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Approach to Improving Safety
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COMMENTARY
In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
AUDIOVISUAL
Health agency: drug errors still common.
Knox R. "All Things Considered." National Public Radio. July 20, 2006.
STUDYclassic
Mixed results in the safety performance of computerized physician order entry.
Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.
STUDY
An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.
Palchuk MB, Fang EA, Cygielnik JM, et al. J Am Med Inform Assoc. 2010;17:472-476.
STUDY
Comparison of methods for identifying patients at risk of medication-related harm.
van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.
STUDY
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.
REVIEW
Year in review: medication mishaps in the elderly.
Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.
STUDY
Overrides of medication-related clinical decision support alerts in outpatients.

Nanji KC, Slight SP, Seger DL, et al. J Am Med Inform Assoc. 2014;21:487-491.

STUDY
Clinical decision support for atypical orders: detection and warning of atypical medication orders submitted to a computerized provider order entry system.
Woods AD, Mulherin DP, Flynn AJ, Stevenson JG, Zimmerman CR, Chaffee BW. J Am Med Inform Assoc. 2014;21:569-573.
STUDY
Drug related problems and pharmacist interventions in a geriatric unit employing electronic prescribing.
Raimbault-Chupin M, Spiesser-Robelet L, Guir V, et al. Int J Clin Pharm. 2013;35:847-853.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee opinion #531: improving medication safety.
ACOG Committee on Patient Safety and Quality Improvement of American College of Obstetricians-Gynecologists. Obstet Gynecol. 2012;120:406-410.
STUDY
Drug–drug interactions that should be non-interruptive in order to reduce alert fatigue in electronic health records.
Phansalkar S, van der Sijs H, Tucker AD, et al. J Am Med Inform Assoc. 2013;20:489-493.
STUDY
Relationship between medication event rates and the Leapfrog computerized physician order entry evaluation tool.
Leung AA, Keohane C, Lipsitz S, et al. J Am Med Inform Assoc. 2013;20:e85-e90.
STUDY
Potential medication errors associated with computer prescriber order entry.
Villamañán E, Larrubia Y, Ruano M, et al. Int J Clin Pharm. 2013;35:577-583.
STUDY
The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals.
Westbrook JI, Baysari MT, Li L, Burke R, Richardson KL, Day RO. J Am Med Inform Assoc. 2013;20:1159-1167.
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