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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.
Medication Administration Errors
Medication Errors and Adverse Drug Events
The Pharmacist's Role in Medication Safety
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.
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.
In Conversation With… Michael Cohen, RPh, MS, ScD (hon)
Safety in the Retail Pharmacy
Michelle A. Chui, PharmD, PhD
How to prevent the top 4 medication errors.
Sederstrom J. Drug Topics. September 17, 2018.
What is new in paediatric medication safety?
Kahn S, Abramson EL. Arch Dis Child. 2018 Aug 28; [Epub ahead of print].
Preventing medication errors in the information age.
Godshall M, Riehl M. Nursing. 2018;48:56-58.
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Schnipper JL, Mixon A, Stein J, et al. BMJ Qual Saf. 2018;27:954-964.
Preventable adverse drug events among inpatients: a systematic review.
Gates PJ, Meyerson SA, Baysari MT, Lehmann CU, Westbrook JI. Pediatrics. 2018;142:e20180805.
Fixed-dose combination antihypertensives and risk of medication errors.
Moriarty F, Bennett K, Fahey T. Heart. 2018 Aug 2; [Epub ahead of print].
Themed Issue on Innovations in Medication Safety.
Kane-Gill SL, ed. Pharmacotherapy. 2018;38:779-874.
Centers for Medicare and Medicaid Services hospital-acquired conditions policy for central line–associated bloodstream infection (CLABSI) and catheter-associated urinary tract infection (CAUTI) shows minimal impact on hospital reimbursement.
Calderwood MS, Kawai AT, Jin R, Lee GM. Infect Control Hosp Epidemiol. 2018;39:897-901.
The national cost of adverse drug events resulting from inappropriate medication-related alert overrides in the United States.
Slight SP, Seger DL, Franz C, Wong A, Bates DW. J Am Med Inform Assoc. 2018;25:1183–1188.
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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