U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Discontinuities, Gaps, and Hand-Off Problems (6)
Medication Safety (114)
Medical Complications (1)
Nonsurgical Procedural Complications (1)
Surgical Complications (1)
Australia and New Zealand (2)
North America (95)
Journal Article (78)
Newspaper/Magazine Article (19)
Press Release/Announcement (3)
Web Resource (1)
Epidemiology of Errors and Adverse Events (43)
Active Errors (33)
Latent Errors (17)
Near Miss (4)
Approach to Improving Safety
Quality Improvement Strategies (19)
Legal and Policy Approaches (13)
Error Reporting and Analysis (35)
Communication Improvement (28)
Human Factors Engineering (15)
Specialization of Care (6)
Logistical Approaches (8)
Culture of Safety (10)
Technologic Approaches (35)
Education and Training (15)
Health Care Providers (99)
Health Care Executives and Administrators (41)
Non-Health Care Professionals (31)
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.
Errors associated with outpatient computerized prescribing systems.
Nanji KC, Rothschild JM, Salzberg C, et al. J Am Med Inform Assoc. 2011;18:767-773.
How do community pharmacies recover from e-prescription errors?
Odukoya OK, Stone JA, Chui MA. Res Social Adm Pharm. 2014;10:837-852.
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.
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.
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.
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.
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.
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.
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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