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Administration Errors
PATIENT SAFETY PRIMERS
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Administration Errors
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COMMENTARY
Cups of Error
Blegen MA, Pepper GA. AHRQ WebM&M [serial online]. May 2006.
STUDY
Spreading a medication administration intervention organizationwide in six hospitals.
Kliger J, Singer S, Hoffman F, O'Neil E. Jt Comm J Qual Patient Saf. 2012;38:51-60.
STUDY
Characteristics of medication errors made by students during the administration phase: a descriptive study.
Wolf ZR, Hicks R, Serembus JF. J Prof Nurs. 2006;22:39-51.
COMMENTARY
Workaround Error
Pape T. AHRQ WebM&M [serial online]. Febuary 2006.
NEWSPAPER/MAGAZINE ARTICLE
Promethazine conundrum: IV can hurt more than IM injection!
ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
COMMENTARY
Medication errors: don't let them happen to you.
Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.
STUDY
Frequency and type of errors and near errors reported by critical care nurses.
Balas MC, Scott LD, Rogers AE. Can J Nurs Res. 2006;38:24-41.
STUDY
No interruptions please: impact of a no interruption zone on medication safety in intensive care units.
Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.
COMMENTARY
Improving the safety of medication administration using an interactive CD-ROM program.
Schneider PJ, Pedersen CA, Montanya KR, et al. Am J Health Syst Pharm. 2006;63:59-64.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:725-728.
COMMENTARY
Improving process while changing practice: FMEA and medication administration.
Riehle MA, Bergeron D, Hyrkäs K. Nurs Manage. 2008;39:28-33.
COMMENTARY
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.
NEWSPAPER/MAGAZINE ARTICLE
Smart pump custom concentrations without hard "low concentration" alerts.
ISMP Medication Safety Alert! Acute Care Edition. February 23, 2012;17:1,3-4.
STUDY
Use of dimensional analysis to reduce medication errors.
Greenfield S, Whelan B, Cohn E. J Nurs Educ. 2006;45:91-94.
STUDY
Detection and prevention of medication errors using real-time bedside nurse charting.
Nelson NC, Evans RS, Samore MH, Gardner RM. J Am Med Inform Assoc. 2005;12:390-397.
COMMENTARY
A model of chemotherapy education for novice oncology nurses that supports a culture of safety.
Sheridan-Leos N. Clin J Oncol Nurs. 2007;11:545-551.
NEWSPAPER/MAGAZINE ARTICLE
Administering a saline flush "site unseen" can lead to a wrong route error.
ISMP Medication Safety Alert! Acute Care Edition. May 16, 2013;18:1-3.
ORGANIZATIONAL POLICY/GUIDELINES
Preventing vincristine administration errors.
The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.
STUDY
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.
STUDY
Errors in the administration of intravenous medication in Brazilian hospitals.
Anselmi ML, Peduzzi M, Dos Santos CB. J Clin Nurs. 2007;16:1839-1847.
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