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| 1. | Multi-use Website: National Patient Safety Goals. |
| | Oakbrook Terrace, IL: The Joint Commission; 2009. |
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| 2. | Study: Implementing patient safety practices in small ambulatory care settings. |
| | Schauberger CW, Larson P. Jt Comm J Qual Patient Saf. 2006;32:419-425. |
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| 3. | Fact Sheet/FAQs: Look Alike/Sound Alike Drugs. |
| | The Joint Commission. |
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| 4. | Multi-use Website: Drug Error Finder. |
| | United States Pharmacopeia. |
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| 5. | 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. |
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| 6. | Commentary: ISMP medication error report analysis. |
| | Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065. |
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| 7. | Audiovisual: Stopping medical mistakes ahead of time. |
| | Parikh S. WNYW Fox 5. New York, NY. December 26, 2009. |
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| 8. | Commentary: ISMP medication error report analysis. |
| | Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945. |
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| 9. | Commentary: ISMP medication error report analysis. |
| | Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853. |
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| 10. | Newspaper/Magazine Article: Medication mistakes that can kill. |
| | Haiken M. Caring.com. August 17, 2009. |
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| 11. | Newspaper/Magazine Article: Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances. |
| | Patel A. ABCnews.com. August 21, 2009. |
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| 12. | Fact Sheet/FAQs: ISMP's List of Confused Drug Names. |
| | Institute for Safe Medication Practices. 2009. |
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| 13. | Commentary: ISMP medication error report analysis. |
| | Cohen MC. Hosp Pharm. 2009;44:374-378. |
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| 14. | Commentary: Avoiding errors associated with insulin therapy. |
| | Cohen H. Medscape CME/CE. May 14, 2009. |
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| 15. | Newspaper/Magazine Article: Survey on LASA drug name pairs: who knows what’s on your list and the best ways to prevent mix-ups? |
| | ISMP Medication Safety Alert! Acute Care Edition. May 21, 2009;14:1-3. |
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| 16. | Study: An exploratory study measuring verbal order content and context. |
| | Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173. |
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| 17. | Newspaper/Magazine Article: Spell it out: ensuring compliance with do-not-use abbreviation policies. |
| | Jt Comm Perspect Patient Saf. April 2009;9:1-3,13-15. |
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| 18. | Commentary: 2009 National Patient Safety Goals. |
| | Saufl NM. J Perianesth Nurs. 2009;24:114-118. |
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| 19. | Commentary: ISMP medication error report analysis. |
| | Cohen MR. Hosp Pharm. 2009;44:288-292. |
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| 20. | Study: Pediatric vaccination errors: application of the "5 rights" framework to a national error reporting database. |
| | Bundy DG, Shore AD, Morlock LL, Miller MR. Vaccine. 2009;27:3890-3896. |