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ISMP Medication Safety Alert! Acute Care Edition. December 16, 2004;9:1-2.
IV potassium given epidurally: getting to the "route" of the problem.
ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.
FDA to end program that hid millions of reports on faulty medical devices.
Jewett C. Kaiser Health News. May 3, 2019.
Transcription errors of blood glucose values and insulin errors in an intensive care unit: secondary data analysis toward electronic medical record–glucometer interoperability.
Sowan AK, Vera A, Malshe A, Reed C. JMIR Med Inform. 2019;7:e11873.
Unintended patient safety risks due to wireless smart infusion pump library update delays.
Hsu KY, DeLaurentis P, Bitan Y, Degnan DD, Yih Y. J Patient Saf. 2019;15:e8-e14.
High-alert medication administration and intravenous smart pumps: a descriptive analysis of clinical practice.
Marwitz KK, Giuliano KK, Su WT, Degnan D, Zink RJ, DeLaurentis P. Res Social Adm Pharm. 2019;15:889-894.
Insulin pumps have most reported problems in FDA database.
Mohr H, Weiss M. Associated Press. November 27, 2018.
Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review.
Papadopoulos I, Koulouglioti C, Ali S. Contemp Nurse. 2018;54:425-442.
Reducing treatment errors through point-of-care glucometer configuration.
Estock JL, Pham IT, Curinga HK, et al. Jt Comm J Qual Patient Saf. 2018;44:683-694.
Smart pump custom concentrations without hard "low concentration" alerts can lead to patient harm.
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2018;23:1-4.
Principles of automation for patient safety in intensive care: learning from aviation.
Dominiczak J, Khansa L. Jt Comm J Qual Patient Saf. 2018;44:366-371.
Intravenous smart pumps: usability issues, intravenous medication administration error, and patient safety.
Giuliano KK. Crit Care Nurs Clin North Am. 2018;30:215-224.
Intravenous smart pump drug library compliance: a descriptive study of 44 hospitals.
Giuliano KK, Su WT, Degnan DD, Fitzgerald K, Zink RJ, DeLaurentis P. J Patient Saf. 2018;14:e76-e82.
More than half a million heart surgery patients at risk of a dangerous infection.
Sun LH. The Washington Post. October 13, 2016.
The frequency of intravenous medication administration errors related to smart infusion pumps: a multihospital observational study.
Schnock KO, Dykes PC, Albert J, et al. BMJ Qual Saf. 2017;26:131-140.
Medical Device Use Error: Root Cause Analysis.
Wiklund M, Dwyer A, Davis E. Boca Raton, FL: CRC Press; 2015. ISBN: 9781498705790.
Making healthcare safer by understanding, designing and buying better IT.
Thimbleby H, Lewis A, Williams J. Clin Med. 2015;15:258-262.
PCA safety data review after clinical decision support and smart pump technology implementation.
Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.
Luer Connector Misconnections: Under-Recognized but Potentially Dangerous Events.
Medical Product Safety Network. Silver Spring, MD; US Food and Drug Administration.
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.
Notre Dame students design to save lives.
McFadden M. WNDU. February 21, 2012.
Safety in numbers? Try connectivity.
Dyell D. Patient Saf Qual Healthc. January/February 2012;9:34-37.
Radiation risks of diagnostic imaging.
Sentinel Event Alert #47. August 24, 2011.
Tubing misconnections: normalization of deviance.
Simmons D, Symes L, Guenter P, Graves K. Nutr Clin Pract. 2011;26:286-293.
Preventing catheter/tubing misconnections: much needed help is on the way.
ISMP Medication Safety Alert! Acute Care Edition. July 15, 2010;15:1-2.
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
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