U.S. Department of Health & Human Services
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Australia and New Zealand (17)
Central and South America (4)
North America (264)
Clinical Guideline (1)
Journal Article (289)
Newspaper/Magazine Article (47)
Press Release/Announcement (12)
Special or Theme Issue (5)
Epidemiology of Errors and Adverse Events (126)
Active Errors (157)
Latent Errors (42)
Near Miss (12)
Approach to Improving Safety
Quality Improvement Strategies (88)
Legal and Policy Approaches (22)
Error Reporting and Analysis (105)
Communication Improvement (40)
Human Factors Engineering (97)
Specialization of Care (17)
Logistical Approaches (24)
Culture of Safety (19)
Technologic Approaches (105)
Education and Training (74)
Health Care Providers (315)
Health Care Executives and Administrators (298)
Non-Health Care Professionals (120)
Setting of Care
Psychiatric Facilities (6)
Residential Facilities (11)
Ambulatory Care (30)
Outpatient Surgery (3)
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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.
Prevalence of medication administration errors in two medical units with automated prescription and dispensing.
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.
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.
The incidence and nature of prescribing and medication administration errors in paediatric inpatients.
Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.
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.
Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.
van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.
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.
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.
Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.
Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.
Medication errors in paediatric outpatients.
Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.
Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.
Miller JL, Johnson PN, Harrison DL, Hagemann TM. Ann Pharmacother. 2010;44:35-42.
Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency.
Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.
Design for reliability: barcoded medication administration.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
Prioritising the prevention of medication handling errors.
Bertsche T, Niemann D, Mayer Y, Ingram K, Hoppe-Tichy T, Haefeli WE. Pharm World Sci. 2008;30:907-915.
Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:730-733.
Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.
Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.
Severity of medication administration errors detected by a bar-code medication administration system.
Sakowski J, Newman JM, Dozier K. Am J Health Syst Pharm. 2008;65:1661-1666.
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