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Dispensing Errors
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NEWSPAPER/MAGAZINE ARTICLE
Dose of technology helps Shands at UF avoid drug errors.
Chun D. Gainsville Sun. August 21, 2006.
STUDY
Assessing and monitoring override medications in automated dispensing devices.
Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.
MEASUREMENT TOOL/INDICATOR
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.  
STUDY
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Pedersen CA, Schneider P, Scheckelhoff DJ. Am J Health Syst Pharm. 2009;66:926-946.
COMMENTARY
Prescribing errors resulting in adverse drug events: how can they be prevented?
Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.
STUDY
Improving insulin distribution and administration safety using Lean Six Sigma methodologies.
Yamamoto J, Abraham D, Malatestinic B. Hosp Pharm. 2010;45:212-224.
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.
BOOK/REPORT
The Prescription Infrastructre: Are We Ready for ePrescribing?
Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:556-557.
STUDY
Dispensing error rate in a highly automated mail-service pharmacy practice.
Teagarden JR, Nagle B, Aubert RE, Wasdyke C, Courtney P, Epstein RS. Pharmacotherapy. 2005;25:1629-1635.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:725-728.
STUDY
Pharmacy dispensing of electronically discontinued medications.
Allen AS, Sequist TD. Ann Intern Med. 2012;157:700-705.
COMMENTARY
Citrate Mix-Up
Weber RJ. AHRQ WebM&M [serial online]. May 2006.
STUDY
How many hospital pharmacy medication dispensing errors go undetected?
Cina JL, Gandhi TK, Churchill W, et al. Jt Comm J Qual Patient Saf. 2006;32:73-80.
COMMENTARY
Automated dispensing cabinets.
Gaunt MJ, Johnston J, Davis MM. Am J Nurs. 2007;107:27-28.
NEWSPAPER/MAGAZINE ARTICLE
ADC survey shows some improvements, but unnecessary risks still exist.
ISMP Medication Safety Alert! Acute Care Edition. January 17, 2008;13:1-2.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:618-621.
STUDY
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:730-733.
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