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United States of America
PATIENT SAFETY PRIMERS
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NEWSPAPER/MAGAZINE ARTICLE
Dose of technology helps Shands at UF avoid drug errors.
Chun D. Gainsville Sun. August 21, 2006.
STUDY
The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.
Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.
COMMENTARY
Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.
Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.
REVIEW
Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.
Shamliyan TA, Duval S, Du J, Kane RL. Health Serv Res. 2008;43:32-53.
STUDY
Prescribers' responses to alerts during medication ordering in the long term care setting.
Judge J, Field TS, DeFlorio M, et al. J Am Med Inform Assoc. 2006;13:385-390.
NEWSPAPER/MAGAZINE ARTICLE
ISMP updates its list of drug name pairs with Tall man letters.
ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.
STUDY
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.
NEWSPAPER/MAGAZINE ARTICLE
Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.
Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.
COMMENTARY
Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."
Sittig DF, Ash JS, Zhang J, Osheroff JA, Shabot MM. Pediatrics. 2006;118:797-801.
STUDY
Potential medication dosing errors in outpatient pediatrics.
McPhillips HA, Stille CJ, Smith D, et al. J Pediatr. 2005;147:761-767.
NEWSPAPER/MAGAZINE ARTICLE
Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."
Ostrom CM. Seattle Times. June 22, 2006:B1.
COMMENTARY
Comprehensive analysis of a medication dosing error related to CPOE.
Horsky J, Kuperman GJ, Patel VL. J Am Med Inform Assoc. 2005;12:377-382.
COMMENTARY
Pharmacy clarification of prescriptions ordered in primary care: a report from the Applied Strategies for Improving Patient Safety (ASIPS) collaborative.
Hansen LB, Fernald D, Araya-Guerra R, Westfall JM, West D, Pace W. J Am Board Fam Med. 2006;19:24-30.
COMMENTARY
Appropriate prescribing of medications: an eight-step approach.
Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.
STUDY
Physician characteristics, attitudes, and use of computerized order entry.
Lindenauer PK, Ling D, Pekow PS, et al. J Hosp Med. 2006;1:221-230.
STUDY
Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.
Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.
FACT SHEET/FAQS
Medication safety issue brief. Bar code implementation strategies.
American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. July 2005;79:65-66.
STUDY
Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.
Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:556-557.
STUDY
Oral outpatient chemotherapy medication errors in children with acute lymphoblastic leukemia.
Taylor JA, Winter L, Geyer LJ, Hawkins DS. Cancer. 2006;107:1400-1406.
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