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Seoane-Vazquez E, Rodriguez-Monguio R, Alqahtani S, Schiff G. Expert Opin Drug Saf. 2017;16:1103-1109.
Seoane-Vazquez E ; Rodriguez-Monguio R ; Alqahtani S; et al. Exploring the potential for using drug indications to prevent look-alike and sound-alike drug errors. Expert Opin Drug Saf. 2017; 16: 1103-1109
This experimental study found that including the approved indication along with the generic name reduced medication errors associated with look-alike and sound-alike drug pairs. The authors advocate for incorporating this information into medication prescribing.
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
2018 update on pediatric medical overuse: a review.
Coon ER, Quinonez RA, Morgan DJ, et al. JAMA Pediatr. 2019 Feb 18; [Epub ahead of print].
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.
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. 2018 Dec 3; [Epub ahead of print].
Quality improvement priorities for safer out-of-hours palliative care: lessons from a mixed-methods analysis of a national incident-reporting database.
Williams H, Donaldson LJ, Noble S, et al. Palliat Med. 2019;33:346-356.
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries.
Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; November 2018. Report No. OEI-06-14-00530.
Fatal flaws in clinical decision making.
Davis SS, Babidge WJ, McCulloch GAJ, Maddern GJ. ANZ J Surg. 2018 Nov 29; [Epub ahead of print].
Learning from tragedy: the Julia Berg story.
Graber ML, Berg D, Jerde W, Kibort P, Olson APJ, Parkash V. Diagnosis (Berl). 2018;5:257-266.
Dissecting communication barriers in healthcare: a path to enhancing communication resiliency, reliability, and patient safety.
Guttman OT, Lazzara EH, Keebler JR, Webster KLW, Gisick LM, Baker AL. J Patient Saf. 2018 Nov 9; [Epub ahead of print].
Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.
Campbell RJ, El-Defrawy SR, Gill SS, et al. JAMA Ophthalmol. 2019;137:58-64.
Predictors of adverse events and medical errors among adult inpatients of psychiatric units of acute care general hospitals.
Vermeulen JM, Doedens P, Cullen SW, et al. Psychiatr Serv. 2018;69:1087-1094.
Trends in anesthesia-related liability and lessons learned.
Mora JC, Kaye AD, Romankowski ML, Delahoussaye PJ, Urman RD, Przkora R. Adv Anesth. 2018;36:231-249.
Social disparities in patient safety in primary care: a systematic review.
Piccardi C, Detollenaere J, Vanden Bussche P, Willems S. Int J Equity Health. 2018;17:114.
Characteristics of healthcare organisations struggling to improve quality: results from a systematic review of qualitative studies.
Vaughn VM, Saint S, Krein SL, et al. BMJ Qual Saf. 2019;28:74-84.
Defining patient safety events in inpatient psychiatry.
Marcus SC, Hermann RC, Cullen SW. J Patient Saf. 2018 Jul 17; [Epub ahead of print].
Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.
Arbaje AI, Hughes A, Werner N, et al. BMJ Qual Saf. 2019;28:111-120.
Medication for opioid use disorder after nonfatal opioid overdose and association with mortality: a cohort study.
Larochelle MR, Bernson D, Land T, et al. Ann Intern Med. 2018;169:137-145.
First-year analysis of the Operating Room Black Box study.
Jung JJ, Jüni P, Lebovic G, Grantcharov T. Ann Surg. 2018 Jun 18; [Epub ahead of print].
A piece of my mind. The art of constructive worrying.
John CC. JAMA. 2018;319:2273-2774.
Identification and characterization of failures in infectious agent transmission precaution practices in hospitals: a qualitative study.
Krein SL, Mayer J, Harrod M, et al. JAMA Intern Med. 2018;178:1051–1057.
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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