Medical Device Design
PATIENT SAFETY PRIMERS
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Intravenous medication safety and smart infusion systems: lessons learned and future opportunities.
Keohane CA, Hayes J, Saniuk C, Rothschild JM, Bates DW. J Infus Nurs. 2005;28:321-328.
M.R.I.'s strong magnets cited in accidents.
McNeil DG Jr. New York Times. August 19, 2005;National Desk section:1.
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.
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.
IV potassium given epidurally: getting to the "route" of the problem.
ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.
Tubing misconnections—a persistent and potentially deadly occurrence.
Sentinel Event Alert. April 3, 2006;(36):1-3.
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.
Smart pumps: advanced capabilities and continuous quality improvement.
Vanderveen T. Patient Saf Quality Healthc. January/February 2007.
Doctors see flaw in device recalls.
Kerber R. The Boston Globe. June 23, 2005;Business section:E1.
Taking aim at infusion confusion.
Burdeu G, Crawford R, van de Vreede M, McCann J. J Nurs Care Qual. 2006;21:151-159.
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].
Syed S, Paul JE, Hueftlein M, Kampf M, McLean RF. Can J Anaesth. 2006;53:586-590.
Safety Information on Alaris SE Infusion Pumps.
Food and Drug Administration (FDA) Patient Safety News. Show #57. November 2006.
Smart pumps: implications for nurse leaders.
Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.
Improving safety throughout the medication use process in a neonatal intensive care unit.
Asdigha MN. Hosp Pharm. 2006;41:1067-1075.
Enhancing patient safety with intelligent intravenous infusion devices: experience in a specialty cardiac hospital.
Wood JL, Burnette JS. Heart Lung. 2012;41:173-176.
Brunette DD. AHRQ WebM&M [serial online]. March 2005.
Pump design flaws demonstrate need for practitioner involvement in FMEA.
ISMP Medication Safety Alert! Acute Care Edition. May 4, 2006:11:1-2,4.
Impact of a comprehensive safety initiative on patient-controlled analgesia errors.
Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.
Systematic review: antimicrobial urinary catheters to prevent catheter-associated urinary tract infection in hospitalized patients.
Johnson JR, Kuskowski MA, Wilt TJ. Ann Intern Med. 2006;144:116-126.
Usability study of two common defibrillators reveals hazards.
Fairbanks RJ, Caplan SH, Bishop PA, Marks AM, Shah MN. Ann Emerg Med. 2007;50:424-432.
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