U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
Device-related Complications (66)
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Identification Errors (26)
Discontinuities, Gaps, and Hand-Off Problems (273)
Fatigue and Sleep Deprivation (51)
Medication Safety (360)
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Epidemiology of Errors and Adverse Events (521)
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Approach to Improving Safety
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Error Reporting and Analysis (530)
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Medication errors: when pharmacy is closed.
PA-PSRS Patient Saf Advis. March 2012;9:11-17.
Engaging patients in medication reconciliation via a patient portal following hospital discharge.
Heyworth L, Paquin AM, Clark J, et al. J Am Med Inform Assoc. 2014;21:e157-e162.
What happens to the medication regimens of older adults during and after an acute hospitalization?
Harris CM, Sridharan A, Landis R, Howell E, Wright S. J Patient Saf. 2013;9:150-153.
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
Hospital-based medication reconciliation practices: a systematic review.
Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.
Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.
Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.
Medication regimen complexity and hospital readmission for an adverse drug event.
Willson MN, Greer CL, Weeks DL. Ann Pharmacother. 2014;48:26-32.
Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.
Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.
Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists.
Lee KP, Nishimura K, Ngu B, Tieu L, Auerbach AD. Ann Pharmacother. 2014;48:168-177.
Quality improvement through implementation of discharge order reconciliation.
Lu Y, Clifford P, Bjorneby A, et al. Am J Health Syst Pharm. 2013;70:815-820.
Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.
Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.
Improvement of medication event interventions through use of an electronic database.
Merandi J, Morvay S, Lewe D, et al. Am J Health Syst Pharm. 2013;70:1708-1714.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Reporting trends in a regional medication error data-sharing system.
Anderson JG, Ramanujam R, Hensel DJ, Sirio CA. Health Care Manag Sci. 2010;13:74-83.
Hospital discharge documentation and risk of rehospitalisation.
Hansen LO, Strater A, Smith L, et al. BMJ Qual Saf. 2011;20:773-778.
MARQUIS Medication Reconciliation Resource Center.
Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Philadelpha, PA: Society for Hospital Medicine.
Overrides of medication-related clinical decision support alerts in outpatients.
Nanji KC, Slight SP, Seger DL, et al. J Am Med Inform Assoc. 2014;21:487-491.
Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.
Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.
Rural inpatient telepharmacy consultation demonstration for after-hours medication review.
Cole SL, Grubbs JH, Din C, Nesbitt TS. Telemed E Health. 2012;18:530-537.
The clinical transformation of Ascension Health: eliminating all preventable injuries and deaths.
Pryor DB, Tolchin SF, Hendrich A, Thomas CS, Tersigni AR. Jt Comm J Qual Patient Saf. 2006;32:299-308.
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