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Human Factors Engineering
PATIENT SAFETY PRIMERS
Human Factors Engineering
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Human Factors Engineering
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PRESS RELEASE/ANNOUNCEMENT
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.
PRESS RELEASE/ANNOUNCEMENT
Serious medication errors from intravenous administration of nimodipine oral capsules.
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.
STUDY
Therapeutic errors involving adults in the community setting: nature, causes and outcomes.
Taylor DM, Robinson J, MacLeod D, MacBean CE, Braitberg G. Aust N Z J Public Health. 2009;33:388-394.
AUDIOVISUAL PRESENTATION
Preventing Medical Errors.
Food and Drug Administration (FDA) Patient Safety News. Show #79. September 2008.
MEETING/CONFERENCE PROCEEDINGS
Developing Guidance on Naming, Labeling, and Packaging Practices to Reduce Medication Errors.
US Food and Drug Administration. June 24–25, 2010; Marriott Residence Inn, Bethesda, MD.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:288-292.
PRESS RELEASE/ANNOUNCEMENT
Important change to heparin container labels to clearly state the total drug strength.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.
FACT SHEET/FAQS
Ten Tips to Prevent an Accidental Overdose.
Silver Spring, MD: US Food and Drug Administration; May 2011.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
BOOK/REPORT
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Toft B. London, England: Department of Health; 2001.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
FACT SHEET/FAQS
FDA 101: Medication Errors.
FDA Consumer Health Information. Rockville, MD: US Food and Drug Administration; February 20, 2009.
PRESS RELEASE/ANNOUNCEMENT
Potentially fatal errors with GDH-PQQ [glucose dehydrogenase pyrroloquinoline quinone] glucose monitoring technology.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; August 13, 2009.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
BOOK/REPORT
Vincristine: Learning from Error Workshop.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.
NEWSPAPER/MAGAZINE ARTICLE
Sterile water should not be given "freely."
PA-PSRS Patient Saf Advis. June 2008;5:53-56.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
MULTI-USE WEBSITE
Human Factors and Medical Devices.
Human Factors Engineering Team, Center for Devices and Radiological Health, Office of Communication, Education, and Radiation Programs (OCER), Division of Device User Programs and Systems Analysis (DDUPSA), 1350 Piccard Drive, HFZ-230, Rockville, MD 20850.
MEETING/CONFERENCE PROCEEDINGS
An Introduction to the Improved FDA Prescription Drug Labeling.
US Food and Drug Administration Center for Drug Evaluation and Research, Institute for Safe Medication Practices. November 7, 2006.
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