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Hospitals
PATIENT SAFETY PRIMERS
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COMMENTARY
Sick and Pregnant
El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.
STUDY
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
STUDY
National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.
Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.
NEWSPAPER/MAGAZINE ARTICLE
As industry automates, adverse events continue to haunt caregivers.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
COMMENTARY
In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
STUDY
Potential unintended consequences due to Medicare's "No Pay for Errors Rule"? A randomized controlled trial of an educational intervention with internal medicine residents.
Mookherjee S, Vidyarthi AR, Ranji SR, Maselli J, Wachter RM, Baron RB. J Gen Intern Med. 2010;25:1097-1101.
STUDY
Uncomfortable prescribing decisions in hospitals: the impact of teamwork.
Lewis PJ, Tully MP. J R Soc Med. 2009;102:481-488.
BOOK/REPORT
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
STUDY
Reducing potentially fatal errors associated with high doses of insulin: a successful multifaceted multidisciplinary prevention strategy.
Dooley MJ, Wiseman M, McRae A, et al. BMJ Qual Saf. 2011;20:637-644.
STUDY
Understanding handling of drug safety alerts: a simulation study.
van der Sijs H, van Gelder T, Vulto A, Berg M, Aarts J. Int J Med Inform. 2010;79:361-369.
STUDY
Trauma resuscitation errors and computer-assisted decision support.
Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.
STUDY
A July spike in fatal medication errors: a possible effect of new medical residents.
Phillips DP, Barker GEC. J Gen Intern Med
.
2010;25:774-779.
STUDY
A framework for evaluating the appropriateness of clinical decision support alerts and responses.
McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.
STUDY
Optimising surgical training: use of feedback to reduce errors during a simulated surgical procedure.
Boyle E, Al-Akash M, Gallagher AG, Traynor O, Hill AD, Neary PC. Postgrad Med J. 2011;87:524-528.
STUDY
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.
STUDY
Comparison of methods for identifying patients at risk of medication-related harm.
van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.
STUDY
Comparison of computerized surveillance and manual chart review for adverse events.
Tinoco A, Evans RS, Staes CJ, Lloyd JF, Rothschild JM, Haug PJ. J Am Med Inform Assoc. 2011;18:491-497.
STUDY
Adverse drug event rates in six community hospitals and the potential impact of computerized physician order entry for prevention.
Hug BL, Witkowski DJ, Sox CM, et al. J Gen Intern Med. 2010;25:31-38.
STUDY
Enhancing pediatric safety: assessing and improving resident competency in life-threatening events with a computer-based interactive resuscitation tool.
Lerner C, Gaca AM, Frush DP, et al. Pediatr Radiol. 2009;39:703-709.
STUDY
Developing a programme for medication reconciliation at the time of admission into hospital.
Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.
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