Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

T. P. Baglin; D. Cousins; D. M. Keeling; D. J. Perry; H. G. Watson

Organizational Policy/Guidelines

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

December 13, 2006

Baglin TP, Cousins D, Keeling DM, et al. British journal of haematology. 2007;136(1):26-9.

View more articles from the same authors.

The authors provide guidelines to help manage risks and ensure the safe administration of oral anticoagulant therapy in the United Kingdom.

PubMed citation

Available at

Related Resources From the Same Author(s)

Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.

June 29, 2005

Medication errors in neonatal and paediatric intensive-care units.

March 6, 2005

Medication errors related to product names.

November 9, 2005

Medication errors involving wrong administration technique.

September 14, 2005

Incidence and types of adverse events and negligent care in Utah and Colorado.

March 27, 2005

The economic consequences of medical injuries: implications for a no-fault insurance plan.

March 6, 2005

An observational study of direct oral anticoagulant awareness indicating inadequate recognition with potential for patient harm.

April 13, 2016

Development and measurement of perioperative patient safety indicators.

March 18, 2015

Variation in caregiver perceptions of teamwork climate in labor and delivery units.

July 5, 2006

A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system.

December 16, 2009

Partnered pharmacist charting on admission in the general medical and emergency short-stay unit—a cluster-randomised controlled trial in patients with complex medication regimens.

August 17, 2016

Trends and patterns in reporting of patient safety situations in transplantation.

February 10, 2016

Human factors in anaesthetic practice: insights from a task analysis.

March 19, 2008

Computerised physician order entry-related medication errors: analysis of reported errors and vulnerability testing of current systems.

January 28, 2015

Different roles, same goal: risk and quality management partnering for patient safety. By the ASHRM Monographs Task Force.

October 24, 2007

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.

February 15, 2006

A randomized controlled trial on the effect of a double check on the detection of medication errors.

August 23, 2017

Prospective memory in the ICU: the effect of visual cues on task execution in a representative simulation.

May 15, 2013

Motivational influences on anaesthetists' use of practice guidelines.

May 13, 2009

5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: protocol, methods, and analysis of data.

September 24, 2014

Systems analysis of adverse drug events.

March 27, 2005

Communication and collaboration: it's about the pharmacists, as well as the physicians and nurses.

February 17, 2010

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

January 30, 2005

Relationship between patient complaints and surgical complications.

February 15, 2006

Disclosing large scale adverse events in the US Veterans Health Administration: lessons from media responses.

April 13, 2016

Developing and pilot testing practical measures of preanalytic surgical specimen identification defects.

March 27, 2013

The 5th National Audit Project (NAP5) on accidental awareness during general anaesthesia: patient experiences, human factors, sedation, consent and medicolegal issues.

November 12, 2014

Intensive care unit nurse staffing and the risk for complications after abdominal aortic surgery.

April 3, 2005

Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program.

March 3, 2010

Patient-specific electronic decision support reduces prescription of excessive doses.

May 26, 2010

The technologist's role in patient safety and quality in medical imaging.

June 5, 2013

Drug error in anaesthetic practice: a review of 896 reports from the Australian Incident Monitoring Study database.

April 21, 2005

The impact of critical event checklists on medical management and teamwork during simulated crises in a surgical daycare facility.

June 28, 2017

Teamwork on inpatient medical units: assessing attitudes and barriers.

May 5, 2010

Pharmacovigilance using clinical notes.

May 1, 2013

Healthcare in a land called PeoplePower: nothing about me without me.

March 6, 2005

Assessment of the implementation of a national patient safety alert to reduce wrong site surgery.

January 14, 2009

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

April 30, 2008

Negligent care and malpractice claiming behavior in Utah and Colorado.

March 27, 2005

More than just crushing: a prospective pre-post intervention study to reduce drug preparation errors in patients with feeding tubes.

April 1, 2015

An exploratory study measuring verbal order content and context.

June 10, 2009

Leading article: how can I optimise my role as a leader within the surgical team?

August 31, 2016

The active components of effective training in obstetric emergencies.

June 10, 2009

Standards for patient monitoring during general anesthesia at Harvard Medical School.

March 6, 2005

A cross-cultural survey of residents' perceived barriers in questioning/challenging authority.

August 23, 2006

Harmful medication errors in children: a 5-year analysis of data from the USP's MEDMARX(R) program.

August 2, 2006

Potential benefits and problems with computerized prescriber order entry: analysis of a voluntary medication error-reporting database.

February 22, 2006

Current status of the monitoring of medication practice.

April 8, 2009

Supporting doctors as healthcare quality and safety advocates: recommendations from the Association of Surgeons in Training (ASiT).

July 25, 2018

The impact of shift patterns on junior doctors' perceptions of fatigue, training, work/life balance and the role of social support.

December 22, 2010

Potentially inappropriate medication use and healthcare expenditures in the US community-dwelling elderly.

May 16, 2007

Understanding missed opportunities for more timely diagnosis of cancer in symptomatic patients after presentation.

May 20, 2015

The next phase of health care improvement: what can we learn from social movements?

March 6, 2005

Content analysis of team communication in an obstetric emergency scenario.

September 16, 2009

Contributing factors identified by hospital incident report narratives.

October 22, 2008

Organizational costs of preventable medical errors.

March 6, 2005

The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II.

March 27, 2005

Inappropriate preinjury warfarin use in trauma patients: a call for a safety initiative.

May 18, 2016

Preventable errors in organ transplantation: an emerging patient safety issue?

July 11, 2012

Organisational culture: variation across hospitals and connection to patient safety climate.

January 5, 2011

Measuring and managing quality of surgery. Statistical vs incidental approaches.

