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Approach to Improving Safety
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ORGANIZATIONAL POLICY/GUIDELINES
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
NEWSPAPER/MAGAZINE ARTICLE
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Collins TR. The Hospitalist. July 2011.
NEWSPAPER/MAGAZINE ARTICLE
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
ISMP Medication Safety Alert! Acute Care Edition. November 15, 2012;17:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Heparin overdose in three infants revisits hospital error issues.
Phend C. MedPage Today. November 26, 2007.
STUDY
Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.
Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.
STUDY
Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.
Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.
COMMENTARY
Anticoagulation patient safety goal compliance at a university health system: methods for achieving the goal.
Franco AC, Maxwell P, Green K, Barthol C. Hosp Pharm. 2009;44:776-780, 784.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
NEWSPAPER/MAGAZINE ARTICLE
Survey shows recession has weakened patient safety net.
ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.
NEWSPAPER/MAGAZINE ARTICLE
Common cause analysis.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
STUDY
Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.
Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.
STUDYclassic
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.
NEWSPAPER/MAGAZINE ARTICLE
Enhanced medication safety.
Mansur JM. Hosp Health Netw. April 29, 2008. 
STUDY
Perceived value of ward-based pharmacists from the perspective of physicians and nurses.
Gillespie U, Mörlin C, Hammarlund-Udenaes M, Hedström M. Int J Clin Pharm. 2012;34:127-135.
STUDY
Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.
Kaushal R, Bates DW, Abramson EL, Soukup JR, Goldmann DA. Am J Health Syst Pharm. 2008;65:1254-1260.
STUDY
Use of specific indicators to detect warfarin-related adverse events.  
Hartis CE, Gum MO, Lederer JW Jr. Am J Health Syst Pharm. 2005;62:1683-1688.
STUDY
Drug errors and related interventions reported by United States clinical pharmacists: The American College of Clinical Pharmacy Practice-Based Research Network medication error detection, amelioration and prevention study.
Kuo GM, Touchette DR, Marinac JS; American College of Clinical Pharmacy Practice-Based Research Network Collaborative. Pharmacotherapy. 2013;33:253-265.
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