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Active Errors
PATIENT SAFETY PRIMERS
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STUDY
Determinants of patient-reported medication errors: a comparison among seven countries.
Lu CY, Roughead E. Int J Clin Pract. 2011;65:733-740.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors common for hospital diabetes.
Nursing Times. April 1, 2011.
STUDY
Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.
Spiller HA, Borys DJ, Ryan ML, Sawyer TS, Wilson BL. Ann Pharmacother. 2011;45:17-22.
NEWSPAPER/MAGAZINE ARTICLE
Misadministration of IV insulin associated with dose measurement and hyperkalemia treatment.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2011;16:1-3.
STUDY
Therapeutic errors involving adults in the community setting: nature, causes and outcomes.
Taylor DM, Robinson J, MacLeod D, MacBean CE, Braitberg G. Aust N Z J Public Health. 2009;33:388-394.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
STUDY
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
COMMENTARY
A Mid-Summer Fog
Braddock CH. AHRQ WebM&M [serial online]. November 2008.
COMMENTARY
Are Two Insulin Pumps Better Than One?
Cook CB. AHRQ WebM&M [serial online]. January 2009.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
REVIEW
Year in review: medication mishaps in the elderly.
Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
STUDY
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
STUDY
Pediatric antidepressant medication errors in a national error reporting database.
Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.
STUDY
Trauma resuscitation errors and computer-assisted decision support.
Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.
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.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
STUDY
The application of Aronson's taxonomy to medication errors in nursing.
Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.
COMMENTARY
Safer out of hours primary care.
Cosford PA, Thomas JM. BMJ. 2010;340:c3194.
STUDY
Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.
Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.
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