Study Ability of practitioners to identify solid oral dosage tablets. Citation Text: Schiff GD; Kim S; Seger AC; Bult J; Bates DW. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL May 24, 2006 Schiff GD; Kim S; Seger AC; Bult J; Bates DW. View more articles from the same authors. The investigators tested physicians' and pharmacists' ability to correctly identify three commonly used tablets and found that they did not identify the drugs correctly one-third of the time. Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Schiff GD; Kim S; Seger AC; Bult J; Bates DW. Copy Citation Related Resources From the Same Author(s) Communicating Critical Test Results. March 6, 2005 High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. May 20, 2020 Medication safety technologies: what is and is not working. July 29, 2009 Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center January 15, 2020 The costs associated with adverse drug events among older adults in the ambulatory setting. December 7, 2005 Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. June 24, 2020 Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021 Ensuring primary care diagnostic quality in the era of telemedicine. October 27, 2021 RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022 Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022 Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. October 19, 2005 Classifying laboratory incident reports to identify problems that jeopardize patient safety. September 7, 2005 Hospital Medication Errors Commonplace. August 23, 2006 Quality and safety: learning from the past and (re)imagining the future. March 29, 2023 Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020 Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. July 22, 2015 A better approach to medical malpractice claims? The University of Michigan experience. August 5, 2009 Teamwork and Communication. July 7, 2010 Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022 The potential of artificial intelligence to improve patient safety: a scoping review. March 31, 2021 Association of hospital public quality reporting with electronic health record medication safety performance. October 6, 2021 Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. February 3, 2016 Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018 Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. March 6, 2005 Journal of Patient Safety. May 11, 2005 Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. July 17, 2019 Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. January 9, 2008 The persistent problem of diagnostic error. December 16, 2015 Scalia's death and the value of autopsy: a teachable moment. April 6, 2016 Will medicine ever become safer? December 11, 2013 Responding to health information technology reported safety events: insights from patient safety event reports. June 12, 2019 Getting Results: Reliably Communicating and Acting on Critical Test Results. July 12, 2006 Improving Health Care. March 6, 2005 Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. March 2, 2022 How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? December 7, 2022 The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. December 5, 2018 How to master the new art of training: teamwork on the fly. April 11, 2012 Patient engagement in patient safety: barriers and facilitators. April 21, 2010 Teaming: How Organizations Learn, Innovate, and Compete in the Knowledge Economy. May 16, 2012 Nurse-to-physician communications: connecting for safety. October 17, 2012 Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. March 6, 2005 Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008 Design for reliability: barcoded medication administration. August 10, 2011 Structured override reasons for drug–drug interaction alerts in electronic health records. May 15, 2019 The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. March 10, 2021 Medication reconciliation in ambulatory oncology. December 5, 2007 Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. October 2, 2013 Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021 Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. May 25, 2022 Patient safety culture: the impact on workplace violence and health worker burnout. February 8, 2023 Patient safety measurement tools used in nursing homes: a systematic literature review. December 7, 2022 Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. March 24, 2021 Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. May 11, 2022 Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. January 11, 2023 California hospitals make hundreds of errors every year, public is unaware. December 3, 2014 Missed nursing care during the COVID-19 pandemic: a comparative observational study. July 21, 2021 Diagnosis: Reducing Errors and Improving Quality. November 2, 2022 Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. September 28, 2015 Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. April 27, 2022 Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. April 27, 2022 Patient Safety. May 24, 2017 Design of a safety dashboard for patients. December 18, 2019 The safety of inpatient health care. January 25, 2023 Health information technology-related wrong-patient errors: context is critical. January 27, 2021 Bracing for the storm: one health care system's planning for the COVID-19 surge. November 11, 2020 Medication errors in overweight and obese pediatric patients: a systematic review. February 9, 2022 Body CT: technical advances for improving safety. August 3, 2011 Clash in the name of care. November 4, 2015 Medication Overload: America's Other Drug Problem. June 19, 2019 Interview with Jerome Groopman. March 28, 2007 How business intelligence can improve patient safety. September 14, 2005 Do HSMRs really measure patient safety? August 13, 2008 Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019 Mitigating the July effect. July 7, 2021 Encouraging patients to speak up about problems in cancer care. January 12, 2022 Re-Engineered Discharge (RED) Toolkit. March 27, 2013 Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020 Cognitive bias impact on management of