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STUDY
Critical incidents related to cardiac arrests reported to the Danish Patient Safety Database.
Andersen PO, Maaløe R, Andersen HB. Resuscitation. 2010;81:312-316.
COMMENTARY
Flying Object Hits MRI.
Gosbee J, Gosbee LL. AHRQ WebM&M [serial online]. February 2003.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.
NEWSPAPER/MAGAZINE ARTICLE
ALERT: reports of severe harm after intravenous administration of breast milk to infants.
ISMP Canada Safety Bulletin. July 31, 2011;11:1-2.
STUDY
The impact of the medical emergency team on the resuscitation practice of critical care nurses.
Santiano N, Young L, Baramy LS, et al; Clinical Analysis Group. BMJ Qual Saf. 2011;20:115-120.
COMMENTARY
Back to Basics
Hellman R. AHRQ WebM&M [serial online]. March 2007.
STUDY
Mortality related to anaesthesia in France: analysis of deaths related to airway complications.
Auroy Y, Benhamou D, Péquignot F, Bovet M, Jougla E, Lienhart A. Anaesthesia. 2009;64:366-370.
COMMENTARY
Rapid response systems: from implementation to evidence base.
Sarani B, Scott S. Jt Comm J Qual Patient Saf. 2010;36:514-517.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors: a year in review.
Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.
NEWSPAPER/MAGAZINE ARTICLE
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Preventing catheter/tubing misconnections: much needed help is on the way.
ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.
STUDYclassic
Evaluation of consistency in dosing directions and measuring devices for pediatric nonprescription liquid medications.
Yin HS, Wolf MS, Dreyer BP, Sanders LM, Parker RM. JAMA. 2010;304:2595-2602.
STUDY
A "back to basics" approach to reduce ED medication errors.
Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.
AUDIOVISUAL
Chasing Zero: Winning the War on Healthcare Harm.
Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
COMMENTARY
Code Blue—Where To?
Adams BD. AHRQ WebM&M [serial online]. October 2007.
PRESS RELEASE/ANNOUNCEMENT
Relenza (zanamivir) inhalation powder.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.
STUDY
Uncovering system errors using a rapid response team: cross-coverage caught in the crossfire.
Kaplan LJ, Maerz LL, Schuster K, et al. J Trauma. 2009;67:173-179.
COMMENTARY
Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.
Turakhia MP, Estes NA 3rd, Drew BJ, et al; Electrocardiography and Arrhythmias Committee of the American Heart Association Council on Clinical Cardiology and Council on Cardiovascular Nursing. Circulation. 2012;126:1665-1669.
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