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PATIENT SAFETY PRIMERS
Medication Errors
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ORGANIZATIONAL POLICY/GUIDELINES
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
NEWSPAPER/MAGAZINE ARTICLE
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
ISMP Medication Safety Alert! Acute Care Edition. November 15, 2012;17:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Heparin overdose in three infants revisits hospital error issues.
Phend C. MedPage Today. November 26, 2007.
NEWSPAPER/MAGAZINE ARTICLE
Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.
ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.
AUDIOVISUAL PRESENTATION
When things go wrong.
Institute for Healthcare Improvement. Campaign Live. August 18, 2008.
STUDY
Impact of a standard medication chart on prescribing errors: a before-and-after audit.
Coombes ID, Stowasser DA, Reid C, Mitchell CA. Qual Saf Health Care. 2009;18:478-485.
STUDY
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.
NEWSPAPER/MAGAZINE ARTICLE
Raising the index of suspicion: red flags that represent credible threats to patient safety.
ISMP Medication Safety Alert! Acute Care Edition. July 26, 2012;17:1-3.
STUDY
Intravenous infusion safety technology: return on investment.
Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors: when pharmacy is closed.
PA-PSRS Patient Saf Advis. March 2012;9:11-17.
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
Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.
Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.
STUDY
A review of verbal order policies in acute care hospitals.
Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.
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.
NEWSPAPER/MAGAZINE ARTICLE
CPOE: it don't come easy.
Anderson HJ. Health Data Manag. January 1, 2009;17:18.
NEWSPAPER/MAGAZINE ARTICLE
Officials investigate infants' heparin OD at Texas hospital.
Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.
NEWSPAPER/MAGAZINE ARTICLE
Using clinical decision support to improve medication reconciliation.
Moore G. Patient Saf Qual Healthc. November/December 2006;3:28-30, 32-33.
STUDY
Reporting trends in a regional medication error data-sharing system.
Anderson JG, Ramanujam R, Hensel DJ, Sirio CA. Health Care Manag Sci. 2010;13:74-83.
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