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Billstein-Leber M, Carrillo CJD, Cassano AT, Moline K, Robertson JJ. Am J Health Syst Pharm. 2018;75:1493-1517.
Pharmacists can play an important role in medication error reduction efforts across health care systems. This document provides recommendations and best practices for health-system pharmacists to improve safety throughout the medication-use process.
Developing a principle-based approach to safe medication practices.
Hallaran A, McNabb A, Anderson J. J Nurs Reg. 2015;6:43-47.
ASH Clinical Practice Guidelines on Venous Thromboembolism.
Washington, DC: American Society of Hematology; 2018.
ASHP guidelines on managing drug product shortages.
Fox ER, McLaughlin MM. Am J Health Syst Pharm. 2018;75:1742-1750.
Hospital-acquired infections under pay-for-performance systems: an administrative perspective on management and change.
Vokes RA, Bearman G, Bazzoli GJ. Curr Infect Dis Rep. 2018;20:35.
ISMP Survey on High-Alert Medications in Acute Care Settings.
Horsham, PA: Institute for Safe Medication Practices; 2018.
World Health Organization-World Federation of Societies of Anaesthesiologists (WHO-WFSA) International Standards for a Safe Practice of Anesthesia.
Gelb AW, Morriss WW, Johnson W, et al; International Standards for a Safe Practice of Anesthesia Workgroup. Anesth Analg. 2018;126:2047-2055.
ACOG Committee Opinion #730: fatigue and patient safety.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2018;131:e78-e81.
2018–2019 Targeted Medication Safety Best Practices for Hospitals.
Horsham, PA: Institute for Safe Medication Practices; 2017.
Infection prevention and control in pediatric ambulatory settings.
Rathore MH, Jackson MA, AAP Committee on Infections Diseases. Pediatrics. 2017;140:e20172857.
Nil per os orders for imaging: a teachable moment.
Wickerham AL, Schultz EJ, Lewine EB. JAMA Intern Med. 2017;177:1670-1671.
Clinical practice guideline: safe medication use in the ICU.
Kane-Gill SL, Dasta JF, Buckley MS, et al. Crit Care Med. 2017;45:e877-e915.
Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017.
Berríos-Torres SI, Umscheid CA, Bratzler DW, et al. JAMA Surg. 2017;152:784-791.
Making the journey safe: recognising and responding to severe sepsis in accident and emergency.
Pinnington S, Atterton B, Ingleby S. BMJ Qual Improv Rep. 2016;5:u210706.w4335.
Obstetric Care Consensus No. 5: Severe Maternal Morbidity: Screening and Review.
Obstet Gynecol. 2016;128:e54-e60.
What price must we pay for safety? Excessive cost of EPINEPHrine auto-injectors leads to error-prone use of ampuls or vials and unprepared consumers.
ISMP Medication Safety Alert! Acute Care Edition. August 11, 2016;21:1-3.
Avoiding Unconscious Bias: a Guide for Surgeons.
London, UK: Royal College of Surgeons of England; 2016.
Correct use of inhalers: help patients breathe easier.
ISMP Medication Safety Alert! Acute Care Edition. July 14, 2016;21:1-6.
Guideline implementation: prevention of retained surgical items.
Fencl JL. AORN J. 2016;104:37-48.
Mistakes We Make in Dialysis.
Rodby RA, Perazella MA, eds. Semin Dial. 2016;29:253-328.
Standardization of compounded oral liquids for pediatric patients in Michigan.
Engels MJ, Ciarkowski SL, Rood J, et al. Am J Health Syst Pharm. 2016;73:981-990.
Paralyzed by mistakes: reassess the safety of neuromuscular blockers in your facility.
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6.
Recommended responsibilities for management of MR safety.
Calamante F, Ittermann B, Kanal E, Norris D; Inter-Society Working Group on MR Safety. J Magn Reson Imaging. 2016;44:1067-1106.
Alarm management: promoting safety and establishing guidelines.
Criscitelli T. AORN J. 2016;103:518-521.
Antibiotic Stewardship in Acute Care: A Practical Playbook.
National Quality Partners. Washington, DC: National Quality Forum; 2016.
Patient and Family Engagement in Primary Care: Case Studies.
Rockville, MD: Agency for Healthcare Research and Quality; September 2016. AHRQ Publication No. 16-0035-2-EF.
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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