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Chan J, Shojania KG, Easty AC, Etchells EE. BMJ Qual Saf. 2011;20:932-940.
Chan J ; Shojania KG ; Easty AC; et al. Usability evaluation of order sets in a computerized provider order entry system. BMJ Qual Saf. 2011; 20: 932-940
This study underscores the importance of heuristic evaluations in the design, selection, and implementation of computerized provider order entry systems.
Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.
ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.
High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.
Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.
Factors contributing to an increase in duplicate medication order errors after CPOE implementation.
Wetterneck TB, Walker JM, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:774-782.
ISMP updates its list of drug name pairs with Tall man letters.
ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.
Misidentification of alphanumeric symbols in both handwritten and computer-generated information.
ISMP Medication Safety Alert! Acute Care Edition. July 2, 2009;14:1-2.
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.
Heparin overdose in three infants revisits hospital error issues.
Phend C. MedPage Today. November 26, 2007.
Remote CPOE error—a situation that's more than remotely possible.
ISMP Medication Safety Alert! Acute Care Edition. May 31, 2007;12:1-3.
An interview with Lucian Leape.
Leape LL. Jt Comm J Qual Saf. 2004;30:653-658.
Patient Safety Certificate Program.
Armstrong Institute for Patient Safety and Quality. June 3-7, 2019; Armstrong Institute for Patient Safety and Quality, Baltimore, MD.
Behavioral Health—Strategic Facility Design Innovations That Improve Treatment Outcomes, Safety and the Bottom Line Workshop.
The Center for Health Design. May 15, 2019, Hyatt Regency Los Angeles Airport, Los Angeles, CA.
Team-based Approaches to the Diagnostic Process.
Washington Patient Safety Coalition. WPSC Lunchtime Webinar Series. April 24, 2019; 2:00 PM (Eastern).
When a nurse is prosecuted for a fatal medical mistake, does it make medicine safer?
Gordon M. Health Shots. National Public Radio. April 10, 2019.
Systems engineering and human factors support of a system of novel EHR-integrated tools to prevent harm in the hospital.
Dalal AK, Fuller T, Garabedian P, et al. J Am Med Inform Assoc. 2019 Mar 22; [Epub ahead of print].
Will human factors restore faith in the GMC?
Morgan L, Benson D, McCulloch P. BMJ. 2019;364:l1037.
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2019;24.
Reclaiming the systems approach to paediatric safety.
Cheung R, Roland D, Lachman P. Arch Dis Child. 2019 Feb 23; [Epub ahead of print].
Exploring leadership within a systems approach to reduce health care–associated infections: a scoping review of one work system model.
Knobloch MJ, Thomas KV, Musuuza J, Safdar N. Am J Infect Control. 2019 Feb 12; [Epub ahead of print].
Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.
Henriksen K, Rodrick D, Grace EN, Shofer M, Brady PJ. J Patient Saf. 2019 Feb 9; [Epub ahead of print].
Exploring the human factors of prescribing errors in paediatric intensive care units.
Sutherland A, Ashcroft DM, Phipps DL. Arch Dis Child. 2019 Feb 8; [Epub ahead of print].
A decade of health information technology usability challenges and the path forward.
Ratwani RM, Reider J, Singh H. JAMA. 2019;321:743-744.
Building Systems Citizenship in Health Professions Education: The Continued Call for Health Systems Science Curricula
Jed D. Gonzalo, MD, MSc, and Mamta K. Singh, MD, MSc
Pro/con debate: color-coded medication labels.
Janik LS, Vender JS Grissinger M, Litman RS. APSF Newsletter. February 2019;33:72-75.
Avoiding chemotherapy prescribing errors: analysis and innovative strategies.
Reinhardt H, Otte P, Eggleton AG, et al. Cancer. 2019 Jan 29; [Epub ahead of print].
Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.
Misasi P, Keebler JR. Ther Adv Drug Saf. 2019;10:1–14.
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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