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Epidemiology of Errors and Adverse Events
PATIENT SAFETY PRIMERS
Never Events
Adverse Events after Hospital Discharge
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Epidemiology of Errors and Adverse Events
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STUDY
Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.
Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.
STUDY
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.
Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.
STUDY
Ambulance personnel perceptions of near misses and adverse events in pediatric patients.
Cushman JT, Fairbanks RJ, O'Gara KG, et al. Prehosp Emerg Care. 2010;14:477-484.
STUDY
The incidence and nature of prescribing and medication administration errors in paediatric inpatients.
Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.
STUDY
Factors associated with medication errors in the pediatric emergency department.
Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.
STUDY
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.
STUDY
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.
STUDY
Medication errors in paediatric outpatients.
Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.
STUDY
Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
STUDY
Transitioning between electronic health records: effects on ambulatory prescribing safety.
Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.
STUDY
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.
STUDY
ED overcrowding is associated with an increased frequency of medication errors.
Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.
STUDY
Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
STUDY
Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.
Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.
STUDY
The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.
Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.
STUDY
Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.
Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.
STUDY
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.
Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.
STUDY
Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.
Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.
STUDY
Impact of implementing alerts about medication black-box warnings in electronic health records.
Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.
STUDY
Disclosure of hospital adverse events and its association with patients' ratings of the quality of care.
López L, Weissman JS, Schneider EC, Weingart SN, Cohen AP, Epstein AM. Arch Intern Med. 2009;169:1888-1894.
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