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Institute for Safe Medication Practices.
Errors in IV push medication use can cause patient harm. This survey seeks to gather data on how clinicians administer IV push medications to adults to clarify current practice and inform guidance. The process for submitting data is now closed.
The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database.
Lawal OD, Mohanty M, Elder H, et al. Expert Opin Drug Saf. 2018;17:347-357.
National Healthcare Quality and Disparities Reports.
Rockville, MD: Agency for Healthcare Research and Quality.
Nursing student medication errors involving tubing and catheters: a descriptive study.
Wolf ZR, Hicks RW, Altmiller G, Bicknell P. Nurse Educ Today. 2009;29:681-688.
What's in a name? Newborn naming conventions and wrong-patient errors.
ISMP Medication Safety Alert! Acute Care Edition. April 25, 2019.
Standardising the classification of harm associated with medication errors: the Harm Associated with Medication Error Classification (HAMEC).
Gates PJ, Baysari MT, Mumford V, Raban MZ, Westbrook JI. Drug Saf. 2019 Apr 23; [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 Apr 23; [Epub ahead of print].
Reducing avoidable medication-related harm: what will it take?
Tetteh EK. Res Social Adm Pharm. 2019 Apr 5; [Epub ahead of print].
Overlooked guide wire: a multicomplicated Swiss Cheese Model example. Analysis of a case and review of the literature.
Thonon H, Espeel F, Frederic F, Thys F. Acta Clin Belg. 2019 Mar 30; [Epub ahead of print].
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2019;24.
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.
Evaluation of medication errors at the transition of care from an ICU to non-ICU location.
Tully AP, Hammond DA, Li C, Jarrell AS, Kruer RM. Crit Care Med. 2019;47:543-549.
Medication Administration Errors
Medication Errors and Adverse Drug Events
The Pharmacist's Role in Medication Safety
Using electronic health records to identify adverse drug events in ambulatory care: a systematic review.
Feng C, Le D, McCoy AB. Appl Clin Inform. 2019;10:123-128.
Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.
George D, Hassali MA, Hss AS. JMIR Hum Factors. 2018;5:e12232.
Perioperative medication errors: uncovering risk from behind the drapes.
Cierniak KH, Gaunt MJ, Grissinger M. PA-PSRS. Patient Saf Advis. 2018;15(4).
Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists.
Atkinson MK, Schuster MA, Feng JY, Akinola T, Clark KL, Sommers BD. JAMA Netw Open. 2018;1:e185658.
Prevention of perioperative medication errors.
Nanji K. UpToDate. January 4, 2019.
Racial, ethnic, and socioeconomic disparities in patient safety events for hospitalized children.
Stockwell DC, Landrigan CP, Toomey SL, et al; GAPPS Study Group. Hosp Pediatr. 2019;9:1-5.
Medication errors in community pharmacies: the need for commitment, transparency, and research.
Hong K, Hong YD, Cooke CE. Res Social Adm Pharm. 2018 Dec 1; [Epub ahead of print].
Systematic review of computerized prescriber order entry and clinical decision support.
Vélez-Díaz-Pallarés M, Pérez-Menéndez-Conde C, Bermejo-Vicedo T. Am J Health Syst Pharm. 2018;75:1909-1921.
Implementation of bar-code medication administration to reduce patient harm.
Thompson KM, Swanson KM, Cox DL, et al. Mayo Clin Proc Innov Qual Outcomes. 2018;2:342-351.
Two decades since To Err Is Human: an assessment of progress and emerging priorities in patient safety.
Bates DW, Singh H. Health Aff (Milwood). 2018;37:1736-1743.
Identifying electronic health record usability and safety challenges in pediatric settings.
Ratwani RM, Savage E, Will A, et al. Health Aff (Millwood). 2018;37:1752-1759.
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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