PATIENT SAFETY PRIMERS
Device-related Complications (4)
Diagnostic Errors (3)
Discontinuities, Gaps, and Hand-Off Problems (2)
Medication Safety (14)
Medical Complications (3)
Australia and New Zealand (1)
North America (17)
Journal Article (12)
Newspaper/Magazine Article (6)
Press Release/Announcement (3)
Web Resource (1)
Epidemiology of Errors and Adverse Events (6)
Active Errors (9)
Latent Errors (1)
Approach to Improving Safety
Quality Improvement Strategies (13)
Error Reporting and Analysis (6)
Communication Improvement (3)
Human Factors Engineering (3)
Specialization of Care (2)
Culture of Safety (2)
Technologic Approaches (2)
Education and Training (7)
Health Care Providers (21)
Health Care Executives and Administrators (17)
Non-Health Care Professionals (2)
Setting of Care
Ambulatory Care (7)
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Organizational culture, team climate and diabetes care in small office-based practices.
Bosch M, Dijkstra R, Wensing M, van der Weijden T, Grol R. BMC Health Serv Res. 2008;8:180.
Patient safety systems in the primary health care of diabetes—a story of missed opportunities?
Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.
Miscoding, misclassification and misdiagnosis of diabetes in primary care.
de Lusignan S, Sadek N, Mulnier H, Tahir A, Russell-Jones D, Khunti K. Diabet Med. 2012;29:181-189.
Effect of crew resource management on diabetes care and patient outcomes in an inner-city primary care clinic.
Taylor CR, Hepworth JT, Buerhaus PI, Dittus R, Speroff T. Qual Saf Health Care. 2007;16:244-247.
What happens between visits? Adverse and potential adverse events among a low-income, urban, ambulatory population with diabetes.
Sarkar U, Handley MA, Gupta R, et al. Qual Saf Health Care. 2010;19:223-228.
Commission of Inquiry on Hormone Receptor Testing.
Cameron M. St. John's, NL: Government of Newfoundland and Labrador; 2009. ISBN: 978551463537.
National Diabetes Inpatient Audit 2011.
Leeds, UK: Health and Social Care Information Centre; 2012.
A clinical reminder about the safe use of insulin vials.
ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?
Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.
An overlooked condition.
Nicholas L. Modern Healthc. November 14, 2005;35:24.
Avoiding errors associated with insulin therapy.
Cohen H. Medscape CME/CE. May 14, 2009.
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.
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2008;13:1-3.
Are Two Insulin Pumps Better Than One?
Cook CB. AHRQ WebM&M [serial online]. January 2009.
Parenteral Maltose/Parenteral Galactose/Oral Xylose-Containing Products.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 21, 2009.
AACE Patient Safety Exchange.
American Association of Clinical Endocrinologists.
Ambiguities of chronic illness management and challenges to the medical error paradigm.
Lutfey KE, Freese J. Soc Sci Med. 2007;64:314-25.
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2009.
Medication errors common for hospital diabetes.
Nursing Times. April 1, 2011.
Medication errors with the dosing of insulin: problems across the continuum.
PA-PSRS Patient Saf Advis. March 2010;7:9-17.
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