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COMMENTARY
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Epner PL, Gans JE, Graber ML. BMJ Qual Saf. 2013;22(supp 2):6-10.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
STUDY
Diagnostic errors with inserted tubes, lines and catheters in children.
Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
STUDY
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.
STUDY
Increasing rate of detection of wrong-patient radiographs: use of photographs obtained at time of radiography.
Tridandapani S, Ramamurthy S, Galgano SJ, Provenzale JM. AJR Am J Roentgenol. 2013;200:W345-W352.
NEWSPAPER/MAGAZINE ARTICLE
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
MEASUREMENT TOOL/INDICATOR
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
STUDY
Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
NEWSPAPER/MAGAZINE ARTICLE
Small effort, big payoff...automated maximum dose alerts with hard stops.
ISMP Medication Safety Alert! Acute Care Edition. September 19, 2013;18:1-4.
STUDY
Overdiagnosis in low-dose computed tomography screening for lung cancer.
Patz EF Jr, Pinsky P, Gatsonis C, et al; NLST Overdiagnosis Manuscript Writing Team. JAMA Intern Med. 2014;174:269-274.
REVIEW
Does applying technology throughout the medication use process improve patient safety with antineoplastics?
Bubalo J, Warden BA, Wiegel JJ, et al. J Oncol Pharm Pract. 2013 Dec 19; [Epub ahead of print].
STUDY
Clinically missed cancer: how effectively can radiologists use computer-aided detection?
Nishikawa RM, Schmidt RA, Linver MN, Edwards AV, Papaioannou J, Stull MA. AJR Am J Roentgenol. 2012;198:708-716.
TOOLS/TOOLKIT
Improving Transitions of Care: Hand-off Communications.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
ORGANIZATIONAL POLICY/GUIDELINES
Medical device alarm safety in hospitals.
Sentinel Event Alert. April 8, 2013;(50):1-3.
STUDY
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Reilly JB, Marcotte LM, Berns JS, Shea JA. Jt Comm J Qual Patient Saf. 2013;39:70-76.
STUDY
The computerized rounding report: implementation of a model system to support transitions of care.
Wohlauer MV, Rove KO, Pshak TJ, et al. J Surg Res. 2012;172:11-17.
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