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STUDY
Listen carefully: the risk of error in spoken medication orders.
Lambert BL, Dickey LW, Fisher WM, et al. Soc Sci Med. 2010;70:1599-1608.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
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;44:288-292.
COMMENTARY
Medication errors related to product names.
Santell JP, Cousins DD. Jt Comm J Qual Patient Saf. 2005;31:649-654.
PRESS RELEASE/ANNOUNCEMENT
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.
STUDY
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
STUDY
What’s past is prologue: organizational learning from a serious patient injury.
Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.
NEWSPAPER/MAGAZINE ARTICLE
Promethazine conundrum: IV can hurt more than IM injection!
ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.
STUDY
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.
COMMENTARY
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
REVIEW
Year in review: medication mishaps in the elderly.
Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.
NEWSPAPER/MAGAZINE ARTICLE
Generic drug names: fertile ground for errors?
Wynn P. Drug Topics Supplements. August 8, 2005.
STUDY
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2005;40:643-648.
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