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Epidemiology of Errors and Adverse Events
PATIENT SAFETY PRIMERS
Never Events
Adverse Events after Hospital Discharge
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STUDY
Medication reconciliation for reducing drug-discrepancy adverse events.
Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.
REVIEW
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
STUDY
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.
STUDY
Rural inpatient telepharmacy consultation demonstration for after-hours medication review.
Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.
STUDY
The risk of adverse drug events and hospital-related morbidity and mortality among older adults with potentially inappropriate medication use.
Page RL 2nd, Ruscin JM. Am J Geriatr Pharmacother. 2006;4:297-305.
REVIEW
Medication reconciliation during transitions of care as a patient safety strategy: a systematic review.
Kwan JL, Lo L, Sampson M, Shojania KG. Ann Intern Med. 2013;158(5 Pt 2):397-403.
STUDY
Discrepancies between home medications listed at hospital admission and reported medical conditions.
Slain D, Kincaid SE, Dunsworth TS. Am J Geriatr Pharmacother. 2008;6:161-166.
STUDY
Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.
Feldman LS, Costa LL, Feroli ER Jr, et al. J Hosp Med. 2012;7:396-401.
STUDY
Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care.
Anderegg SV, Demik DE, Carter BL, et al. Pharmacotherapy. 2013;33:11-21.
STUDY
Errors in medication history at hospital admission: prevalence and predicting factors.
Hellström LM, Bondesson A, Höglund P, Eriksson T. BMC Clin Pharmacol. 2012;12:9.
STUDY
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011.
Pedersen CA, Schneider PJ, Scheckelhoff DJ. Am J Health Syst Pharm. 2012;69:768-785.
NEWSPAPER/MAGAZINE ARTICLE
Patients taking their own medications while in the hospital.
PA-PSRS Patient Saf Advis. June 2012;9:50-57.
STUDY
Effect of patient- and medication-related factors on inpatient medication reconciliation errors.
Salanitro AH, Osborn CY, Schnipper JL, et al. J Gen Intern Med. 2012;27:924-932.
STUDY
Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.
Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.
STUDY
Potentially inappropriate medication use in hospitalized elders.
Rothberg MB, Pekow PS, Liu F, et al. J Hosp Med. 2008;3:91-102.
NEWSPAPER/MAGAZINE ARTICLE
Results of ISMP survey on high-alert medications: differences between nursing, pharmacy, and risk/quality/safety perspectives.
ISMP Medication Safety Alert! Acute Care Edition. February 9, 2012;17:1-4.
STUDY
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.
REVIEW
Drug-related problems in older people after hospital discharge and interventions to reduce them.
Garcia-Caballos M, Ramos-Diaz F, Jimenez-Moleon JJ, Bueno-Cavanillas A. Age Ageing. 2010;39:430-438.
STUDY
Getting doctors to clean their hands: lead the followers.
Haessler S, Bhagavan A, Kleppel R, Hinchey K, Visintainer P. BMJ Qual Saf. 2012;21:499-502.
STUDY
Use of an appreciative inquiry approach to improve resident sign-out in an era of multiple shift changes.
Helms AS, Perez TE, Baltz J, et al. J Gen Intern Med. 2012;27:287-291.
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