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PATIENT SAFETY PRIMERS
Medication Errors
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COMMENTARY
Can you prevent adverse drug events after hospital discharge?
Forster AJ. CMAJ. 2006;174:921-922.
TOOLKIT
Making Strides in Safety.
Chicago, IL: American Medical Association.
REVIEW
"Tech-check-tech": a review of the evidence on its safety and benefits.
Adams AJ, Martin SJ, Stolpe SF. Am J Health Syst Pharm. 2011;68:1824-1833.
BOOK/REPORT
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
STUDY
National and local medication error reporting systems—a survey of practices in 16 countries.
Holmström AR, Airaksinen M, Weiss M, Wuliji T, Chan XH, Laaksonen R. J Patient Saf. 2012;8:165-176.
REVIEW
Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.
Radley DC, Wasserman MR, Olsho LE, Shoemaker SJ, Spranca MD, Bradshaw B. J Am Med Inform Assoc. 2013;20:470-476.
STUDY
Fast forward rounds: an effective method for teaching medical students to transition patients safely across care settings.
Ouchida K, Lofaso VM, Capello CF, Ramsaroop S, Reid MC. J Am Geriatr Soc. 2009;57:910-917.
REVIEWclassic
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
COMMENTARY
In Conversation with...Steven J. Spear, DBA, MS, MS
AHRQ WebM&M [serial online]. August 2009.
SPECIAL OR THEME ISSUE
Safety in Numbers: Evidence-based Development of a Medicine Management Learning Tool.
Holland K, ed. Nurse Educ Pract. 2013;13:e1-e87.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
STUDY
Medication errors and response bias: the tip of the iceberg.
Bar-Oz B, Goldman M, Lahat E, et al. Isr Med Assoc J. 2008;10:771-774.
STUDY
Computerised provider order entry and residency education in an academic medical centre.
Wong B, Kuper A, Robinson N, et al. Med Educ. 2012;46:795-806.
STUDY
Perceptions of the impact of a large-scale collaborative improvement programme: experience in the UK Safer Patients Initiative.
Benn J, Burnett S, Parand A, Pinto A, Iskander S, Vincent C. J Eval Clin Pract. 2009;15:524-540.
NEWSPAPER/MAGAZINE ARTICLE
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.
NEWSPAPER/MAGAZINE ARTICLE
CPOE: it don't come easy.
Anderson HJ. Health Data Manag. January 1, 2009;17:18.
BOOK/REPORT
To Err Is Human — To Delay Is Deadly.
Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.
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