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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.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
NEWSPAPER/MAGAZINE ARTICLE
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.
NEWSPAPER/MAGAZINE ARTICLE
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.
COMMENTARY
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
MEASUREMENT TOOL/INDICATOR
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.  
NEWSPAPER/MAGAZINE ARTICLE
Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
NEWSPAPER/MAGAZINE ARTICLE
Shakespeare was on target—don't be a borrower or lender.
ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
BOOK/REPORTclassic
Preventing Medication Errors: Quality Chasm Series.
Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.
STUDY
Frequency, types, and potential clinical significance of medication-dispensing errors.
Bohand X, Simon L, Perrier E, Mullot H, Lefeuvre L, Plotton C. Clinics. 2009;64:11-16.
STUDY
Effects of an automatic drug dispensing system on medication adverse event occurrences and cost containment at SAMSO.
Dib JG, Abdulmohsin SA, Farooki MU, et al. Hosp Pharm. 2006;41:1180-1184.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors: a year in review.
Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.
STUDY
Errors during the preparation of drug infusions: a randomized controlled trial.
Adapa RM, Mani V, Murray LJ, et al. Br J Anaesth. 2012;109:729-734.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors associated with documented allergies.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
COMMENTARY
Automated dispensing cabinets.
Gaunt MJ, Johnston J, Davis MM. Am J Nurs. 2007;107:27-28.
FACT SHEET/FAQS
Bar-Coded Medication Administration (BCMA).
Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.
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