U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Discontinuities, Gaps, and Hand-Off Problems (5)
Medication Safety (108)
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Epidemiology of Errors and Adverse Events (37)
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Approach to Improving Safety
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Setting of Care
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The effect of the electronic transmission of prescriptions on dispensing errors and prescription enhancements made in English community pharmacies: a naturalistic stepped wedge study.
Franklin BD, Reynolds M, Sadler S, et al. BMJ Qual Saf. 2014;23:629-638.
Prescribing errors resulting in adverse drug events: how can they be prevented?
Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.
How do community pharmacies recover from e-prescription errors?
Odukoya OK, Stone JA, Chui MA. Res Social Adm Pharm. 2014;10:837-852.
Errors associated with outpatient computerized prescribing systems.
Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.
Ambulatory prescribing errors among community-based providers in two states.
Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.
Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.
Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.
Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.
Grossman JM, Cross DA, Boukus ER, Cohen GR. J Am Med Inform Assoc. 2012;19:353-359.
Dispensing errors in community pharmacy: perceived influence of sociotechnical factors.
Szeinbach S, Seoane-Vazquez E, Parekh A, Herderick M. Int J Qual Health Care. 2007;19:203-09.
Using nurses and office staff to report prescribing errors in primary care.
Kennedy AG, Littenberg B, Senders JW. Int J Qual Health Care. 2008;20:238-245.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:1148-1151.
Addition of electronic prescription transmission to computerized prescriber order entry: effect on dispensing errors in community pharmacies.
Moniz TT, Seger AC, Keohane CA, Seger DL, Bates DW, Rothschild JM. Am J Health Syst Pharm. 2011;68:158-163.
Family matters: pharmacy mix-ups.
Suares W. FOX 25 KOKH-TV. July 30, 2014.
Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.
Nanji KC, Rothschild JM, Boehne JJ, Keohane CA, Ash JS, Poon EG. J Am Med Inform Assoc. 2014;21:481-486.
Reduce readmissions with pharmacy programs that focus on transitions from the hospital to the community.
ISMP Medication Safety Alert! Acute Care Edition. November 15, 2012;17:1-3.
Perceptions of standards-based electronic prescribing systems as implemented in outpatient primary care: a physician survey.
Wang CJ, Patel MH, Schueth AJ, et al. J Am Med Inform Assoc. 2009;16:493-502.
Randomized trial to improve prescribing safety in ambulatory elderly patients.
Raebel MA, Charles J, Dugan J, et al. J Am Geriatr Soc. 2007;55:977-985.
Primary medication non-adherence: analysis of 195,930 electronic prescriptions.
Fischer MA, Stedman MR, Lii J, et al. J Gen Intern Med. 2010;25:284-290.
Effect of a pharmacist on adverse drug events and medication errors in outpatients with cardiovascular disease.
Murray MD, Ritchey ME, Wu J, Tu W. Arch Intern Med. 2009;169:757-763.
The relationships among work stress, strain and self-reported errors in UK community pharmacy.
Johnson SJ, O'Connor EM, Jacobs S, Hassell K, Ashcroft DM. Res Social Adm Pharm. 2014;10:885-895.
Pill errors cost pharmacists cash, not career.
Dworkin A. The Oregonian. June 20, 2007:A01.
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