Risk Management to Improve Patient Safety | |
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Elements of Risk Management in Pharmacy | |
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System Preventive Strategies | |
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General Preventive Strategies for Organizations | |
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Preventive Strategies for Pharmacies | |
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Personal Preventive Strategies | |
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Summary | |
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Reflective Questions | |
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Common Causes of Medication Incidents and Preventive Strategies | |
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Illegible Handwriting | |
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Look-Alike/Sound-Alike Medications | |
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Verbal Prescriptions | |
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Faxed Prescriptions | |
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Missing Information | |
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Abbreviations and Symbols | |
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Calculation and Decimal Point Errors | |
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Drug Device Errors | |
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Lack of Patient Education/Understanding | |
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Failed Communication with Patients | |
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Summary | |
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Reflective Questions | |
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Underlying Root Causes and Preventive Strategies | |
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Psychological and Human Factors | |
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Dispensing Process | |
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Manufacturer Issues | |
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Reconciliation | |
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Pharmacy Workload | |
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Environment | |
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Organizational Issues | |
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Summary | |
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Reflective Questions | |
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Causes and Preventive Strategies in Specialty Practices | |
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Pediatrics | |
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Compounding | |
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Nonprescription Medications | |
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Immunization | |
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Methadone Treatment | |
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Summary | |
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Reflective Questions | |
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Technological Solutions Promoting Safe Medication Practices | |
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Computerized Physician Order Entry (CPOE) | |
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E-prescribing | |
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Bar Code Technology | |
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Radio Frequency Identification | |
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Automated Dispensing | |
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Other Technologies That Can Reduce Medication Error Rates | |
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Limitations of Technology in Medication Error Reduction | |
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Automation Case Study | |
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Unit-Dose Systems | |
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Point-of-Care Medication Administration Systems | |
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The Impact of Facilities Design | |
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Summary | |
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Reflective Questions | |
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Dealing with Medication Incidents in Pharmacy | |
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Plan of Action for Handling a Medication Incident | |
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Protocol for Handling a Medication Incident | |
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Incident Reporting | |
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Root Cause Analysis | |
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Communication of a Medication Incident/Disclosure | |
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Staff Issues During a Medication Incident | |
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Summary | |
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Reflective Questions | |
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Instituting Safe Medication Practices in Pharmacy | |
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Continuous Quality Improvement | |
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Failure Mode Effects Analysis | |
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Self-Assessment | |
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Other Methods for Improving Patient Safety | |
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Developing a Patient Safety Plan | |
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Barriers to Patient Medication Safety | |
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Summary | |
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Reflective Questions | |
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Organizations Involved in Patient Safety | |
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Strategies and Tools for Prevention of Specific Types of Problems | |
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Glossary | |
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Index | |