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- Communication Improvement 2
- Education and Training 1
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- Human Factors Engineering 3
- Legal and Policy Approaches 1
- Logistical Approaches 1
- Quality Improvement Strategies 5
- Clinical Information Systems 8
Search results for "Newspaper/Magazine Article"
- Newspaper/Magazine Article
- Health Care Executives and Administrators
- Health Care Providers
- Ordering/Prescribing Errors
Rider BB, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. September 2016;13:81-91.
Graham LR, Scudder L, Stokowski L. Medscape Multispecialty. October 22, 2015.
Errors in the prescribing process can lead to adverse drug events. This slide set provides information about common problems in prescribing such as selecting the wrong drug in a drop-down menu, formulation mix-ups, alert fatigue, poor quality of data in health information systems, and use of ambiguous abbreviations.
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
This article discusses data on loading dose errors and provides strategies to reduce risks of such adverse drug events.
Conroy-Smith E, Herring R, Caldwell G. Clin Teach. 2011;8:75-78.
This article describes how a rounds-based medication chart review initiative was implemented to educate physicians and medical students on medication safety behaviors.
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.
ISMP Medication Safety Alert! Acute Care Edition. August 26, 2010;15:1-3.
This article discusses a case of data entry error in an electronic prescribing system, explains the contributing factors, and provides recommendations to prevent such errors.
PA-PSRS Patient Saf Advis. May 2007;4(suppl 2):1-8.
This article shares findings from a workgroup that assessed the efficacy of pharmacy computer systems in detecting unsafe medication orders. The 30 Pennsylvania hospitals that participated in the workgroup found that their systems were not catching all unsafe orders.
ISMP Medication Safety Alert! Acute Care Edition. February 8, 2007;12:1-2.
This article discusses the problems associated with bypassing computer alerts and provides recommendations to improve alert systems.
Finkelstein JB. J Natl Cancer Inst. 2006;98:1763-1765.
This article discusses changes implemented at Dana-Farber Cancer Institute to improve cancer medication safety, including the adoption of electronic prescribing.
Chun D. Gainsville Sun. August 21, 2006.
This article describes a computerized drug ordering and dispensing system at a Florida hospital.
BBC News. August 11, 2006.
This story reports findings from the UK Healthcare Commission's assessment of medication error in the National Health Service. The story is accompanied by an audiovisual news report.
Bruce D. Erie Times-News. July 2, 2006:1.
This article shares the story of a patient who suffered serious damage after being prescribed the wrong medication during a hospital stay. It is accompanied by a second article that follows a patient through her care to illustrate the precautions hospitals are taking to prevent medical error.
Ostrom CM. Seattle Times. June 22, 2006:B1.
This article reports on a Washington state law that prevents pharmacists from accepting prescriptions that are handwritten unless they are very clearly printed.
PA-PSRS Patient Saf Advis. June 2006;3:1-5.
This article shares several examples of errors made while verbally communicating medication orders and includes recommendations for safe practices. A set of tools for educating hospital personnel about this issue is available via the link below.
Patton S. CIO Magazine. November 1, 2005.
This article reports on the issues involved in computerized physician order entry (CPOE) adoption and offers suggestions from chief information officers on implementation.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
The Institute for Safe Medication Practices (ISMP) reports on a 2005 field test that indicates many pharmacy computer systems are unable to detect potential errors. The results show no improvement in such systems since the last field test in 1999.