March 6, 2005

Post-event debriefings during neonatal care: why are we not doing them, and how can we start?

May 4, 2016

The "To Err Is Human Report" and the patient safety literature.

June 14, 2006

A systematic review of interventions to follow-up test results pending at discharge.

February 7, 2018

Rates of surgical consultations after emergency department admission in Black and White Medicare patients.

October 26, 2022

More to teamwork than knowledge, skill and attitude.

September 1, 2010

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.

February 25, 2015

Study of the deaths associated with anesthesia and surgery: based on a study of 599, 548 anesthesias in ten institutions 1948-1952, inclusive.

March 6, 2005

Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.

December 21, 2005

Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system.

February 20, 2008

Deaths among opioid users: impact of potential inappropriate prescribing practices.

May 15, 2019

Error rating tool to identify and analyse technical errors and events in laparoscopic surgery.

September 11, 2013

Communicating with patients about diagnostic errors in breast cancer care: providers' attitudes, experiences, and advice

January 22, 2020

Transition of care for hospitalized elderly patients—development of a discharge checklist for hospitalists.

January 3, 2007

Burden of difficult encounters in primary care: data from the Minimizing Error, Maximizing Outcomes Study.

March 4, 2009

Transforming healthcare: a safety imperative.

December 9, 2009

Initiatives to identify and mitigate medication errors in England.

April 8, 2015

Resident uncertainty in clinical decision making and impact on patient care: a qualitative study.

April 16, 2008

Doing the right things and doing them the right way: association between hospital guideline adherence, dosing safety, and outcomes among patients with acute coronary syndrome.

June 3, 2015

How useful are voluntary medication error reports? The case of warfarin-related medication errors.

January 9, 2008

Development and usability of a behavioural marking system for performance assessment of obstetrical teams.

November 4, 2009

Impact of electronic chemotherapy order forms on prescribing errors at an urban medical center: results from an interrupted time-series analysis.

November 6, 2013

Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training.

October 14, 2015

A preliminary taxonomy of medical errors in family practice.

March 6, 2005

Medication errors involving patient-controlled analgesia.

March 5, 2008

Crew resource management in the intensive care unit: a prospective 3-year cohort study.

July 1, 2015

The SAGES Fundamental Use of Surgical Energy program (FUSE): history, development, and purpose.

February 14, 2018

Prevalence of medication transfer errors in nephrology patients and potential risk factors.

November 6, 2019

A theoretical framework and competency-based approach to improving handoffs.

May 28, 2008

Disconnected.

May 19, 2010

Global oximetry: an international anaesthesia quality improvement project.

October 21, 2009

Risk factors for retained surgical items: a meta-analysis and proposed risk stratification system.

August 13, 2014

Pharmacist participation on physician rounds and adverse drug events in the intensive care unit.

March 27, 2005

Patients' and physicians' attitudes regarding the disclosure of medical errors.

March 6, 2005

Challenging authority during a life-threatening crisis: the effect of operating theatre hierarchy.

December 19, 2012

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

October 21, 2009

A prevalence study of errors in opioid prescribing in a large teaching hospital.

August 10, 2011

Effect of work-hours regulations on intensive care unit mortality in United States teaching hospitals.

September 2, 2009

Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals.

January 20, 2016

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

Related Resources

Targeted Medication Safety Best Practices for Hospitals.

February 22, 2024

National Patient Safety Goals.

October 25, 2023

Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.

August 23, 2023

National Safety Standards for Invasive Procedures (NatSSIPs2).

February 7, 2023

Modes of failure in venous thromboembolism prophylaxis.

September 28, 2022

Medication dosing safety for pediatric patients: recognizing gaps, safety threats, and best practices in the emergency medical services setting. A position statement and resource document from NAEMSP.

August 26, 2020

WebM&M Cases

Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression

May 27, 2020

Infection prevention in the operating room anesthesia work area.

January 30, 2019

ASH Clinical Practice Guidelines on Venous Thromboembolism.

January 9, 2019

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Standardized Competencies for Parenteral Nutrition Administration: the ASPEN Model.

June 20, 2018

World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.

May 23, 2018

Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review.

May 9, 2018

WebM&M Cases

Over-the-Counter Oversight

December 1, 2017

WebM&M Cases

Miscommunication in the OR Leads to Anticoagulation Mishap

December 1, 2017

Clinical practice guideline: safe medication use in the ICU.

August 30, 2017

Guideline for opioid therapy and chronic noncancer pain.

May 31, 2017

Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.

May 10, 2017

Surviving Sepsis Campaign: international guidelines for management of sepsis and septic shock: 2016

March 3, 2017

Statement on the prevention of retained foreign bodies after surgery.

October 1, 2016

Avoiding Unconscious Bias: a Guide for Surgeons.

August 24, 2016

What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers.

August 24, 2016

July 22, 2015

Guidelines for Adult IV Push Medications.

February 11, 2015

Managing risk during transition to new ISO tubing connector standards.

August 27, 2014

Practices to prevent venous thromboembolism: a brief review.

February 19, 2014

Audit of missed or delayed antimicrobial drugs.

November 13, 2013

Anticoagulant medication errors in nursing homes: characteristics, causes, outcomes, and association with patient harm.

August 7, 2013

Missed medication doses in hospitalised patients: a descriptive account of quality improvement measures and time series analysis.

June 26, 2013

Delivery of optimized inpatient anticoagulation therapy: consensus statement from the Anticoagulation Forum.

June 5, 2013

See More About The Topic

Physicians

Nurses

Hematology

Administration Errors

Anticoagulants

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Recommendations from the British Committee for Standards in Haematology and National Patient Safety Agency.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site