PATIENT SAFETY PRIMERS
Australia and New Zealand (2)
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North America (53)
Journal Article (60)
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Epidemiology of Errors and Adverse Events (24)
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Approach to Improving Safety
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Health Care Providers (71)
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Fluorouracil Incident Root Cause Analysis Report.
Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.
Vincristine: Learning from Error Workshop.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.
Death and neurological devastation from intrathecal vinca alkaloids: prepared in syringes = 120; prepared in minibags = 0.
ISMP Medication Safety Alert! Acute Care Edition. September 5, 2013;18:1-4.
Intrathecal chemotherapy: potential for medication error.
Gilbar PJ. Cancer Nurs. 2013 Nov 5; [Epub ahead of print].
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.
Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience
Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.
Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.
Information Exchange System Alert. Geneva, Switzerland: World Health Organization; July 18, 2007.
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.
2012 ISMP International Medication Safety Self Assessment for Oncology.
Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:844-847.
IV vincristine survey shows safety improvements needed.
ISMP Medication Safety Alert! Acute Care Edition. February 23, 2006;11:1-2.
Hospital Admission Due to High-Dose Methotrexate Drug Interaction
Siegel LC, Gandhi TK. AHRQ WebM&M [serial online]. January 2009.
Eric Cropp weighs in on the error that sent him to prison.
ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3.
Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.
Ranchon F, Salles G, Späth HM, et al. BMC Cancer. 2011;11:478.
Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.
White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.
Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?
Reddy GK, Brown B, Nanda A. Clin Neurol Neurosurg. 2011;113:68-71.
Medication errors among adults and children with cancer in the outpatient setting.
Walsh KE, Dodd KS, Seetharaman K, et al. J Clin Oncol. 2009;27:891-896.
Chemotherapy patients' perceptions of drug administration safety.
Schwappach DLB, Wernli M. J Clin Oncol. 2010;28:2896-2901.
Never Events: Framework 2009/10.
National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.
Preventing vincristine administration errors: does evidence support minibag infusions?
Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.
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