Commentary ISMP medication error report analysis. Citation Text: Cohen MR; Smetzer JL. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL January 9, 2008 Cohen MR; Smetzer JL. View more articles from the same authors. This monthly selection of medication error reports discusses problems related to a lack of standardization in IV dosing and talc misadministration. Free full text (PDF) Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Cohen MR; Smetzer JL. Copy Citation Related Resources From the Same Author(s) ISMP medication error report analysis. January 20, 2010 ISMP medication error report analysis. December 9, 2009 ISMP medication error report analysis. June 9, 2010 ISMP medication error report analysis. October 28, 2009 ISMP medication error report analysis. February 4, 2009 ISMP medication error report analysis. December 3, 2008 ISMP medication error report analysis. 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Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. March 6, 2005
Shaping systems for better behavioral choices: lessons learned from a fatal medication error. March 24, 2010
Medical research and the Institutional Review Board: the librarian's role in human subject testing. October 26, 2005
Medical Errors and Patient Safety: A Curriculum Guide for Teaching Medical Students and Family Practice Residents. March 6, 2005
Achieving a successful patient safety program with implementation of a harm reduction strategy. October 25, 2023
Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition. June 1, 2005
Environmental Cleaning for the Prevention of Healthcare-Associated Infections (HAIs). September 16, 2015
Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability. August 16, 2006
Salzburg Global Seminar Session 565—Better Health Care: How Do We Learn About Improvement? May 16, 2018
Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis. March 1, 2023
Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey of 4075 paediatricians in the UK and Ireland. July 29, 2020
Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers. December 16, 2020
Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study. May 19, 2021
Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17. October 20, 2021
Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic. November 25, 2020
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Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence December 1, 2021
Development and pilot evaluation of an electronic health record usability and safety self-assessment tool. August 24, 2022
Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial. June 8, 2016
Does employee safety matter for patients too? Employee safety climate and patient safety culture in health care. May 20, 2015
Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States. December 19, 2018
A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study. February 6, 2019
Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior. July 10, 2019
Emergency department discharge prescription interventions by emergency medicine pharmacists. June 20, 2012
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Opioid prescribing in the United States before and after the Centers for Disease Control and Prevention's 2016 opioid guideline. September 12, 2018
Comparative performance of pediatric weight estimation techniques: a human factor errors analysis. November 1, 2017
The effect of computerised decision support alerts tailored to intensive care on the administration of high-risk drug combinations, and their monitoring: a cluster randomised stepped-wedge trial. February 14, 2024
Risks to Medication Delivery Using Ambulatory Infusion Pumps – Design and Usability in Inpatient Settings. February 14, 2024
Developing a comprehensive framework of safeguarding strategies to address anticipated errors with organizational high-alert medications. January 31, 2024
WebM&M Cases Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose October 31, 2023
Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. July 12, 2023
Perspectives on Safety Annual Perspective Technology as a Tool for Improving Patient Safety March 29, 2023
Latent and active failures perfectly align to allow a preventable adverse event to reach a patient. February 1, 2023
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Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020
WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. January 23, 2019
Recommendations and low-technology safety solutions following neuromuscular blocking agent incidents. February 3, 2016
High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process. November 2, 2011
Improving insulin distribution and administration safety using Lean Six Sigma methodologies. April 14, 2010
Applying Lean Sigma solutions to mistake-proof the chemotherapy preparation process. February 17, 2010