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Audit and Feedback
PATIENT SAFETY PRIMERS
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Device-related Complications (14)
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STUDY
Do emergency physicians attribute drug-related emergency department visits to medication-related problems?
Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.
NEWSPAPER/MAGAZINE ARTICLE
Collaboration focused on priority issues promotes safety.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
REVIEW
Systematic review of medication safety assessment methods.
Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.
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
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
Incidence and types of non-ideal care events in an emergency department.
Hall KK, Schenkel SM, Hirshon JM, Xiao Y, Noskin GA. Qual Saf Health Care. 2010;19(suppl 3):i20-i25.
STUDY
Adverse drug events in the outpatient setting: an 11-year national analysis.
Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.
STUDY
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
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
Dispensing errors and counseling quality in 100 pharmacies.
Flynn EA, Barker KN, Berger BA, Lloyd KB, Brackett PD. J Am Pharm Assoc. 2009;49:171-180.
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
Detection, classification, and correction of defective chemotherapy orders through nursing and pharmacy oversight.
Mertens WC, Brown DE, Parisi R, et al. J Patient Saf. 2008;4:195-200.
STUDY
Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.
Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.
NEWSPAPER/MAGAZINE ARTICLE
Common cause analysis.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
STUDY
Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.
Dequito AB, Mol PG, van Doormaal JE, et al. Drug Saf. 2011;34:1089-1100.
STUDY
Association between license status and medication errors.
Conroy S. Arch Dis Child. 2011;96:305-306.
STUDY
Postdischarge adverse events for 1-day hospital admissions in older adults admitted from the emergency department.
Pines JM, Mongelluzzo J, Hilton JA, et al. Ann Emerg Med. 2010;56:253-257.
STUDY
Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.
Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.
STUDY
Reducing inappropriate diagnostic practice through education and decision support.
Bairstow PJ, Persaud J, Mendelson R, Nguyen L. Int J Qual Health Care. 2010;22:194-200.
STUDY
Nature, causes and consequences of unintended events in surgical units.
van Wagtendonk I, Smits M, Merten H, Heetveld MJ, Wagner C. Br J Surg. 2010;97:1730-1740.
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