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Ozkan S, Kocaman G, Ozturk C, Seren S. J Nurs Care Qual. 2011:26;136-143.
Ozkan S ; Kocaman G ; Ozturk C; et al. Frequency of pediatric medication administration errors and contributing factors. J Nurs Care Qual. 2011; 26: 136-143
This study applied an organizational accident model and critical incident technique to describe causes of pediatric medication errors. The authors argue that their findings reinforce the need to adopt a systems approach to prevention rather than focusing solely on individual nursing practice.
Antidepressant and antipsychotic medication errors reported to United States poison control centers.
Kamboj A, Spiller HA, Casavant MJ, Chounthirath T, Hodges NL, Smith GA. Pharmacoepidemiol Drug Saf. 2018;27:902-911.
Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.
Lyons I, Furniss D, Blandford A, et al. BMJ Qual Saf. 2018;27:892-901.
Strategies for optimizing OR drug safety.
Meyer TA, McAllister RK. Pharmacy Practice News. March 19, 2018.
A prospective risk assessment of informal carers' medication administration errors within the domiciliary setting.
Parand A, Faiella G, Franklin BD, et al. Ergonomics. 2018;61:104-121.
A comparison of medication administration errors from original medication packaging and multi-compartment compliance aids in care homes: a prospective observational study.
Gilmartin-Thomas JF, Smith F, Wolfe R, Jani Y. Int J Nurs Stud. 2017;72:15-23.
Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.
Wolf ZR. J Infus Nurs. 2016;39:235-248.
An observational study of how patients are identified before medication administrations in medical and surgical wards.
Härkänen M, Kervinen M, Ahonen J, Turunen H, Vehviläinen-Julkunen K. Nurs Health Sci. 2015;17:188-194.
Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.
Gilbar P, Chambers CR, Larizza M. J Oncol Pharm Pract. 2015;21:10-18.
Causes of medication administration errors in hospitals: a systematic review of quantitative and
Keers RN, Williams SD, Cooke J, Ashcroft DM. Drug Saf. 2013;36:1045-1067.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:114-117.
Review of alternatives to root cause analysis: developing a robust system for incident report analysis.
Hagley G, Mills PD, Watts BV, Wu AW. BMJ Open Qual. 2019;8:e000646.
Serious misdiagnosis-related harms in malpractice claims: the "Big Three"—vascular events, infections, and cancers.
Newman-Toker DE, Schaffer AC, Yu-Moe CW, et al. Diagnosis (Berl). 2019;227-240.
Analysis of human performance deficiencies associated with surgical adverse events.
Suliburk JW, Buck QM, Pirko CJ, et al. JAMA Netw Open. 2019;2:e198067.
Investigating for improvement? Five strategies to ensure national patient safety investigations improve patient safety.
Macrae C. J R Soc Med. 2019 May 22; [Epub ahead of print].
What US hospitals are currently doing to prevent common device-associated infections: results from a national survey.
Saint S, Greene MT, Fowler KE, et al. BMJ Qual Saf. 2019;28:741-749.
What quality and safety of care for patients admitted to clinically inappropriate wards: a systematic review.
La Regina M, Guarneri F, Romano E, et al. J Gen Intern Med. 2019;34:1314-1321.
Type 1 diabetes defined by severe insulin deficiency occurs after 30 years of age and is commonly treated as type 2 diabetes.
Thomas NJ, Lynam AL, Hill AV, et al. Diabetologia. 2019;62:1167-1172.
Association between long-term opioid use in family members and persistent opioid use after surgery among adolescents and young adults.
Harbaugh CM, Lee JS, Chua KP, et al. JAMA Surg. 2019;154:e185838.
Prevalence, underlying causes, and preventability of sepsis-associated mortality in US acute care hospitals.
Rhee C, Jones TM, Hamad Y, et al; Centers for Disease Control and Prevention (CDC) Prevention Epicenters Program. JAMA Netw Open. 2019;2:e187571.
Decisions and repercussions of second victim experiences for mothers in medicine (SAVE DR MoM).
Gupta K, Lisker S, Rivadeneira NA, et al. BMJ Qual Saf. 2019;28:564-573.
Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.
Chua KP, Fischer MA, Linder JA. BMJ. 2019;364:k5092.
Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.
Sunshine JE, Meo N, Kassebaum NJ, Collison ML, Mokdad AH, Naghavi M. JAMA Netw Open. 2019;2:e187041.
Medicine Safety: Take Care.
Lim R, Semple S, Ellett LK, Roughead L. Canberra, Australia: Pharmaceutical Society of Australia; 2019.
Race differences in reported harmful patient safety events in healthcare system high reliability organizations.
Thomas AD, Pandit C, Krevat SA. J Patient Saf. 2018 Dec 21; [Epub ahead of print].
Lessons learned from implementing a principled approach to resolution following patient harm.
Smith KM, Smith LL, Gentry JC, Mayer DB. J Patient Saf Risk Manag. 2019;24:83–89.
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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