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- Communication Improvement 1
- Education and Training 6
- Error Reporting and Analysis 3
- Human Factors Engineering 2
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- Technologic Approaches 3
- Device-related Complications 1
- Diagnostic Errors 1
- Medication Errors/Preventable Adverse Drug Events 9
Search results for "Hospitals"
Perspectives on Safety > Perspective
with commentary by Zahra Khudeira, PharmD, Certification in Patient Safety, June 2016
In this piece, a pharmacist highlights the importance of earning patient safety certification.
Journal Article > Study
Holdsworth M, Wittstrom K, Yeitrakis T. Ann Pharmacother. 2013;47:475-481.
The majority of state licensing boards pursue disciplinary action, such as license suspension, against pharmacists who are involved in medication errors. This occurs despite a consensus that such punitive measures are unlikely to improve patient safety.
Vedder T. Problem Solvers. KOMO 4 News. October 1, 2010.
This news piece discusses medication errors that led to adverse events in a Seattle children's hospital.
ISMP Medication Safety Alert! Acute Care Edition. October 10, 2008;13:1-3.
Reporting that recalled medications were found in hospital pharmacies, this article describes recommendations to improve the process for removing recalled products.
Journal Article > Commentary
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
This monthly selection of reports includes errors involving epidural medication administered intravenously and mistaken reuse of discontinued drugs.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
This article reports on the potentially fatal error of administering epidural medications intravenously and provides guidelines to safeguard against such epidural–IV route mix-ups.
Ostrov BF. San Jose Mercury News. October 26, 2007;Local section:1B.
This article reports that, despite facing state sanctions and fines for its role in three fatal medication errors since 2004, a violating hospital was slow to retrain its pharmacy technicians.
Paul R. Drug Topics. September 17, 2007;151:10.
This article reports on an error for which criminal charges were filed against the pharmacist and his license was revoked, prompting concern from pharmacy experts that such action could discourage reporting.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.
This article analyzes a lethal error involving TPN (total parenteral nutrition), in which dosing and compounding were based on incorrect order entry, and provides recommendations to prevent similar errors.
Fernandez J. Drug Topics. May 7, 2007.
This article discusses a chemotherapy overdose that led to a child's death and the punitive measures taken against the pharmacist involved.