PATIENT SAFETY PRIMERS
Device-related Complications (5)
Diagnostic Errors (5)
Discontinuities, Gaps, and Hand-Off Problems (4)
Medication Safety (17)
Medical Complications (2)
Australia and New Zealand (1)
North America (23)
Journal Article (16)
Newspaper/Magazine Article (7)
Press Release/Announcement (3)
Web Resource (1)
Epidemiology of Errors and Adverse Events (8)
Active Errors (11)
Latent Errors (1)
Approach to Improving Safety
Quality Improvement Strategies (15)
Legal and Policy Approaches (1)
Error Reporting and Analysis (7)
Communication Improvement (6)
Human Factors Engineering (4)
Specialization of Care (2)
Culture of Safety (4)
Technologic Approaches (4)
Education and Training (9)
Health Care Providers (25)
Health Care Executives and Administrators (21)
Non-Health Care Professionals (4)
Setting of Care
Ambulatory Care (9)
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Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.
Spiller HA, Borys DJ, Ryan ML, Sawyer TS, Wilson BL. Ann Pharmacother. 2011;45:17-22.
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.
An overlooked condition.
Nicholas L. Modern Healthc. November 14, 2005;35:24.
Use of an interactive, telephone-based self-management support program to identify adverse events among ambulatory diabetes patients.
Sarkar U, Handley MA, Gupta R, et al. J Gen Intern Med. 2008;23:459-465.
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.
Ambiguities of chronic illness management and challenges to the medical error paradigm.
Lutfey KE, Freese J. Soc Sci Med. 2007;64:314-25.
Addressing safety concerns about U-500 insulin in a hospital setting.
Samaan KH, Dahlke M, Stover J. Am J Health Syst Pharm. 2011;68:63-68.
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
Meta-analysis: effect of interactive communication between collaborating primary care physicians and specialists.
Foy R, Hempel S, Rubenstein L, et al. Ann Intern Med. 2010;152:247-258.
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.
Avoiding errors associated with insulin therapy.
Cohen H. Medscape CME/CE. May 14, 2009.
Medical mystery: alcoholism didn’t cause man’s diabetes and cirrhosis.
Boodman SG. Washington Post. June 13, 2011:E1.
American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.
Bates D, Clark NG, Cook RI, et al; Writing Committee on Patient Safety and Medical System Errors in Diabetes and Endocrinology. Endocr Pract. 2005;11:197-202.
AACE Patient Safety Exchange.
American Association of Clinical Endocrinologists.
Finding blunders in thyroid testing: experience in newborns.
Zilka LJ, Lott JA, Baker LC, Linard SM. J Clin Lab Anal. 2008;22:254-256.
A clinical reminder about the safe use of insulin vials.
ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
Medication errors common for hospital diabetes.
Nursing Times. April 1, 2011.
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.
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.
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.
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