Public Meeting on Improving Patient Safety by Enhancing the Container Labeling for Parenteral Infusion Drug Products.

A call for a systems-thinking approach to medication adherence: stop blaming the patient.

Lauffenburger JC, Choudhry NK. JAMA Internal Med. 2018;178:950-951.

Patient Safety in the Context of Perinatal, Neonatal, and Pediatric Care.

Bethesda, MD: Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health. May 21, 2018. PA-18-790; PA-18-791.
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Safe labeling practices to minimize medication errors in anesthesia: 5 case reports and review of the literature.

Prakash S, Mullick P, Kumar A, Pawar M. A A Case Rep. 2018;10:261-264.

Medication errors in pediatric anesthesia: a report from the Wake Up Safe quality improvement initiative.

Lobaugh LMY, Martin LD, Schleelein LE, Tyler DC, Litman RS. Anesth Analg. 2017;125:936-942.

Pictograms, units and dosing tools, and parent medication errors: a randomized study.

Yin HS, Parker RM, Sanders LM, et al. Pediatrics. 2017;140:e20163237.

Board of pharmacy practices related to medication errors and their potential impact on patient safety.

Degnan DD, Hertig JB, Peters MJ, Stevenson JG. J Pharm Pract. 2018;31:312-321.

Death due to pharmacy compounding error reinforces need for safety focus.

ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.

Polypharmacy in the elderly—when good drugs lead to bad outcomes: a teachable moment.

Carroll C, Hassanin A. JAMA Intern Med. 2017;177:871.

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications.

Counter D, Stewart D, MacLeod J, McLay JS. Br J Clin Pharmacol. 2017;83:1515-1520.

Hardwiring safety into the computer system: one hospital's actions to provide technology support for U-500 insulin.

ISMP Medication Safety Alert! Acute Care Edition. May 5, 2016;21:1-4.

Less is more: a project to reduce the number of PIMs (potentially inappropriate medications) on an elderly care ward.

Aung TH, Beck AJ, Siese T, Berrisford R. BMJ Qual Improv Rep. 2016:28;5:1-4.

Human factors and quality improvement in the emergency department: reducing potential errors in blood collection.

Bashkin O, Caspi S, Swissa A, Amedi A, Zornano S, Stalnikowicz R. J Patient Saf. 2016 Feb 18; [Epub ahead of print].

Safe injection, infusion, and medication vial practices in health care (2016).

Dolan SA, Arias KM, Felizardo G, et al. Washington, DC: Association for Professionals in Infection Control and Epidemiology; February 2016.

One size fits all? Mixed methods evaluation of the impact of 100% single-room accommodation on staff and patient experience, safety and costs.

Maben J, Griffiths P, Penfold C, et al. BMJ Qual Saf. 2016;25:241-256.

The absence of a drug–disease interaction alert leads to a child's death.

ISMP Medication Safety Alert! Acute Care Edition. May 21, 2015;20:1-4.

FDA cautions about dose confusion and medication errors for antibacterial drug Zerbaxa (ceftolozane and tazobactam).

FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; May 20, 2015.

The trigger tool as a method to measure harmful medication errors in children.

Maaskant JM, Smeulers M, Bosman D, et al. J Patient Saf. 2018;14:95-100.

Best practices: an electronic drug alert program to improve safety in an accountable care environment.

Griesbach S, Lustig A, Malsin L, Carley B, Westrich KD, Dubois RW. J Manag Care Spec Pharm. 2015;21:330-336.

Getting closer to the bull's eye: 2014–2015 Targeted Medication Safety Best Practices.

ISMP Medication Safety Alert! Acute Care Edition. February 12, 2015;20:1-5.

Strengthen your resolve: no unlabeled containers anywhere, ever!

ISMP Medication Safety Alert! Acute Care Edition. November 6, 2014;19:1-4.