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Pretorius RW, Gataric G, Swedlund SK, Miller JR. Am Fam Physician. 2013;87:331-336.
Pretorius RW ; Gataric G ; Swedlund SK; et al. Reducing the risk of adverse drug events in older adults. Am Fam Physician. 2013; 87: 331-336
This commentary outlines types of adverse drug events that occur in elderly patients and recommends prevention strategies, including the Beers criteria and STOPP criteria.
Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.
Broussard CS, Frey MT, Hernandez-Diaz S, et al. Am J Obstet Gynecol. 2014;211:208-214.e1.
Independent double checks: undervalued and misused.
ISMP Medication Safety Alert! Acute Care Edition. June 13, 2013;18:1-4.
Some IV medications are diluted unnecessarily in patient care areas, creating undue risk.
ISMP Medication Safety Alert! Acute Care Edition. June 19, 2014;19:1-5.
Eliminating Catheter-Associated Urinary Tract Infections.
Chicago, IL: Health Research & Educational Trust; July 2013.
Balancing "no blame" with accountability in patient safety.
Wachter RM, Pronovost PJ. N Engl J Med. 2009;361:1401-1406.
ISMP Guidelines for Safe Preparation of Compounded Sterile Preparations.
Horsham, PA: Institute for Safe Medication Practices; 2016.
Standardize 4 Safety.
American Society of Health-System Pharmacists.
Explicit and Standardized Prescription Medicine Instructions.
Rockville, MD: Agency for Healthcare Research and Quality; December 2014.
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning.
ISMP Medication Safety Alert! Acute Care Edition. October 23, 2014;19:1-5.
STOPP/START criteria for potentially inappropriate prescribing in older people: version 2.
O'Mahony D, O'Sullivan D, Byrne S, O'Connor MN, Ryan C, Gallagher P. Age Ageing. 2015;44:213-218.
Antimicrobial stewardship: another focus for patient safety?
Tamma PD, Holmes A, Ashley ED. Curr Opin Infect Dis. 2014;27:348-355.
Preventing infection from the misuse of vials.
Sentinel Event Alert. June 16, 2014;(52):1-6.
Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?
Hagerman NS, Varughese AM, Kurth CD. Curr Opin Anaesthesiol. 2014;27:323-329.
Standardization in patient safety: the WHO High 5s project.
Leotsakos A, Zheng H, Croteau R, et al. Int J Qual Health Care. 2014;26:109-116.
State-Wide Initiative to Standardize the Compounding of Oral Liquids in Pediatrics.
Michigan Pharmacists Association.
Improved obstetric safety through programmatic collaboration.
Goffman D, Brodman M, Friedman AJ, Minkoff H, Merkatz IR. J Healthc Risk Manag. 2014;33:14-22.
A mislabeling event with batched drugs: the unintended consequences of practice changes.
ISMP Medication Safety Alert! Acute Care Edition. 2014;19:1-3.
Measure twice, cut once.
Atkinson WK. AORN J. 2013;98:77-80.
Practices to prevent venous thromboembolism: a brief review.
Lau BD, Haut ER. BMJ Qual Saf. 2014;23:187-195.
Medication errors in the management of anaphylaxis in a pediatric emergency department.
Benkelfat R, Gouin S, Larose G, Bailey B. J Emerg Med. 2013;45:419-424.
Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012.
Dellinger RP, Levy MM, Rhodes A, et al; Surviving Sepsis Campaign Guidelines Committee including the Pediatric Subgroup. Crit Care Med. 2013;41:580-637.
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.
Latency of ECG displays of hospital telemetry systems: a science advisory from the American Heart Association.
Turakhia MP, Estes NA 3rd, Drew BJ, et al; Electrocardiography and Arrhythmias Committee of the American Heart Association Council on Clinical Cardiology and Council on Cardiovascular Nursing. Circulation. 2012;126:1665-1669.
How-to Guides: Improving Transitions from the Hospital to Reduce Avoidable Rehospitalizations.
Cambridge, MA: Institute for Healthcare Improvement; June 2012.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
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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