AHRQ Patient Safety Network

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•Device-related Complications (7)

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•Epidemiology of Errors and Adverse Events (7)

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NEWSPAPER/MAGAZINE ARTICLE

Fatal misadministration of IV vincristine.

ISMP Medication Safety Alert! Acute Care Edition. December 1, 2005;10:1-2, 4.

NEWSPAPER/MAGAZINE ARTICLE

IV vincristine survey shows safety improvements needed.

ISMP Medication Safety Alert! Acute Care Edition. February 23, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:940-945.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

COMMENTARY

Look-alike, sound-alike oncology medications.

Schulmeister L. Clin J Oncol Nurs. 2006;10:35-41.

COMMENTARY

Shake Well.

Flynn EA. AHRQ WebM&M [serial online]. September 2003.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

A Troubling Amine

Flynn EA. AHRQ WebM&M [serial online]. September 2006.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing vincristine administration errors.

The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.

TOOLKIT

ISMP and FDA campaign to eliminate use of error-prone abbreviations.

Huntington Valley, PA: Institute for Safe Medication Practices.

PRESS RELEASE/ANNOUNCEMENT

Heparin sodium injection 10,000 units/mL, and HEP-LOCK U/P 10 units/mL medication errors.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.

MULTI-USE WEBSITE

"Save Lives Now" project.

Hospitals and Health Networks.

STUDY

Emergency medical services system changes reduce pediatric epinephrine dosing errors in the prehospital setting.

Kaji AH, Gausche-Hill M, Conrad H, et al. Pediatrics. 2006;118:1493-1500.

NEWSPAPER/MAGAZINE ARTICLE

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

Hall J. The Free Lance-Star. September 25, 2005.

STUDY

It's not all about me: motivating hand hygiene among health care professionals by focusing on patients.

Grant AM, Hofmann DA. Psychol Sci. 2011;22:1494-1499.

STUDY

An empirical model to estimate the potential impact of medication safety alerts on patient safety, health care utilization, and cost in ambulatory care.

Weingart SN, Simchowitz B, Padolsky H, et al. Arch Intern Med. 2009;169;1465-1473.

STUDY

A trial of automated decision support alerts for contraindicated medications using computerized physician order entry.

Galanter WL, Didomenico RJ, Polikaitis A. J Am Med Inform Assoc. 2005;12:269-274.

NEWSPAPER/MAGAZINE ARTICLE

Generic drug names: fertile ground for errors?

Wynn P. Drug Topics Supplements. August 8, 2005.

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