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PATIENT SAFETY PRIMERS
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Device-related Complications (171)
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STUDY
Intravenous infusion safety technology: return on investment.
Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.
COMMENTARY
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
NEWSPAPER/MAGAZINE ARTICLE
Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
STUDY
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
NEWSPAPER/MAGAZINE ARTICLE
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.
ORGANIZATIONAL POLICY/GUIDELINES
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
STUDY
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
STUDY
Effect of bar-code technology on the safety of medication administration.
Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
NEWSPAPER/MAGAZINE ARTICLE
How has the current economy affected patient safety?
ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2012.
NEWSPAPER/MAGAZINE ARTICLE
Safe practice environment chapter proposed by USP.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
MULTI-USE WEBSITE
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
NEWSPAPER/MAGAZINE ARTICLE
A clinical reminder about the safe use of insulin vials.
ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
MEASUREMENT TOOL/INDICATOR
2011 ISMP Medication Safety Self Assessment for Hospitals.
Horsham, PA: Institute for Safe Medication Practices; April 2011.
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