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Butler K, Mollo P, Gale JL, Rapp DA. Jt Comm J Qual Patient Saf. 2007;33:527-536.
Butler K ; Mollo P ; Gale JL; et al. Eliminating adverse drug events at Ascension Health. Jt Comm J Qual Patient Saf. 2007; 33: 527-536
The authors describe an initiative to reduce adverse drug events (ADEs) that realized success through development of a new organizational mental model about ADEs.
Common cause analysis.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
Reducing medication errors and improving systems reliability using an electronic medication reconciliation system.
Agrawal A, Wu WY. Jt Comm J Qual Patient Saf. 2009;35:106-114.
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.
Screening for medication errors using an outlier detection system.
Schiff GD, Volk LA, Volodarskaya M, et al. J Am Med Inform Assoc. 2017;24:281-287.
Assessing frequency and risk of weight entry errors in pediatrics.
Hagedorn PA, Kirkendall ES, Kouril M, et al. JAMA Pediatr. 2017;171:392-393
Detection of adverse drug events using an electronic trigger tool.
Lim D, Melucci J, Rizer MK, Prier BE, Weber RJ. Am J Health Syst Pharm. 2016;73(17 suppl 4):S112-S120.
Automated identification of antibiotic overdoses and adverse drug events via analysis of prescribing alerts and medication administration records.
Kirkendall ES, Kouril M, Dexheimer JW, et al. J Am Med Inform Assoc. 2017;24:295-302.
Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward.
DiPoto JP, Buckley MS, Kane-Gill SL. Drug Saf. 2015;38:311-317.
Monitoring the harm associated with use of anticoagulants in pediatric populations through trigger-based automated adverse-event detection.
Patregnani JT, Spaeder MC, Lemon V, Diab Y, Klugman D, Stockwell DC. Jt Comm J Qual Patient Saf. 2015;41:108-114.
Optimization of drug–drug interaction alert rules in a pediatric hospital's electronic health record system using a visual analytics dashboard.
Simpao AF, Ahumada LM, Desai BR, et al. J Am Med Inform Assoc. 2015;22:361-369.
Improving documentation of a beta-blocker quality measure through an anesthesia information management system and real-time notification of documentation errors.
Nair BG, Peterson GN, Newman S, Wu W, Kolios-Morris V, Schwid HA. Jt Comm J Qual Patient Saf. 2012:38;283-288.
A systematic review to evaluate the accuracy of electronic adverse drug event detection.
Forster AJ, Jennings A, Chow C, Leeder C, van Walraven C. J Am Med Inform Assoc. 2012;19:31-38.
Comparison of computerized surveillance and manual chart review for adverse events.
Tinoco A, Evans RS, Staes CJ, Lloyd JF, Rothschild JM, Haug PJ. J Am Med Inform Assoc. 2011;18:491-497.
Scanner beep only means the barcode has been scanned.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
How to improve the delivery of medication alerts within computerized physician order entry systems: an international Delphi study.
Riedmann D, Jung M, Hackl WO, Ammenwerth E. J Am Med Inform Assoc. 2011;18:760-766.
Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.
Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.
Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.
Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.
Effects of an adverse-drug-event alert system on cost and quality outcomes in community hospitals.
Piontek F, Kohli R, Conlon P, Ellis JJ, Jablonski J, Kini N. Am J Health Syst Pharm. 2010;67:613-620.
A model for medication safety event detection.
Snyder RA, Fields W. Int J Qual Health Care. 2010;22:179-186.
Neuromuscular blocking agents: reducing associated wrong-drug errors.
PA-PSRS Patient Saf Advis. December 2009;6:109-114.
Shakespeare was on target—don't be a borrower or lender.
ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.
Predictive value of alert triggers for identification of developing adverse drug events.
Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.
Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.
Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.
ADEs and automation.
Kloppenborg E, Wheeler TA, Luria J. Nurs Manage. 2009;40:43-47.
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
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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