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Approach to Improving Safety
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NEWSPAPER/MAGAZINE ARTICLE
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
STUDY
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
STUDY
From research to practice: factors affecting implementation of prospective targeted injury-detection systems.
Sorensen AV, Harrison MI, Kane HL, Roussel AE, Halpern MT, Bernard SL. BMJ Qual Saf. 2011;20:527-533.
NEWSPAPER/MAGAZINE ARTICLE
Supplementary Advisory: Results of the PA-PSRS Workgroup on Pharmacy Computer System Safety.
PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.
STUDY
Comparison of computerized surveillance and manual chart review for adverse events.
Tinoco A, Evans RS, Staes CJ, Lloyd JF, Rothschild JM, Haug PJ. J Am Med Inform Assoc. 2011;18:491-497.
STUDY
Predictive value of alert triggers for identification of developing adverse drug events.
Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.
STUDY
Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.
Fitzhenry F, Doran J, Lobo B, et al. Am J Health Syst Pharm. 2011;68:434-441.
COMMENTARY
A model for medication safety event detection.
Snyder RA, Fields W. Int J Qual Health Care. 2010;22:179-186.
NEWSPAPER/MAGAZINE ARTICLE
As industry automates, adverse events continue to haunt caregivers.
Wetzel TG. Health Data Manage. 2011 Feb;19:86, 88, 90 passim.
STUDY
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
STUDY
Impact of health information technology on detection of potential adverse drug events at the ordering stage.
Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Am J Health Syst Pharm. 2010;67:1838-1846.
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.
STUDY
A trigger tool fails to identify serious errors and adverse events in pediatric otolaryngology.
Lander L, Roberson DW, Plummer KM, Forbes PW, Healy GB, Shah RK. Otolaryngol Head Neck Surg. 2010;143:480-486.
COMMENTARY
Eliminating adverse drug events at Ascension Health.
Butler K, Mollo P, Gale JL, Rapp DA. Jt Comm J Qual Patient Saf. 2007;33:527-536.
STUDY
Can surveillance systems identify and avert adverse drug events? A prospective evaluation of a commercial application.
Jha AK, Laguette J, Seger A, Bates DW. J Am Med Inform Assoc. 2008;15:647-653.
STUDY
A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients.
Ferranti J, Horvath MM, Cozart H, et al. J Patient Saf. 2008;4:184-190.
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