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Error Analysis
PATIENT SAFETY PRIMERS
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NEWSPAPER/MAGAZINE ARTICLE
Medication errors: when pharmacy is closed.
PA-PSRS Patient Saf Advis. March 2012;9:11-17.
STUDY
Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.
Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.
STUDY
Medication reconciliation for reducing drug-discrepancy adverse events.
Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.
STUDY
Inter-rater reliability of a classification system for hospital adverse drug event reports.
Haynes K, Hennessy S, Morales KH, et al. Clin Pharmacol Ther. 2008;83:485-488.
COMMENTARY
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
STUDY
Supratherapeutic dosing of acetaminophen among hospitalized patients.
Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.
STUDY
Operational failures and interruptions in hospital nursing.
Tucker AL, Spear SJ. Health Serv Res. 2006;41:643-662.
STUDY
Nurses relate the contributing factors involved in medication errors.
Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.
STUDY
Predictors of medication errors among elderly hospital patients.
Picone DM, Titler MG, Dochterman J, et al. Am J Med Qual. 2008;23:115-127.
STUDY
Costs of intravenous adverse drug events in academic and nonacademic intensive care units.
Nuckols TK, Paddock SM, Bower AG, et al. Med Care. 2008;46:17-24.
STUDY
Provider and pharmacist responses to warfarin drug–drug interaction alerts: a study of healthcare downstream of CPOE alerts.
Miller AM, Boro MS, Korman NE, Davoren JB. J Am Med Inform Assoc. 2011;18(suppl 1):i45-i50.
STUDY
Pediatric safety incidents from an intensive care reporting system.
Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.
STUDY
How useful are voluntary medication error reports? The case of warfarin-related medication errors.
Zhan C, Smith SR, Keyes MA, Hicks RW, Cousins DD, Clancy CM. Jt Comm J Qual Patient Saf. 2008;34:36-45.
STUDY
Antecedents of severe and nonsevere medication errors.
Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78.
STUDY
Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.
Payne CH, Smith CR, Newkirk LE, Hicks RW. AORN J. 2007;85:731-740.
STUDY
Adverse drug event reporting in intensive care units: a survey of current practices.
Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.
STUDY
Hospital workload and adverse events.
Weissman JS, Rothschild JM, Bendavid E, et al. Med Care. 2007;45:448-455.
STUDY
The safety of hospital stroke care.
Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.
STUDY
The costs of adverse drug events in community hospitals.
Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.
STUDY
Cost implications of actual and potential adverse events prevented by interventions of a critical care pharmacist.
Kopp BJ, Mrsan M, Erstad BL, Duby JJ. Am J Health Syst Pharm. 2007;64:2483-2487.
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