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Administration Errors
PATIENT SAFETY PRIMERS
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Administration Errors
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STUDY
Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.
Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.
STUDY
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.
STUDY
NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.
Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.
STUDY
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.
STUDY
Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.
Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.
STUDY
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.
STUDY
Medication errors in paediatric outpatients.
Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.
STUDY
Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
STUDY
Risk and pharmacoeconomic analyses of the injectable medication process in the paediatric and neonatal intensive care units.
De Giorgi I, Fonzo-Christe C, Cingria L, et al. Int J Qual Health Care. 2010;22:170-178.
STUDY
Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.
STUDY
Variability in the concentrations of intravenous drug infusions prepared in a critical care unit.
Wheeler DW, Degnan BA, Sehmi JS, et al. Intensive Care Med. 2008;34:1441-1447.
STUDY
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.
PRESS RELEASE/ANNOUNCEMENT
Serious medication errors from intravenous administration of nimodipine oral capsules.
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.
STUDY
Errors in administration of parenteral drugs in intensive care units: multinational prospective study.
Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. BMJ. 2009;338:b814.
COMMENTARY
Double Dosing, by the Rules
Cohen H. AHRQ WebM&M [serial online]. February/March 2009.
STUDY
Medication errors in an intensive care unit.
Bohomol E, Ramos LH, D'Innocenzo M. J Adv Nurs. 2009;65:1259-1267.
STUDY
Medication prescribing errors in the prehospital setting and in the ED.
Lifshitz AE, Goldstein LH, Sharist M, et al. Am J Emerg Med. 2012;30:726-731.
STUDY
Drug dosing error with drops – severe clinical course of codeine intoxication in twins.
Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Eur J Pediatr. 2009;168:819-824.
STUDY
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.
STUDY
Automated drug dispensing system reduces medication errors in an intensive care setting.
Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.
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