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Specific to High-Risk Drugs
PATIENT SAFETY PRIMERS
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Specific to High-Risk Drugs
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Anticoagulants (70)
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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
A comparison of voluntarily reported medication errors in intensive care and general care units.
Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.
STUDY
Medication discrepancies upon hospital to skilled nursing facility transitions.
Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
STUDY
Antiretroviral medication errors among hospitalized patients with HIV infection.
Rastegar DA, Knight AM, Monolakis JS. Clin Infect Dis. 2006;43:933-38.
STUDY
Medication errors involving oral chemotherapy.
Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.
NEWSPAPER/MAGAZINE ARTICLE
Your high-alert medication list—relatively useless without associated risk-reduction strategies.
ISMP Medication Safety Alert! Acute Care Edition. April 4, 2013;18:1-5.
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
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
STUDY
Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.
Di Pentima MC, Chan S, Eppes SC, Klein JD. Clin Pediatr (Phila). 2009;53:715-723e1.
STUDY
Prescribing discrepancies likely to cause adverse drug events after patient transfer.
Boockvar KS, Liu S, Goldstein N, Nebeker J, Siu A, Fried T. Qual Saf Health Care. 2009;18:32-36.
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.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
REVIEW
Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.
Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.
STUDY
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
STUDY
Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.
Spiller HA, Borys DJ, Ryan ML, Sawyer TS, Wilson BL. Ann Pharmacother. 2011;45:17-22.
STUDY
Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.
Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166.
STUDY
Anticoagulation-associated adverse drug events.
Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.
STUDY
Oxytocin as a high-alert medication: implications for perinatal patient safety.
Simpson KR, Knox GE. MCN Am J Matern Child Nurs. 2009;34:8-15.
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