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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
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
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
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
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
Wrong-site sinus surgery in otolaryngology.
Shah RK, Nussenbaum B, Kienstra M, et al. Otolaryngol Head Neck Surg. 2010;143:37-41.
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.
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.
COMMENTARY
Missed Appendicitis.
Adams JG. AHRQ WebM&M [serial online]. June 2003.
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.
STUDY
Trauma resuscitation errors and computer-assisted decision support.
Fitzgerald M, Cameron P, Mackenzie C, et al. Arch Surg. 2011;146:218-225.
COMMENTARY
Crossing the Line.
Feldman JP, Gould MK. AHRQ WebM&M [serial online]. March 2004.
REVIEW
Patient safety systems in the primary health care of diabetes—a story of missed opportunities?
Taub N, Baker R, Khunti K, et al. Diabet Med. 2010;27:1322-1326.
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
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
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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