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Lyons I, Furniss D, Blandford A, et al. BMJ Qual Saf. 2018;27:892-901.
Lyons I ; Furniss D ; Blandford A; et al. Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study. BMJ Qual Saf. 2018; 27: 892-901
Errors and discrepancies in intravenous infusions were common in this study performed at two English hospitals, but only a small proportion of errors led to patient harm. The use of smart pumps did not appear to protect against errors.
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.
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.
Development of an "infusion pump safety score".
Carlson R, Johnson B, Ensign RH II. Am J Health Syst Pharm. 2015;72:777-779.
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.
Frequency of pediatric medication administration errors and contributing factors.
Ozkan S, Kocaman G, Ozturk C, Seren S. J Nurs Care Qual. 2011:26;136-143.
The rate and costs attributable to intravenous patient-controlled analgesia errors.
Meissner B, Nelson W, Hicks R, Sikirica V, Gagne J, Schein J. Hosp Pharm. 2009;44:312–324.
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.
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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