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PATIENT SAFETY PRIMERS
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Device-related Complications (18)
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STUDY
What ring tone should be used for patient safety? Early results with a Blackberry-based telementoring safety solution.
Parker A, Rubinfeld I, Azuh O, et al. Am J Surg. 2010;199:336-341.
STUDY
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.
STUDY
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.
STUDY
Exploring situational awareness in diagnostic errors in primary care.
Singh H, Davis Giardina T, Petersen LA, et al. BMJ Qual Saf. 2012;21:30-38.
STUDY
Using a data-matrix–coded sponge counting system across a surgical practice: impact after 18 months.
Cima RR, Kollengode A, Clark J, et al. Jt Comm J Qual Patient Saf. 2011;37:51-58.
STUDY
The wolf is crying in the operating room: patient monitor and anesthesia workstation alarming patterns during cardiac surgery.
Schmid F, Goepfert MS, Kuhnt D, et al. Anesth Analg. 2011;112:78-83.
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.
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.
STUDY
The influence that electronic prescribing has on medication errors and preventable adverse drug events: an interrupted time-series study.
van Doormaal JE, van den Bemt PMLA, Zaal RJ, et al. J Am Med Inform Assoc. 2009;16:816-825.
STUDY
Design of a retrospective patient record study on the occurrence of adverse events among patients in Dutch hospitals.
Zegers M, de Bruijne MC, Wagner C, Groenewegen PP, Waaijman R, van der Wal G. BMC Health Serv Res. 2007;7:27.
STUDY
Development of an online morbidity, mortality, and near-miss reporting system to identify patterns of adverse events in surgical patients.
Bilimoria KY, Kmiecik TE, DaRosa DA, et al. Arch Surg. 2009;144:305-311.
STUDY
A quality initiative to decrease pathology specimen-labeling errors using radiofrequency identification in a high-volume endoscopy center.
Francis DL, Prabhakar S, Sanderson SO. Am J Gastroenterol. 2009;104:972-975.
STUDY
Reduction of central line infections in Veterans Administration intensive care units: an observational cohort using a central infrastructure to support learning and improvement.
Render ML, Hasselbeck R, Freyberg RW, Hofer TP, Sales AE, Almenoff PL; VA ICU Clinical Advisory Group. BMJ Qual Saf. 2011;20:725-732.
STUDY
Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.
Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.
STUDY
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.
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.
STUDY
Paediatric dosing errors before and after electronic prescribing.
Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.
STUDY
Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.
Khajouei R, Wierenga PC, Hasman A, Jaspers MW. Int J Med Inform. 2011;80:297-309.
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.
COMMENTARY
Eptifibatide Epilogue
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
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