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Wolf MS, Davis TC, Shrank W, et al. Patient Educ Couns. 2007;67:293-300.
Wolf MS ; Davis TC ; Shrank W ; Bass PF; et al. To err is human: patient misinterpretations of prescription drug label instructions. Patient Educ Couns. 2007; 67: 293-300
This study discovered that misunderstanding of dosage instructions is common, especially among those with limited literacy, so improving the simplicity and language of drug labels would be an effective intervention.
Standardizing Medication Labels: Confusing Patients Less, Workshop Summary.
Hernandez LM; for Roundtable on Health Literacy, Board on Population Health and Public Health Practice, Institute of Medicine. Washington, DC: National Academies Press; 2008.
Patient-centered approach for improving prescription drug warning labels.
Webb J, Davis TC, Bernadella P, et al. Patient Educ Couns. 2008;72:443-449.
A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety.
Lyson HC, Sharma AE, Cherian R, et al. J Patient Saf. 2019 Mar 13; [Epub ahead of print].
The fate of pediatric prescriptions in community pharmacies.
Condren ME, Desselle SP. J Patient Saf. 2015;11:79-88.
E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.
Odukoya OK, Chui MA. Res Social Adm Pharm. 2013;9:996-1003.
Preventing patient harms through systems of care.
Pronovost PJ, Bo-Linn GW. JAMA. 2012;308:769-770.
Physical environments that promote safe medication use.
Grissinger M. P T. 2012;37:377-378.
Conducting an efficient proactive risk assessment prior to CPOE implementation in an intensive care unit.
Hundt AS, Adams JA, Schmid JA, et al. Int J Med Inform. 2013;82:25-38.
Program encourages reporting accidents waiting to happen: the Good Catch Awards.
McCook A. Anesthesiology News. Sept 2011;37:9.
Improving the usability of intravenous medication labels to support safe medication delivery.
Bauer DT, Guerlain S. Int J Ind Ergon. 2011;41:394-399.
Can you read this drug label?
Gill L. Consumer Reports Health. June 2011.
Pharmacy mixes up prescriptions.
Haythorn R. ABC News. February 7, 2011.
The Safe Use Initiative and Health Literacy: Workshop Summary.
Vancheri C; Roundtable on Health Literacy; Institute of Medicine. Washington, DC: National Academies Press; 2010. ISBN-10: 0309159318.
Medical errors and safety systems.
Pearlman MD, ed. Clin Obstet Gynecol. 2010;53:471-585.
Accuracy of computer-generated, Spanish-language medicine labels.
Sharif I, Tse J. Pediatrics. 2010;125:960-965.
Description of inpatient medication management using cognitive work analysis.
Pingenot AA, Shanteau J, Sengstacke DN. Comput Inform Nurs. 2009;27:379-392.
For all the right reasons.
Hagland M. Healthc Informatics. 2009;26:40-44.
Nearly 90 major medical mistakes logged at Utah hospitals in 2008.
May H. Salt Lake Tribune. June 26, 2009.
Do medication samples jeopardize patient safety?
Franks AS, Ray SM, Wallace LS, Keenum AJ, Weiss BD. Ann Pharmacother. 2008;43:51-56.
Are you listening...Are you really listening?
Denham CR, Dingman J, Foley ME, et al. J Patient Saf. 2008;4:148-161.
Medication safety: just a label away.
Jennings J, Foster J. AORN J. 2007;86:618, 620-625.
Language barriers to prescriptions for patients with limited English proficiency: a survey of pharmacies.
Bradshaw M, Tomany-Korman S, Flores G. Pediatrics. 2007;120:e225-e235.
Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors.
Levy S. Drug Topics. July 9, 2007.
Safety in the NICU: preventing medical errors.
Stokowski LA. Highlights of the National Association of Neonatal Nurses 22nd Annual Conference [Medscape.com]. March 8, 2007.
Implementation of an electronic system for medication reconciliation.
Kramer JS, Hopkins PJ, Rosendale JC, et al. Am J Health Syst Pharm. 2007;64:404-422.
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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