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Approach to Improving Safety
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COMMENTARY
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
COMMENTARY
Smart pumps: implications for nurse leaders.
Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.
NEWSPAPER/MAGAZINE ARTICLE
Double key bounce and double keying errors.
ISMP Medication Safety Alert! Acute Care Edition. January 12, 2006;11:1-2.
COMMENTARY
New technology, new errors: how to prime an upgrade of an insulin infusion pump.
Rule AM, Drincic A, Galt KA. Jt Comm J Qual Patient Saf. 2007;33:155-162.
NEWSPAPER/MAGAZINE ARTICLE
Fatal gas line mix-up: How to avoid making this "gastly" mistake.
ISMP Medication Safety Alert! Acute Care Edition. December 16, 2004;9:1-2.
NEWSPAPER/MAGAZINE ARTICLE
M.R.I.'s strong magnets cited in accidents.
McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.
NEWSPAPER/MAGAZINE ARTICLE
Pump design flaws demonstrate need for practitioner involvement in FMEA.
ISMP Medication Safety Alert! Acute Care Edition. May 4, 2006:11:1-2,4.
COMMENTARY
Thin Air.
Gaba DM. AHRQ WebM&M [serial online]. October 2004.
NEWSPAPER/MAGAZINE ARTICLE
IV potassium given epidurally: getting to the "route" of the problem.
ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.
NEWSPAPER/MAGAZINE ARTICLE
An extra dose of safety.
Health Manage Techol. April 2007;28:30-32, 34.
PRESS RELEASE/ANNOUNCEMENT
United States marshals seize defective infusion pumps made by Alaris Products.
Rockville, MD: Center for Devices and Radiological Health, US Food and Drug Administration; August 29, 2006.
STUDY
Increasing vigilance on the medical/surgical floor to improve patient safety.
Jacobs JL, Apatov N, Glei M. J Adv Nurs. 2007;57:472-481.
COMMENTARY
Not again!
Berwick DM. BMJ. 2001;322:247-248.
STUDY
Increased catheter-related bloodstream infection rates after the introduction of a new mechanical valve intravenous access port.
Maragakis LL, Bradley KL, Song X, et al. Infect Control Hosp Epidemiol. 2006;27:67-70.
COMMENTARY
Taking aim at infusion confusion.
Burdeu G, Crawford R, van de Vreede M, McCann J. J Nurs Care Qual. 2006;21:151-159.
NEWSPAPER/MAGAZINE ARTICLE
Doctors see flaw in device recalls.
Kerber R. The Boston Globe. June 23, 2005;Business section:E1.
STUDY
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.
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