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Hospital Pharmacy
PATIENT SAFETY PRIMERS
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NEWSPAPER/MAGAZINE ARTICLE
Don't underestimate the impact of change on risk potential.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
COMMENTARY
Vial Mistakes Involving Heparin.
Vanderveen T. AHRQ WebM&M [serial online]. May 2009.
STUDY
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.
Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:618-621.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
STUDY
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.
STUDY
Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
STUDY
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.
Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors: a year in review.
Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.
STUDY
Automated drug dispensing system reduces medication errors in an intensive care setting.
Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.
COMMENTARY
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.
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
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
NEWSPAPER/MAGAZINE ARTICLE
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.
STUDY
Medication errors recovered by emergency department pharmacists.
Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.
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