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PATIENT SAFETY PRIMERS
Medication Errors
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REVIEW
Medication errors—new approaches to prevention.
Merry AF, Anderson BJ. Paediatr Anaesth. 2011;21:743-753.
STUDY
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
NEWSPAPER/MAGAZINE ARTICLE
Neuromuscular blocking agents: reducing associated wrong-drug errors.
PA-PSRS Patient Saf Advis. December 2009;6:109-114.
REVIEW
Failed spinal anaesthesia: mechanisms, management, and prevention.
Fettes PD, Jansson JR, Wildsmith JA. Br J Anaesth. 2009;102:739-748.
STUDY
Preprinted order sets as a safety intervention in pediatric sedation.
Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.
NEWSPAPER/MAGAZINE ARTICLE
Ambulatory surgery facilities: a comprehensive review of medication error reports in Pennsylvania.
PA-PSRS Patient Saf Advis. September 2011;8:85-93.
STUDY
Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.
Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.
COMMENTARY
Vial Mistakes Involving Heparin.
Vanderveen T. AHRQ WebM&M [serial online]. May 2009.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
REVIEW
Interventions to reduce medication errors in adult intensive care: a systematic review.
Manias E, Williams A, Liew D. Br J Clin Pharmacol. 2012;74:411-423.
STUDY
Determinants of patient-reported medication errors: a comparison among seven countries.
Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
REVIEW
Year in review: medication mishaps in the elderly.
Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
NEWSPAPER/MAGAZINE ARTICLE
Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.
COMMENTARY
Shortage of perioperative drugs: implications for anesthesia practice and patient safety.
De Oliveira GS Jr, Theilken LS, McCarthy RJ. Anesth Analg. 2011;113:1429-1435.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
STUDY
Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database.
Abeysekera A, Bergman IJ, Kluger MT, Short TG. Anaesthesia. 2005;60:220-227.
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