postoperative complications, medical error, and standard of care. November 4, 2020 I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. August 25, 2021 Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. October 12, 2022 Framing patient safety initiatives: working model and case example. April 26, 2006 Organizational learning: health care leaders need to design structures and processes that enhance collective learning. March 27, 2005 The Measurement and Monitoring of Safety. May 8, 2013 Resident Safety Practices in Nursing Home Settings. November 11, 2015 Adverse Events: Expecting too Much of Nurses and too Little of Nursing Research. May 11, 2011 How a change in hospital policy saved thousands of lives. November 8, 2017 IHI Framework for Improving Joy in Work. August 9, 2017 Through the Patient’s Eyes: Understanding and Promoting Patient-Centered Care. March 6, 2005 Medical Office Survey on Patient Safety Culture: 2016 User Comparative Database Report. June 8, 2016 The Francis Report: One Year On. February 26, 2014 Becoming a High Reliability Organization: Operational Advice for Hospital Leaders. April 9, 2008 Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. August 30, 2006 Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. January 10, 2018 Patient Safety and Quality. March 3, 2010 COVID-19: making the right diagnosis. August 5, 2020 Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. November 3, 2021 AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. November 23, 2016 Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. February 15, 2006 2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. June 27, 2012 Diagnostic Error: Is Overconfidence the Problem. May 14, 2008 View More Related Resources Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020 WebM&M Cases Multiple Levels Involved in Prescribing the Wrong Medication September 30, 2020 How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. July 10, 2019 Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. May 29, 2019 Work overload is related to increased risk of error during chemotherapy preparation. May 29, 2019 Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. November 28, 2018 Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. October 17, 2018 Impact of an antiretroviral stewardship strategy on medication error rates. July 18, 2018 Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. June 27, 2018 Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. June 8, 2016 Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. March 23, 2016 Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. March 23, 2016 Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. February 10, 2016 US poison control center calls for infants 6 months of age and younger. January 27, 2016 Evaluation of parenteral nutrition errors in an era of drug shortages. December 16, 2015 Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. January 14, 2015 Reminder: pay attention to the appearance of your medicines. December 10, 2014 Indication alerts intercept drug name confusion errors during computerized entry of medication orders. September 3, 2014 A comparison of the effects of different typographical methods on the recognizability of printed drug names. August 6, 2014 Look alike/sound alike drugs: a literature review on causes and solutions. June 11, 2014 Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. September 4, 2013 Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. March 27, 2013 Risk models to improve safety of dispensing high-alert medications in community pharmacies. November 7, 2012 Effect of social influences on pharmacists' intention to report adverse drug events. October 17, 2012 Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. May 2, 2012 Look-alike and sound-alike medicines: risks and 'solutions.' March 7, 2012 Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. October 5, 2011 Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). June 22, 2011 ISMP medication error report analysis. June 9, 2010 ISMP medication error report analysis. April 21, 2010 View More See More About The Topic Physicians Pharmacists Risk Managers Pharmacy Look-Alike, Sound-Alike Drugs View More
High-priority drug-drug interaction clinical decision support overrides in a newly implemented commercial computerized provider order-entry system: override appropriateness and adverse drug events. May 20, 2020
Lessons learned implementing a complex and innovative patient safety learning laboratory project in a large academic medical center January 15, 2020
The costs associated with adverse drug events among older adults in the ambulatory setting. December 7, 2005
Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records. June 24, 2020
Measuring and improving diagnostic safety in primary care: addressing the “twin” pandemics of diagnostic error and clinician burnout. March 3, 2021
RaDonda Vaught, medication safety, and the profession of pharmacy: steps to improve safety and ensure justice. August 17, 2022
Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events. May 25, 2022
Intravenous medication safety and smart infusion systems: lessons learned and future opportunities. October 19, 2005
Classifying laboratory incident reports to identify problems that jeopardize patient safety. September 7, 2005
Factors associated with workarounds in barcode-assisted medication administration in hospitals. August 26, 2020
Acceptability and feasibility of the Leapfrog computerized physician order entry evaluation tool for hospitals outside the United States. July 22, 2015
A better approach to medical malpractice claims? The University of Michigan experience. August 5, 2009
Characteristics of disease-specific and generic diagnostic pitfalls: a qualitative study. February 9, 2022
Association of hospital public quality reporting with electronic health record medication safety performance. October 6, 2021
Why do we still page each other? Examining the frequency, types and senders of pages in academic medical services. February 3, 2016
Analysis of errors in dictated clinical documents assisted by speech recognition software and professional transcriptionists. July 25, 2018
Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units. March 6, 2005
Serious misdiagnosis-related harms in malpractice claims: the "Big Three": vascular events, infections, and cancers. July 17, 2019
Improvements in the safety of patient care can help end the medical malpractice crisis in the United States. January 9, 2008
Responding to health information technology reported safety events: insights from patient safety event reports. June 12, 2019
Show me the money, I'll show you my complications: impacts of incentivized incident self-reporting among surgeons. March 2, 2022
How does workplace violence-reporting culture affect workplace violence, nurse burnout, and patient safety? December 7, 2022
The Fearless Organization: Creating Psychological Safety in the Workplace for Learning, Innovation, and Growth. December 5, 2018
Culture at Work in Aviation and Medicine: National, Organizational, and Professional Influences. March 6, 2005
Saving Lives, Saving Money: The Imperative for Computerized Physician Order Entry in Massachusetts Hospitals. February 27, 2008
Structured override reasons for drug–drug interaction alerts in electronic health records. May 15, 2019
The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients. March 10, 2021
Health IT-Enabled Quality Measurement: Perspectives, Pathways, and Practical Guidance. October 2, 2013
Detection of missed fractures of hand and forearm in whole-body CT in a blinded reassessment. September 29, 2021
Interprofessional model on speaking up behaviour in healthcare professionals: a qualitative study. May 25, 2022
Patient safety measurement tools used in nursing homes: a systematic literature review. December 7, 2022
Incidence, duration and risk factors associated with delayed and missed diagnostic opportunities related to tuberculosis: a population-based longitudinal study. March 24, 2021
Nursing implications of an early warning system implemented to reduce adverse events: a qualitative study. May 11, 2022
Scaling-up a pharmacist-led information technology intervention (PINCER) to reduce hazardous prescribing in general practices: multiple interrupted time series study. January 11, 2023
Use of an expedited review tool to screen for prior diagnostic error in emergency department patients. September 28, 2015
Nearly all thirty most frequently used emergency department drugs experienced shortages from 2006-2019. April 27, 2022
Anatomy of a cyberattack: part 4: quality assurance and error reduction, billing and compliance, transition to uptime. April 27, 2022
Standardized orders for titrating vasopressors: do efforts to improve safety slow delivery of care? September 11, 2019
Resilience vs. vulnerability: psychological safety and reporting of near misses with varying proximity to harm in radiation oncology. November 18, 2020
Cognitive bias impact on management of postoperative complications, medical error, and standard of care. November 4, 2020
I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees. August 25, 2021
Hospital-acquired conditions reduction program, racial and ethnic diversity, and Magnet designation in the United States. October 12, 2022
Organizational learning: health care leaders need to design structures and processes that enhance collective learning. March 27, 2005
Enhancing patient safety during hand-offs: standardized communication and teamwork using the 'SBAR' method. August 30, 2006
Toolkit to Engage High-Risk Patients in Safe Transitions Across Ambulatory Settings. January 10, 2018
Looking back on the history of patient safety: an opportunity to reflect and ponder future challenges. November 3, 2021
AHRQ Nursing Home Survey on Patient Safety Culture: 2016 User Comparative Database Report. November 23, 2016
Changes in intensive care unit nurse task activity after installation of a third-generation intensive care unit information system. February 15, 2006
2012 User Comparative Database Report: Medical Office Survey on Patient Safety Culture. June 27, 2012
Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims. November 4, 2020
How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions. July 10, 2019
Economic outcomes associated with safety interventions by a pharmacist–adjudicated prior authorization consult service. May 29, 2019
Detection of potential look-alike/sound-alike medication errors using Veterans Affairs administrative databases. November 28, 2018
Serious adverse drug events reported to the FDA: analysis of the FDA Adverse Event Reporting System 2006–2014 database. October 17, 2018
Using drug knowledgebase information to distinguish between look-alike-sound-alike drugs. June 27, 2018
Cognitive tests predict real-world errors: the relationship between drug name confusion rates in laboratory-based memory and perception tests and corresponding error rates in large pharmacy chains. June 8, 2016
Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children. March 23, 2016
Medicare letters to curb overprescribing of controlled substances had no detectable effect on providers. March 23, 2016
Tallman lettering as a strategy for differentiation in look-alike, sound-alike drug names: the role of familiarity in differentiating drug doppelgangers. February 10, 2016
Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis. January 14, 2015
Indication alerts intercept drug name confusion errors during computerized entry of medication orders. September 3, 2014
A comparison of the effects of different typographical methods on the recognizability of printed drug names. August 6, 2014
Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements. September 4, 2013
Acceptance of recommendations by inpatient pharmacy case managers: unintended consequences of hospitalist and specialist care. March 27, 2013
Risk models to improve safety of dispensing high-alert medications in community pharmacies. November 7, 2012
Effect of social influences on pharmacists' intention to report adverse drug events. October 17, 2012
Prevalence of preventable medication-related hospitalizations in Australia: an opportunity to reduce harm. May 2, 2012
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition. October 5, 2011
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip). June 22, 2011