AHRQ Patient Safety Network

Improving heparin safety: a multidisciplinary invited conference.

Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.

This article summarizes results from a conference regarding heparin errors, their epidemiology, and error types along with ways to increase safety.

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COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

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Resource Type

Commentary

Setting of Care

Hospitals

Target Audience

Health Care Providers

Health Care Executives and Administrators

Clinical Area

General Internal Medicine

Safety Target

Medication Errors/Preventable Adverse Drug Events

Anticoagulants

Error Types

Epidemiology of Errors and Adverse Events

Cognitive Errors ("Mistakes")

Approach to Improving Safety

Critical Pathways

Failure Mode Effects Analysis

Communication between Providers

Provider-Patient Communication

Medical Device Design

Automatic drug dispensers

Education and Training

Origin/Sponsor

United States of America