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United States of America
PATIENT SAFETY PRIMERS
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Device-related Complications (138)
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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.
STUDY
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
BOOK/REPORT
Safe Practices for Better Healthcare: 2006 Update.
National Quality Forum. Washington, DC: National Quality Forum; 2007.
COMMENTARY
Reducing methicillin-resistant
Staphylococcus aureus
(MRSA) infections.
Griffin FA. Jt Comm J Qual Patient Saf. 2007;33:726-731.
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.
CLINICAL GUIDELINE
Medication errors in acute cardiovascular and stroke patients. A scientific statement from the American Heart Association.
Michaels AD, Spinler SA, Leeper B, et al; American Heart Association Acute Cardiac Care Committee of the Council on Clinical Cardiology, Council on Quality of Care and Outcomes Research, Council on Cardiopulmonary, Critical Care, Perioperative, and Resuscitation, Council on Cardiovascular Nursing, Stroke Council. Circulation. 2010;121:1664-1682.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
STUDY
The ability of intensive care units to maintain zero central line–associated bloodstream infections.
Lipitz-Snyderman A, Needham DM, Colantuoni E, et al. Arch Intern Med. 2011;171:856-858.
BOOK/REPORT
Toward Improving the Outcome of Pregnancy: Enhancing Perinatal Health Through Quality, Safety and Performance Initiatives (TIOP III).
Berns SD, ed. White Plains, NY: March of Dimes; December 2010.
COMMENTARY
Preventing catheter-related bloodstream infections: thinking outside the checklist.
Perencevich EN, Pittet D. JAMA. 2009;301:1285-1287.
MEASUREMENT TOOL/INDICATOR
Medication Safety Self Assessment for Automated Dispensing Cabinets.
Horsham, PA: Institute for Safe Medication Practices; 2009.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:730-733.
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
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.
Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.
ORGANIZATIONAL POLICY/GUIDELINES
Joint Policy Statement—Guidelines for Care of Children in the Emergency Department.
American Academy of Pediatrics Committee on Pediatric Emergency Medicine; American College of Emergency Physicians Pediatric Committee; Emergency Nurses Association Pediatric Committee. Pediatrics. 2009;124:1233-1243.
ORGANIZATIONAL POLICY/GUIDELINES
American Society of Clinical Oncology/Oncology Nursing Society chemotherapy administration safety standards.
Jacobson JO, Polovich M, McNiff KK, et al; American Society of Clinical Oncology; Oncology Nursing Society. Oncol Nurs Forum. 2009;36:651-658.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee Opinion #367: communication strategies for patient handoffs.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2007;109:1503-1505.
CALIFORNIA MEETING/CONFERENCE
2013 Current & Emerging Issues Symposium.
Organization for Safety, Asepsis and Prevention. June 13–15, 2013; Hyatt Regency Mission Bay Spa & Marina, San Diego, CA.
ORGANIZATIONAL POLICY/GUIDELINES
ACOG Committee Opinion #398: fatigue and patient safety.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2008;111:471-474.
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