Study A quality improvement study: medication error leading to thyrotoxicosis and death. Citation Text: Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Levine JM. J Am Med Dir Assoc. 2004;5(6):410-3. View more articles from the same authors. PubMed citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Levine JM. A quality improvement study: medication error leading to thyrotoxicosis and death. J Am Med Dir Assoc. 2004;5(6):410-3. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Health apps and health policy: what is needed? 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Risks of complications by attending physicians after performing nighttime procedures. October 21, 2009
Severity of medication administration errors detected by a bar-code medication administration system. October 1, 2008
Targeted communication intervention using nursing crew resource management principles. March 25, 2015
Understanding interdisciplinary health care teams: using simulation design processes from the Air Carrier Advanced Qualification Program to identify and train critical teamwork skills. December 9, 2009
What is the measure of a safe hospital? Medication errors missed by risk management, clinical staff, and surveyors. August 10, 2005
An acetaminophen icon helps reduce medication decision errors in an experimental setting. August 17, 2016
Bridging the gap: leveraging business intelligence tools in support of patient safety and financial effectiveness. March 17, 2010
Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. October 19, 2005
Secure text messaging in healthcare: latent threats and opportunities to improve patient safety. October 30, 2019
Adverse drug events and medication errors in psychiatry: methodological issues regarding identification and classification. March 26, 2008
Linking acknowledgement to action: closing the loop on non-urgent, clinically significant test results in the electronic health record. April 15, 2015
Using a bar-coded medication administration system to prevent medication errors in a community hospital network. December 21, 2005
Reliability evaluation of the adapted National Coordinating Council Medication Error Reporting and Prevention (NCC MERP) index. June 13, 2007
Discrepancies in written versus calculated durations in opioid prescriptions: pre-post study. April 22, 2020
Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy. July 9, 2014
Special report: COVID deepens the other opioid crisis - a shortage of hospital painkillers. June 24, 2020
Improving the reliability of verbal communication between primary care physicians and pediatric hospitalists at hospital discharge. June 24, 2015
Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies. February 2, 2011
A multifaceted approach to safety: the synergistic detection of adverse drug events in adult inpatients. September 17, 2008
A controlled trial of smart infusion pumps to improve medication safety in critically ill patients. April 21, 2005
The influence of organizational culture, climate and commitment on speaking up about medical errors. December 18, 2019
Effects of reducing or eliminating resident work shifts over 16 hours: a systematic review. August 25, 2010
Costs of intravenous adverse drug events in academic and nonacademic intensive care units. January 16, 2008
Incidence and preventability of adverse drug events among older persons in the ambulatory setting. March 6, 2005
When bad things happen: training medical students to anticipate the aftermath of medical errors. September 2, 2020
Knowledge retention after simulated crisis: importance of independent practice and simulated mortality. June 5, 2019
An initiative to improve the management of clinically significant test results in a large health care network. October 30, 2013
Using in situ simulation to identify and resolve latent environmental threats to patient safety: case study involving a labor and delivery ward. September 9, 2009
Medication dispensing errors and potential adverse drug events before and after implementing bar code technology in the pharmacy. September 27, 2006
Strategies for detecting adverse drug events among older persons in the ambulatory setting. March 6, 2005
Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach. August 31, 2016
Association between mobile telephone interruptions and medication administration errors in a pediatric intensive care unit. January 15, 2020
Learning through simulated independent practice leads to better future performance in a simulated crisis than learning through simulated supervised practice. February 18, 2015
Optimizing situation awareness to reduce emergency transfers in hospitalized children. October 20, 2021
Understanding and preventing wrong-patient electronic orders: a randomized controlled trial. July 18, 2012
Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. January 23, 2008
The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care. August 24, 2005
Effect of reducing interns' work hours on serious medical errors in intensive care units. March 27, 2005
Integrating patient safety education into early medical education utilizing cadaver, sponges, and an inter-professional team. November 7, 2018
