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| 1. |  Study: Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial. |
| | Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780. |
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| 2. | Study: Public reporting of antibiotic timing in patients with pneumonia: lessons from a flawed performance measure. |
| | Wachter RM, Flanders SA, Fee C, Pronovost PJ. Ann Intern Med. 2008;149:29-32. |
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| 3. | Study: Workarounds to barcode medication administration systems: their occurrences, causes, and threats to patient safety. |
| | Koppel R, Wetterneck T, Telles JL, Karsh BT. J Am Med Inform Assoc. 2008;15:408-423. |
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| 4. | Study: A randomized trial of electronic clinical reminders to improve medication laboratory monitoring. |
| | Matheny ME, Sequist TD, Seger AC, et al. J Am Med Inform Assoc. 2008;15:424-429. |
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| 5. | Study: Effect of computer order entry on prevention of serious medication errors in hospitalized children. |
| | Walsh KE, Landrigan CP, Adams WG, et al. Pediatrics. 2008;121:e421-e427. |
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| 6. | Study: Medication use leading to emergency department visits for adverse drug events in older adults. |
| | Budnitz DS, Shehab N, Kegler SR, Richards CL. Ann Intern Med. 2007;147:755-765. |
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| 7. | Study: What do medical records tell us about potentially harmful co-prescribing? |
| | Elston Lafata J, Simpkins J, Kaatz S, et al. Jt Comm J Qual Patient Saf. 2007;33:395-400. |
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| 8. | Multi-use Website: National Patient Safety Goals. |
| | Oakbrook Terrace, IL: The Joint Commission; 2009. |
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| 9. | Study: Patients' concerns about medical errors during hospitalization. |
| | Burroughs TE, Waterman AD, Gallagher TH, et al. Jt Comm J Qual Patient Saf. 2007;33:5-14. |
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| 10. | Study: Literacy and misunderstanding prescription drug labels. |
| | Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94. |
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| 11. | Study: Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. |
| | Poon EG, Cina JL, Churchill W, et al. Ann Intern Med. 2006;145:426-434. |
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| 12. | Book/Report: Preventing Medication Errors: Quality Chasm Series. |
| | Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007. |
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| 13. | Review: Systematic review: impact of health information technology on quality, efficiency, and costs of medical care. |
| | Chaudhry B, Wang J, Wu S, et al. Ann Intern Med. 2006;144:742-752. |
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| 14. | Commentary: Computerization can create safety hazards: a bar-coding near miss. |
| | McDonald CJ. Ann Intern Med. 2006;144:510-516. |
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| 15. | Study: Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system. |
| | Han YY, Carcillo JA, Venkataraman ST, et al. Pediatrics. 2005;116:1506-1512. |
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| 16. | Study: The long road to patient safety: a status report on patient safety systems. |
| | Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865. |
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| 17. | Study: Taking the pulse of health care systems: experiences of patients with health problems in six countries. |
| | Schoen C, Osborn R, Huynh PT, et al. Health Aff. 2005;Web Exclusives(suppl):W5-509-25. |
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| 18. | Commentary: Fixing healthcare from the inside, today. |
| | Spear SJ. Harv Bus Rev. September 2005;83:78-91. |
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| 19. | Study: High rates of adverse drug events in a highly computerized hospital. |
| | Nebeker JR, Hoffman JM, Weir CR, Bennett CL, Hurdle JF. Arch Intern Med. 2005;165:1111-1116. |
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| 20. | Study: A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. |
| | Rothschild JM, Keohane CA, Cook EF, et al. Crit Care Med. 2005;33:533-540. |
