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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
Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.
Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.
STUDY
Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.
Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.
PRESS RELEASE/ANNOUNCEMENT
Serious medication errors from intravenous administration of nimodipine oral capsules.
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.
STUDY
NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.
Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.
STUDY
Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.
Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.
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
Errors in administration of parenteral drugs in intensive care units: multinational prospective study.
Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. BMJ. 2009;338:b814.
STUDY
Educational strategy to reduce medication errors in a neonatal intensive care unit.
Campino A, Lopez-Herrera MC, Lopez-de-Heredia I, Valls-i-Soler A. Acta Paediatr. 2009;98:782-785.
STUDY
Impact of computerized physician order entry on medication prescription errors in the intensive care unit: a controlled cross-sectional trial.
Colpaert K, Claus B, Somers A, Vandewoude K, Robays H, Decruyenaere J. Crit Care. 2006;10:R21.
STUDY
Speaking up and sharing information improves trainee neonatal resuscitations.
Katakam LI, Trickey AW, Thomas EJ. J Patient Saf. 2012;8:202-209.
STUDY
Medication errors reported in a pediatric intensive care unit for oncologic patients.
Belela AS, Peterlini MA, Pedreira ML. Cancer Nurs. 2011;34:393-400.
STUDY
Overview of adverse events related to invasive procedures in the intensive care unit.
Pottier V, Daubin C, Lerolle N, et al. Am J Infect Control. 2012;40:241-246.
STUDY
Medication errors in an intensive care unit.
Bohomol E, Ramos LH, D'Innocenzo M. J Adv Nurs. 2009;65:1259-1267.
NEWSPAPER/MAGAZINE ARTICLE
Parents can detect, contribute to, or be affected by critical events during a child’s hospitalization.
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2011;16:1-3.
REVIEW
The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: a systematic review.
van Rosse F, Maat B, Rademaker CMA, van Vught AJ, Egberts ACG, Bollen CW. Pediatrics. 2009;123:1184-1190.
STUDY
Intralipid medication errors in the neonatal intensive care unit.
Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.
STUDY
Adverse events are common on the intensive care unit: results from a structured record review.
Nilsson L, Pihl A, Tågsjö M, Ericsson E. Acta Anaesthesiol Scand. 2012;56:959-965.
STUDY
Automated drug dispensing system reduces medication errors in an intensive care setting.
Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.
STUDY
ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome.
Jäderling G, Bell M, Martling CR, Ekbom A, Bottai M, Konrad D. Crit Care Med. 2013;41:725-731.
STUDY
Adverse drug events in a paediatric intensive care unit: a prospective cohort.
Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.
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