Physician knowledge, attitudes, and behavior related to reporting adverse drug events. March 27, 2005
Simulation-based assessment of the management of critical events by board-certified anesthesiologists. September 13, 2017
The Israel Center for Medical Simulation: a paradigm for cultural change in medical education. December 13, 2006
Impact of duty hour regulations on medical students' education: views of key clinical faculty. July 23, 2008
The Diagnostic Error Index: a quality improvement initiative to identify and measure diagnostic errors. February 10, 2021
Standardizing opioid prescriptions to patients after ambulatory oncologic surgery reduces overprescription. July 1, 2020
The missing link: dedicated patient safety education within top-ranked US nursing school curricula. September 1, 2010
John M. Eisenberg Patient Safety Awards. Individual lifetime achievement: Jeffrey B. Cooper, Ph.D., Massachusetts General Hospital. March 27, 2005
View from the cockpit: what the airline industry can teach us about patient safety. November 29, 2006
Improving transfusion safety in the operating room with a barcode scanning system designed specifically for the surgical environment and existing electronic medical record systems: an interrupted time series analysis. September 9, 2020
Impact of high-reliability education on adverse event reporting by registered nurses. October 10, 2018
Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care. April 25, 2018
A surgical procedure grid for safety and operating room communication in multisite surgery. January 31, 2018
Improving safety for hospitalized patients: much progress but many challenges remain. August 17, 2016
Harnessing implementation science to improve care quality and patient safety: a systematic review of targeted literature. May 21, 2014
Learning from disasters to improve patient safety: applying the generic disaster pathway to health system errors. February 9, 2011
Duty hours restriction and their effect on resident education and academic departments: the American perspective. December 5, 2007
Patient harm resulting from medication reconciliation process failures: a study of serious events reported by Pennsylvania hospitals. March 24, 2021
Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis. March 10, 2021
The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. March 10, 2021
Transforming the medication regimen review process using telemedicine to prevent adverse events. December 16, 2020
Operationalizing occupational fatigue in pharmacists: an exploratory factor analysis. November 18, 2020
Using medication containers during pharmacist transitional care visits and impact on medication discrepancies identified and hospital readmission risk. November 11, 2020
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020
What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization. October 21, 2020
Analysis of risk factors for patient safety events occurring in the emergency department. October 7, 2020
Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data. October 7, 2020
Team-based approach to improving medication reconciliation rates in family medicine residency clinics. October 7, 2020
How accurately do older adult emergency department patients recall their medications? August 12, 2020
Implementation and sustainability of a medication reconciliation toolkit: a mixed methods evaluation. August 5, 2020
Pharmacist-led program to improve transitions from acute care to skilled nursing facility care. July 8, 2020
Participation in a system-thinking simulation experience changes adverse event reporting. July 8, 2020
Applying the Medications at Transitions and Clinical Handoffs Toolkit in a rural primary care clinic: implications for nursing, patients, and caregivers. July 8, 2020
Measuring the impact of medication-related interventions on 30-day readmission rates in a skilled nursing facility. July 1, 2020
Analysis of iatrogenic and in-hospital medication errors reported to United States poison centers: a retrospective observational study. June 24, 2020
National trends in the safety performance of electronic health record systems from 2009 to 2018. June 17, 2020
Indication-specific opioid prescribing for US patients with Medicaid or private Insurance, 2017 June 10, 2020
Association between cancer-specific adverse event triggers and mortality: a validation study. May 20, 2020
High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. May 20, 2020
Adverse events present on arrival to the emergency department: the ED as a dual safety net. March 11, 2020
Using a machine learning system to identify and prevent medication prescribing errors: a clinical and cost analysis evaluation. December 18, 2019
Patterns in medication incidents: a 10-yr experience of a cross-national anaesthesia incident reporting system. December 18, 2019
Adverse events in long-term care residents transitioning from hospital back to nursing home. August 7, 2019
Assessing the safety of electronic health records: a national longitudinal study of medication-related decision support. August 7, 2019