Monitoring Errors and Failures
PATIENT SAFETY PRIMERS
Monitoring Errors and Failures
North America (12)
Journal Article (12)
Newspaper/Magazine Article (2)
Press Release/Announcement (1)
Epidemiology of Errors and Adverse Events (3)
Active Errors (3)
Approach to Improving Safety
Quality Improvement Strategies (3)
Error Reporting and Analysis (4)
Communication Improvement (3)
Human Factors Engineering (2)
Logistical Approaches (1)
Technologic Approaches (8)
Education and Training (4)
Health Care Providers (12)
Health Care Executives and Administrators (10)
Non-Health Care Professionals (3)
Setting of Care
Residential Facilities (1)
Ambulatory Care (4)
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Academic detailing to improve laboratory testing among outpatient medication users.
Lafata JE, Gunter MJ, Hsu J, et al. Med Care. 2007;45:966-972.
Electronic prescribing improves medication safety in community-based office practices.
Kaushal R, Kern LM, Barrón Y, Quaresimo J, Abramson EL. J Gen Intern Med. 2010;25:530-536.
Evaluation of laboratory monitoring alerts within a computerized physician order entry system for medication orders.
Palen TE, Raebel M, Lyons E, Magid DM. Am J Manag Care. 2006;12:389-395.
System errors in intrapartum electronic fetal monitoring: a case review.
Miller LA. J Midwifery Womens Health. 2005;50:507-516.
One ACE Too Many
Juurlink DN. AHRQ WebM&M [serial online]. July 2006.
Injury and liability associated with monitored anesthesia care: a closed claims analysis.
Bhananker SM, Posner KL, Cheney FW, Caplan RA, Lee LA, Domino KB. Anesthesiology. 2006;104:228-234.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:556-557.
Assessing and monitoring override medications in automated dispensing devices.
Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.
Computerized physician order entry with clinical decision support in the long-term care setting: insights from the Baycrest Centre for Geriatric Care.
Rochon PA, Field TS, Bates DW, et al. J Am Geriatr Soc. 2005;53:1780-1789.
FDA Advise-ERR: prevent dangerous drug-device interaction causing falsely elevated glucose levels.
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2008;13:1-3.
Laboratory safety monitoring of chronic medications in ambulatory care settings.
Hurley JS, Roberts M, Solberg LI, et al. J Gen Intern Med. 2005;20:331-333.
Risk of electromagnetic interference with medical telemetry systems operating in the 460-470 MHz frequency bands.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 16, 2005.
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.
The importance of establishing regimen concordance in preventing medication errors in anticoagulant care.
Schillinger D, Wang F, Rodriguez M, Bindman A, Machtinger EL. J Health Comm. 2006;11:555-567.
200 epidural blunders admitted after three women die.
Oakeshott I. The Sunday Times. June 18, 2006.
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