U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (16)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (33)
Medication Safety (321)
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Nonsurgical Procedural Complications (1)
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Australia and New Zealand (10)
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Clinical Guideline (1)
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Epidemiology of Errors and Adverse Events (123)
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Approach to Improving Safety
Quality Improvement Strategies (60)
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Error Reporting and Analysis (58)
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Health Care Providers (258)
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Non-Health Care Professionals (98)
Setting of Care
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40 of K.
Lesar TS. AHRQ WebM&M [serial online]. November 2003.
Wears RL. AHRQ WebM&M [serial online]. September 2004.
Using CPOE to improve communication, safety, and policy compliance when ordering pediatric chemotherapy.
Crossno CL, Cartwright JA, Hargrove FR. Hosp Pharm. 2007;42:368–373.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Impact of a standard medication chart on prescribing errors: a before-and-after audit.
Coombes ID, Stowasser DA, Reid C, Mitchell CA. Qual Saf Health Care. 2009;18:478-485.
An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.
Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.
Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.
Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.
Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.
Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.
Mixed results in the safety performance of computerized physician order entry.
Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.
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.
Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.
Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.
Implementation of a telepharmacy service to provide round-the-clock medication order review by pharmacists.
Wakefield DS, Ward MM, Loes JL, O'Brien J, Sperry L. Am J Health Syst Pharm. 2010;67:2052-2057.
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.
Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.
Collins TR. The Hospitalist. July 2011.
A review of verbal order policies in acute care hospitals.
Wakefield DS, Wakefield BJ, Despins L, et al. Jt Comm J Qual Patient Saf. 2012;38:24-33.
Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.
Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.
Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.
Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.
Medication errors associated with documented allergies.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.
Impact of electronic prescribing in a hospital setting: a process-focused evaluation.
Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.
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