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Journal Article > Study
Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.
Thompson DA, Duling L, Holzmueller CG, et al. J Clin Outcomes Manage. 2005;12:407-412.
In this AHRQ-funded study, the authors analyze a computerized provider order entry (CPOE) system implemented in 18 intensive care units. They determined that although CPOE may prompt a new set of errors when first introduced, hospital leaders should ensure support for training and response to user suggestions to realize CPOE's safety benefits.
Journal Article > Commentary
Asdigha MN. Hosp Pharm. 2006;41:1067-1075.
The author describes changes made within the neonatal intensive care unit to improve medication use safety, including eliminating the "rule of 6" for medication preparation and installing smart pump technology.
Special or Theme Issue
Pediatr Crit Care Med. 2007;8(suppl):S1-S43.
This supplement covers issues related to safety indicators, fatigue, electronic medical records, infection, and disclosure of medical errors in the care of critically ill children.
ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.
This article analyzes a fatal error involving parenteral nutrition and makes recommendations to prevent such incidents.