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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.
Your attention please... designing effective warnings.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2019;24.
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.
Assessment of patient medication adherence, medical record accuracy, and medication blood concentrations for prescription and over-the-counter medications.
Sutherland JJ, Morrison RD, McNaughton CD, et al. JAMA Netw Open. 2018;1:e184196.
Frequency of medication error in pediatric anesthesia: a systematic review and meta-analytic estimate.
Feinstein MM, Pannunzio AE, Castro P. Paediatr Anaesth. 2018;28:1071-1077.
What causes medication administration errors in a mental health hospital? A qualitative study with nursing staff.
Keers RN, Plácido M, Bennett K, Clayton K, Brown P, Ashcroft DM. PLoS One. 2018;13:e0206233.
Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.
Bowdle TA, Jelacic S, Nair B, et al. Br J Anaesth. 2018;121:1338-1345.
Direct oral anticoagulants: a review of common medication errors.
Barr D, Epps QJ. J Thromb Thrombolysis. 2019;47:146-154.
In Conversation With… Michael Cohen, RPh, MS, ScD (hon)
Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD
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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