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PATIENT SAFETY PRIMERS
Medication Errors
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NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
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.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
STUDY
An exploratory study measuring verbal order content and context.
Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.
STUDY
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
STUDY
Listen carefully: the risk of error in spoken medication orders.
Lambert BL, Dickey LW, Fisher WM, et al. Soc Sci Med. 2010;70:1599-1608.
STUDY
Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database.
Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896.
COMMENTARY
Sick and Pregnant
El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:547-550, 554.
COMMENTARY
ISMP medication error report analysis.
Cohen MC. Hosp Pharm. 2009;44:374-378.
NEWSPAPER/MAGAZINE ARTICLE
Look-alike, sound-alike drugs trigger dangers.
Aleccia J. MSNBC.com; May 28, 2010.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:618-621.
NEWSPAPER/MAGAZINE ARTICLE
Keeping patients safe from iatrogenic methadone overdoses.
ISMP Medication Safety Alert! Acute Care Edition. February 14, 2008;13:1-3.
NEWSPAPER/MAGAZINE ARTICLE
USP initiatives for the safe use of medical gases.
Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:288-292.
PRESS RELEASE/ANNOUNCEMENT
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.
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