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Active Errors
PATIENT SAFETY PRIMERS
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STUDY
Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.
Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.
STUDY
Does user-centred design affect the efficiency, usability and safety of CPOE order sets?
Chan J, Shojania KG, Easty AC, Etchells EE. J Am Med Inform Assoc. 2011;18:276-281.
STUDY
High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.
Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.
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
Medicines reconciliation using a shared electronic health care record.
Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.
STUDY
Unintended effects of a computerized physician order entry nearly hard-stop alert to prevent a drug interaction: a randomized controlled trial.
Strom BL, Schinnar R, Aberra F, et al. Arch Intern Med. 2010;170:1578-1583.
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
Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.
Magrabi F, Li SY, Day RO, Coiera E. J Am Med Inform Assoc. 2010;17:575-583.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors associated with documented allergies.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
REVIEW
Bar code technology and medication administration error.
Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.
STUDY
Computerized physician order entry of injectable antineoplastic drugs: an epidemiologic study of prescribing medication errors.
Nerich V, Limat S, Demarchi M, et al. Int J Med Inform. 2010;79:699-706.
STUDY
Developing a programme for medication reconciliation at the time of admission into hospital.
Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.
COMMENTARY
Miscalculated Risk
Strassels SA. AHRQ WebM&M [serial online]. August 2006.
STUDY
Drug-related problems in medical wards with a computerized physician order entry system.
Bedouch P, Allenet B, Grass A, et al. J Clin Pharm Ther. 2009;34:187-195.
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.
BOOK/REPORT
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
STUDY
The use of a CPOE log for the analysis of physicians' behavior when responding to drug-duplication reminders.
Long A-J, Chang P, Li Y-C, Chiu W-T. Int J Med Inform. 2008;77:499-506.
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
Paediatric dosing errors before and after electronic prescribing.
Jani YH, Barber N, Wong ICK. Qual Saf Health Care. 2010;19:337-340.
STUDY
Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.
Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.
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