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PATIENT SAFETY PRIMERS
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SPECIAL OR THEME ISSUE
CMS 30-minute rule for drug administration needs revision.
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.
Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.
Association of interruptions with an increased risk and severity of medication administration errors.
Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.
Implementing a safe and reliable process for medication administration.
Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.
Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.
Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.
Design for reliability: barcoded medication administration.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
Nursing care quality and adverse events in US hospitals.
Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.
Medication Administration Time Study (MATS): nursing staff performance of medication administration.
Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.
The application of Aronson's taxonomy to medication errors in nursing.
Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.
Work interruptions and their contribution to medication administration errors: an evidence review.
Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.
Guidelines for timely medication administration: response to the CMS "30-minute rule."
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.
Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.
Adverse drug events in hospitalized cardiac patients.
Fanikos J, Cina JL, Baroletti S, Fiumara K, Matta L, Goldhaber SZ. Am J Cardiol. 2007;100:1465-1469.
Effects of technological interventions on the safety of a medication-use system.
Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.
Raban MZ, Westbrook JI. BMJ Qual Saf. 2014;23:414-421.
The impact of traditional and smart pump infusion technology on nurse medication administration performance in a simulated inpatient unit.
Trbovich PL, Pinkney S, Cafazzo JA, Easty AC. Qual Saf Health Care. 2010;19:430-434.
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.
Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.
Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.
Outcomes of a quality improvement project for educating nurses on medication administration and errors in nursing homes.
Tenhunen ML, Tanner EK, Dahlen R. J Contin Educ Nurs. 2014;45:306-311.
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