AHRQ Patient Safety Network

National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.

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.

COMMENTARY

Prevention of fatal opioid overdose.

Beletsky L, Rich JD, Walley AY. JAMA. 2012;308:1863-1864.

COMMENTARY

System failure versus personal accountability--the case for clean hands.

Goldmann D. N Engl J Med. 2006;355:121-123.

COMMENTARY

The heart of health care: parents' perspectives on patient safety.

Micalizzi DA, Bismark MM. Pediatr Clin North Am. 2012;59:1233-1246.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:844-847.

BOOK/REPORT

There and Home Again, Safely.

Sokol PE, Wynia MK; AMA Expert Panel on Care Transitions. Chicago, IL: American Medical Association; February 2013.

ORGANIZATIONAL POLICY/GUIDELINES

AORN guidance statement: "do-not-use" abbreviations, acronyms, dosage designations, and symbols.

AORN J. 2006;84:489-492.

COMMENTARY

A framework for encouraging patient engagement in medical decision making.

Holzmueller CG, Wu AW, Pronovost PJ. J Patient Saf. 2012;8:161-164.

COMMENTARY

Clinical problem-solving. Lost in transcription.

Kalus RM, Shojania KG, Amory JK, Saint S. N Engl J Med. 2006;355:1487-1491.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

STUDY

Implementation of a mandatory checklist of protocols and objectives improves compliance with a wide range of evidence-based intensive care unit practices.

Byrnes MC, Schuerer DJ, Schallom ME, et al. Crit Care Med. 2009; 37:2775-2781.

COMMENTARY

Reducing methicillin-resistant Staphylococcus aureus (MRSA) infections.

Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.

STUDY

Reducing warfarin medication interactions: an interrupted time series evaluation.

Feldstein AC, Smith DH, Perrin N, et al. Arch Intern Med. 2006;166:1009-1015.

COMMENTARY

Automated electronic reminders to prevent miscommunication among primary medical, surgical and anaesthesia providers: a root cause analysis.

Freundlich RE, Grondin L, Tremper KK, Saran KA, Kheterpal S. BMJ Qual Saf. 2012;21:850-854.

BOOK/REPORT

Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy.

Edmondson AC, Schein EH. San Franscisco, CA: Jossey-Bass; 2012. ISBN: 9780787970932.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

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