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Medicine
PATIENT SAFETY PRIMERS
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Device-related Complications (136)
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PRESS RELEASE/ANNOUNCEMENT
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.
COMMENTARY
Appropriate prescribing of medications: an eight-step approach.
Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.
COMMENTARY
Prevent medication errors: a New Year's resolution: teaching patients about their medications.
Polzien G. Home Healthc Nurse. 2007;25:59-62.
STUDY
Adverse drug events in the outpatient setting: an 11-year national analysis.
Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.
NEWSPAPER/MAGAZINE ARTICLE
Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.
Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.
STUDY
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
STUDY
Improving self-reporting of adverse drug events in a West Virginia hospital.
Schade CP, Hannah K, Ruddick P, Starling C, Brehm J. Am J Med Qual. 2006;21:335-341.
STUDY
National survey on the effect of oncology drug shortages on cancer care.
McBride A, Holle LM, Westendorf C, et al. Am J Health Syst Pharm. 2013;70:609-617.
NEWSPAPER/MAGAZINE ARTICLE
Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?
ISMP Medication Safety Alert! Acute Care Edition. November 29, 2012;17:1-3.
STUDY
Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.
Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.
NEWSLETTER/JOURNAL
Drug, Healthcare and Patient Safety.
Princeton, NJ: Dove Press. ISSN: 1179-1365.
COMMENTARY
Tubing safety in the obstetric setting: preventing medication errors.
Broussard BS. Nurs Womens Health. 2009;13:155-158.
TOOLKIT
Med List.
Massachusetts Coalition for the Prevention of Medical Errors, Betsy Lehman Center for Patient Safety and Medical Error Reduction, Massachusetts Medical Society.
STUDY
From research to practice: factors affecting implementation of prospective targeted injury-detection systems.
Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.
STUDY
Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.
Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.
STUDY
Potential utility of data-mining algorithms for early detection of potentially fatal/disabling adverse drug reactions: a retrospective evaluation.
Hauben M, Reich L. J Clin Pharmacol. 2005;45:378-384.
NEWSPAPER/MAGAZINE ARTICLE
USP drug safety review: medication errors involving NMBAs.
Santell JP. Drug Topics (Health-System Edition). May 22, 2006.
NEWSPAPER/MAGAZINE ARTICLE
Reducing patient harm from opiates.
ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.
STUDY
What’s past is prologue: organizational learning from a serious patient injury.
Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.
NEWSPAPER/MAGAZINE ARTICLE
Promethazine conundrum: IV can hurt more than IM injection!
ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
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