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COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
NEWSPAPER/MAGAZINE ARTICLE
Epidural-IV route mix-ups: reducing the risk of deadly errors.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
STUDY
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
NEWSPAPER/MAGAZINE ARTICLE
Design for reliability: barcoded medication administration.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
NEWSPAPER/MAGAZINE ARTICLE
Administering a saline flush "site unseen" can lead to a wrong route error.
ISMP Medication Safety Alert! Acute Care Edition. May 16, 2013;18:1-3.
NEWSPAPER/MAGAZINE ARTICLE
An extra dose of safety.
Health Manage Techol. April 2007;28:30-32, 34.
COMMENTARYclassic
Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.
STUDY
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.
COMMENTARY
Implementing a safe and reliable process for medication administration.
Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.
COMMENTARY
Human cognition and the dynamics of failure to rescue: the Lewis Blackman case.
Acquaviva K, Haskell H, Johnson J. J Prof Nurs. 2013;29:95-101.
SPECIAL OR THEME ISSUE
Special Issue: Patient Safety.
Ergonomics. 2006;49:439-630.
COMMENTARY
Smart pumps: implications for nurse leaders.
Kirkbride G, Vermace B. Nurs Adm Q. 2011;35:110-118.
COMMENTARY
Leading a highly visible hospital through a serious reportable event.
Erickson JI. J Nurs Adm. 2012;42:131-133.
COMMENTARY
Check the Bags.
Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.
STUDY
Developing a medical emergency team running sheet to improve clinical handoff and documentation.
Mardegan K, Heland M, Whitelock T, Millar R, Jones D. Jt Comm J Qual Patient Saf. 2013;39:570-575.
NEWSPAPER/MAGAZINE ARTICLE
Scanner beep only means the barcode has been scanned.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.
REVIEW
Barcode medication administration work-arounds: a systematic review and implications for nurse executives.
Voshall B, Piscotty R, Lawrence J, Targosz M. J Nurs Adm. 2013;43:530-535.
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