PATIENT SAFETY PRIMERS
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Emergency department visits for outpatient adverse drug events: demonstration for a national surveillance system.
Budnitz DS, Pollock DA, Mendelsohn AB, Weidenbach KN, McDonald AK, Annest JL. Ann Emerg Med. 2005;45:197-206.
Around the Block.
Minichiello T. AHRQ WebM&M [serial online]. March 2005.
Kayser SR. AHRQ WebM&M [serial online]. February 2007.
One ACE Too Many
Juurlink DN. AHRQ WebM&M [serial online]. July 2006.
Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.
Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.
Error in body weight estimation leads to inadequate parenteral anticoagulation.
Dos Reis Macedo LG, de Oliveira L, Pintão MC, Garcia AA, Pazin-Filho A. Am J Emerg Med. 2011;29:613-617.
Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.
Pearl JM, Donaldson NE. AHRQ WebM&M [serial online]. July/August 2005.
Unreported errors in the intensive care unit: a case study of the way we work.
Henneman EA. Crit Care Nurse. 2007;27:27-34.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:556-557.
Preventing fatal heparin overdoses.
Food and Drug Administration (FDA) Patient Safety News. Show #58. December 2006.
Heparin: improving treatment and reducing risk of harm.
Daner WE, Gosselin RC, Raschke R, Vanderveen T. Patient Saf Qual Healthcare. January/February 2009;6:20-25.
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.
Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.
Baglin TP, Cousins D, Keeling DM, Perry DJ, Watson HG. Br J Haematol. 2006;136:26-29.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Relationship of incorrect dosing of fibrinolytic therapy and clinical outcomes.
Mehta RH, Alexander JH, Van de Werf F, et al. JAMA. 2005;293:1746-1750.
Failure to weigh patients in hospital: a medication safety risk.
Hilmer SN, Rangiah C, Bajorek BV, Shenfield GM. Intern Med J. 2007;37:647-650.
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.
Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.
Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.
The safety of warfarin therapy in the nursing home setting.
Gurwitz JH, Field TS, Radford MJ, et al. Am J Med. 2007;120:539-544.
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