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Administration Errors
PATIENT SAFETY PRIMERS
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Administration Errors
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NEWSPAPER/MAGAZINE ARTICLE
Oral syringes: a crucial and economical risk-reduction strategy that has not been fully utilized.
ISMP Medication Safety Alert! Acute Care Edition. October 22, 2009;14:1-3.
COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
COMMENTARY
Development of a training program for bar-code–assisted medication administration in inpatient pharmacy.
Dartt LR, Schneider R. Am J Health Syst Pharm. 2010;67:1592-1594.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
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
Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.
Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.
COMMENTARY
Medication administration process assessment: applying lessons learned from commercial aviation.
Donahue M, Brown JP, Fitzpatrick JJ. J Nurs Adm. 2009;39:77-83.
STUDY
Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.
Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.
COMMENTARY
Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.
Kanwar M, Irvin CB, Frank JJ, Weber K, Rosman H. Ann Emerg Med. 2010;55:341-344.
STUDY
Prioritising the prevention of medication handling errors.
Bertsche T, Niemann D, Mayer Y, Ingram K, Hoppe-Tichy T, Haefeli WE. Pharm World Sci. 2008;30:907-915.
STUDY
Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.
Miller JL, Johnson PN, Harrison DL, Hagemann TM. Ann Pharmacother. 2010;44:35-42.
COMMENTARY
Dealing honestly with an honest mistake.
Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.
STUDY
The Medication Manager: results of a medication at the bedside pilot in a pediatric teaching institution.
Wagner D, Pasko D, Glenn D, Lapinski J, Callow L, Shaw B. J Patient Saf. 2010;6:76-79.
NEWSPAPER/MAGAZINE ARTICLE
A clinical reminder about the safe use of insulin vials.
ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
STUDY
Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.
Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.
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.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
BOOK/REPORT
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Toft B. London, England: Department of Health; 2001.
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