Commentary ISMP medication error report analysis. Citation Text: Cohen M. Copy Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 5, 2006 Cohen M. View more articles from the same authors. This monthly selection of medication error reports provides examples of oral to IV dosing conflicts, name confusion with a new sleep aid, and radiology errors. Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Cohen M. Copy Citation Related Resources From the Same Author(s) Achieving a successful patient safety program with implementation of a harm reduction strategy. October 25, 2023 When a surgeon should just say 'I'm sorry'. April 6, 2016 How to avoid falling victim to a hospital mistake. November 25, 2009 ISMP medication error report analysis. October 7, 2009 ISMP medication error report analysis. August 26, 2009 Wife 'heartbroken' at death blamed on meningitis. 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Achieving a successful patient safety program with implementation of a harm reduction strategy. October 25, 2023
Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals. March 6, 2005
Using the Assessment of Reasoning Tool to facilitate feedback about diagnostic reasoning. January 11, 2023
The safety of intravenous drug delivery systems: update on current issues since the 1999 Consensus Development Conference. March 4, 2009
Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue]. June 21, 2006
A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery. September 22, 2021
Differences in safety report event types submitted by graduate medical education trainees compared with other healthcare team members. December 8, 2021
STARD 2015 guidelines for reporting diagnostic accuracy studies: explanation and elaboration. October 14, 2016
Improving the approach to defining, classifying, reporting and monitoring adverse events in seriously ill older adults: recommendations from a multi-stakeholder convening. June 15, 2022
Shaping systems for better behavioral choices: lessons learned from a fatal medication error. March 24, 2010
National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents. March 5, 2008
Variation in medication information for elderly patients during initial interventions by emergency department physicians. January 16, 2008
Bias in the ER. Doctors suffer from the same cognitive distortions as the rest of us. February 22, 2017
Medication errors affecting pediatric patients: unique challenges for this special population. October 7, 2015
Lean Hospitals: Improving Quality, Patient Safety, and Employee Engagement, Third Edition. June 22, 2016
STOPP/START criteria for potentially inappropriate prescribing in older people: version 3. September 27, 2023
Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists. August 23, 2023
Patient Safety Innovations Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer July 31, 2023
Association of polypharmacy and potential drug-drug interactions with adverse treatment outcomes in older adults with advanced cancer. July 19, 2023
Contributory factors and patient harm including deaths associated direct acting oral anticoagulants (DOACs) medication incidents: evaluation of real world data reported to the national reporting and learning system. July 12, 2023
Perspectives on Safety Annual Perspective Technology as a Tool for Improving Patient Safety March 29, 2023
Medication use evaluation of high-dose long-term opioid de-prescribing in multiple Veterans Affairs medical centers. January 18, 2023
Effect of prescriber notifications of patient’s fatal overdose on opioid prescribing at 4 to 12 months: a randomized clinical trial. January 18, 2023
Start the year off right by addressing these top 10 medication safety concerns from 2021. February 9, 2022
Effect of a multifaceted clinical pharmacist intervention on medication safety after hospitalization in persons prescribed high-risk medications: a randomized clinical trial. March 17, 2021
WebM&M Cases Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression May 27, 2020
Medication safety: reducing anesthesia medication errors and adverse drug events in dentistry part I and II. May 6, 2020
Safety enhancements every hospital must consider in wake of another tragic neuromuscular blocker event. January 23, 2019
Advancing medication safety: establishing a National Action Plan for Adverse Drug Event Prevention. August 5, 2015
A crack in our best armor: "wrong patient" injections from insulin pens alarmingly frequent even with barcode scanning. November 5, 2014