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Approach to Improving Safety
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NEWSPAPER/MAGAZINE ARTICLE
Promethazine conundrum: IV can hurt more than IM injection!
ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
FACT SHEET/FAQS
Medication safety issue brief. Counterfeit drug prevention and identification.
American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. August 2005;79.29-30.
COMMENTARY
Miscalculated Risk
Strassels SA. AHRQ WebM&M [serial online]. August 2006.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:725-728.
FACT SHEET/FAQS
Medication safety issue brief. Bar code implementation strategies.
American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.
NEWSPAPER/MAGAZINE ARTICLE
Tablet splitting: Do it only if you "half" to, and then do it safely.
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.
NEWSPAPER/MAGAZINE ARTICLE
Safety in ASCs: putting patients first.
Dix K. Today's Surgicenter. December 1, 2006.
STUDY
Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.
Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.
COMMENTARY
It's All in the Syringe
Weingart SN. AHRQ WebM&M [serial online]. August 2006.
STUDY
Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.
Kozer E, Scolnik D, MacPherson A, Rauchwerger D, Koren G. Pediatrics. 2005;116:1299-1302.
REVIEW
Coordinating care across diseases, settings, and clinicians: a key role for the generalist in practice.
Stille CJ, Jerant A, Bell D, Meltzer D, Elmore JG. Ann Intern Med. 2005;142:700-708.
TOOLKIT
ISMP and FDA campaign to eliminate use of error-prone abbreviations.
Huntington Valley, PA: Institute for Safe Medication Practices.
STUDY
Effect of antiseptic handwashing vs alcohol sanitizer on health care-associated infections in neonatal intensive care units.
Larson EL, Cimiotti J, Haas J, et al. Arch Pediatr Adolesc Med. 2005;159:377-383.
STUDY
Potentially inappropriate prescribing in elderly veterans: are we using the wrong drug, wrong dose, or wrong duration?
Pugh MJ, Fincke BG, Bierman AS, et al. J Am Geriatr Soc. 2005;53:1282-1289.
COMMENTARY
A nurse-led approach to developing and implementing a collaborative count policy.
Norton EK, Micheli AJ, Gedney J, Felkerson TM. AORN J. 2012;95:222-227.
ORGANIZATIONAL POLICY/GUIDELINES
Statement on the prevention of retained foreign bodies after surgery.
Bulletin of the American College of Surgeons; October 2005.
STUDY
Risk factors for adverse drug events: a 10-year analysis.
Evans RS, Lloyd JF, Stoddard GJ, Nebeker JR, Samore MH. Ann Pharmacother. 2005;39:1161-1168.
TOOLKIT
Checklist/Action Plan for the Management of High-Alert Medications.
Appendix 1G In: Leading a Strategic Planning Effort: Pathways for Medication Safety. Chicago, IL: American Hospital Association; 2002.
NEWSPAPER/MAGAZINE ARTICLE
Clear liquids may place patients at risk.
PA-PSRS Patient Saf Advis. December 2005;2:29-31.
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