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Medication Errors/Preventable Adverse Drug Events
PATIENT SAFETY PRIMERS
Medication Errors
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Medication Errors/Preventable Adverse Drug Events
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STUDY
Tiering drug–drug interaction alerts by severity increases compliance rates.
Paterno MD, Maviglia SM, Gorman PN, et al. J Am Med Inform Assoc. 2009;16:40-46.
STUDY
Intravenous infusion safety technology: return on investment.
Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.
STUDY
Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.
Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013;20:e85-e90.
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
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.
COMMENTARY
Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.
Kilbridge PM, Welebob EM, Classen DC. Qual Saf Health Care. 2006;15:81-84.
STUDY
Impact of electronic prescribing in a hospital setting: a process-focused evaluation.
Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.
STUDY
Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.
Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.
AUDIOVISUAL PRESENTATION
When things go wrong.
Institute for Healthcare Improvement. Campaign Live. August 18, 2008.
NEWSPAPER/MAGAZINE ARTICLE
Scanner beep only means the barcode has been scanned.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
STUDY
Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.
Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.
STUDY
Reported medication errors after introducing an electronic medication management system.
Redley B, Botti M. J Clin Nurs. 2013;22:579-589.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
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.
STUDY
Impact of vendor computerized physician order entry in community hospitals.
Leung AA, Keohane C, Amato M, et al. J Gen Intern Med. 2012;27:801-807.
STUDY
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.
Westbrook JI, Baysari MT, Li L, Burke R, Richardson KL, Day RO. J Am Med Inform Assoc. 2013 May 30; [Epub ahead of print].
NEWSPAPER/MAGAZINE ARTICLE
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
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
The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.
Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.
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.
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