U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (16)
Identification Errors (1)
Discontinuities, Gaps, and Hand-Off Problems (34)
Medication Safety (385)
Medical Complications (7)
Nonsurgical Procedural Complications (1)
Surgical Complications (4)
Australia and New Zealand (12)
Central and South America (4)
North America (302)
Clinical Guideline (1)
Journal Article (291)
Newspaper/Magazine Article (66)
Press Release/Announcement (3)
Special or Theme Issue (1)
Web Resource (2)
Epidemiology of Errors and Adverse Events (150)
Active Errors (90)
Latent Errors (28)
Near Miss (7)
Approach to Improving Safety
Quality Improvement Strategies (71)
Legal and Policy Approaches (15)
Error Reporting and Analysis (76)
Communication Improvement (87)
Human Factors Engineering (72)
Specialization of Care (89)
Logistical Approaches (25)
Culture of Safety (19)
Technologic Approaches (192)
Education and Training (53)
Health Care Providers (306)
Health Care Executives and Administrators (292)
Non-Health Care Professionals (117)
Setting of Care
Psychiatric Facilities (1)
Ambulatory Care (8)
Outpatient Surgery (2)
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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.
In Conversation with…Eric G. Poon, MD, MPH
AHRQ WebM&M [serial online]. September 2008.
Methodological variability in detecting prescribing errors and consequences for the evaluation of interventions.
Franklin BD, Birch S, Savage I, et al. Pharmacoepidemiol Drug Saf. 2009;18:992-999.
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.
Impact of health information technology on detection of potential adverse drug events at the ordering stage.
Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Am J Health Syst Pharm. 2010;67:1838-1846.
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?
Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.
Churchill WW, Fiumara K. AHRQ WebM&M [serial online]. April 2009.
Dose of technology helps Shands at UF avoid drug errors.
Chun D. Gainsville Sun. August 21, 2006.
Medication administration technologies and patient safety: a mixed-method systematic review.
Wulff K, Cummings GG, Marck P, Yurtseven O. J Adv Nurs. 2011;67:2080-2095.
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.
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.
Medication administration discrepancies persist despite electronic ordering.
FitzHenry F, Peterson JF, Arrieta M, Waitman LR, Schildcrout JS, Miller RA. J Am Med Inf Assoc. 2007;14:756-764.
Utilising improvement science methods to optimise medication reconciliation.
White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.
Medicines reconciliation using a shared electronic health care record.
Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.
Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.
Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.
Medication errors: a year in review.
Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.
Automated drug dispensing system reduces medication errors in an intensive care setting.
Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.
Bar code technology and medication administration error.
Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.
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