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Approach to Improving Safety
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STUDY
Error tracking in a clinical biochemistry laboratory.
Szecsi PB, Ødum L. Clin Chem Lab Med. 2009;47:1253-1257.
STUDY
The incidence and nature of prescribing and medication administration errors in paediatric inpatients.
Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.
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
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
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
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.
STUDY
Transitioning between electronic health records: effects on ambulatory prescribing safety.
Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.
COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
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.
STUDY
Using Medical Emergency Teams to detect preventable adverse events.
Iyengar A, Baxter A, Forster AJ. Crit Care. 2009;13:R126.
STUDY
Intravenous chemotherapy preparation errors: patient safety risks identified in a pan-Canadian exploratory study.
White R, Cassano-Piché A, Fields A, Cheng R, Easty A. J Oncol Pharm Pract. 2014;20:40-46.
COMMENTARY
Do Not Disturb!
Duffy FD, Cassel CK. AHRQ WebM&M [serial online]. October 2007.
STUDY
A prevalence study of errors in opioid prescribing in a large teaching hospital.
Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.
STUDY
Contraindicated medication use in dialysis patients undergoing percutaneous coronary intervention.
Tsai TT, Maddox TM, Roe MT, et al; National Cardiovascular Data Registry. JAMA. 2009;302:2458-2464.
NEWSPAPER/MAGAZINE ARTICLE
Diagnostic error in acute care.
PA-PSRS Patient Saf Advis. 2010;7:76-86.  
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.
STUDY
Comparison of the clinical diagnosis and subsequent autopsy findings in medical malpractice.
Pakis I, Polat O, Yayci N, Karapirli M. Am J Forensic Med Pathol. 2010;31:218-221.
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.
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