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Administration Errors
PATIENT SAFETY PRIMERS
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COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
NEWSPAPER/MAGAZINE ARTICLE
Epidural-IV route mix-ups: reducing the risk of deadly errors.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
STUDY
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
REVIEW
Bar code technology and medication administration error.
Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
STUDY
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.
NEWSPAPER/MAGAZINE ARTICLE
A clinical reminder about the safe use of insulin vials.
ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
STUDY
Bar-code verification: reducing but not eliminating medication errors.
Henneman PL, Marquard JL, Fisher DL, et al. J Nurs Adm. 2012;42:562-566.
STUDY
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.
NEWSPAPER/MAGAZINE ARTICLE
Design for reliability: barcoded medication administration.
Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.
STUDY
Bar-code technology for medication administration: medication errors and nurse satisfaction.
Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.
NEWSPAPER/MAGAZINE ARTICLE
Latest heparin fatality speaks loudly—what have you done to stop the bleeding?
ISMP Medication Safety Alert! April 8, 2010;15:1-3.
BOOK/REPORT
External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.
Toft B. London, England: Department of Health; 2001.
COMMENTARY
Implementing a safe and reliable process for medication administration.
Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
STUDY
Anticoagulation-associated adverse drug events.
Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.
SPECIAL OR THEME ISSUE
Special Issue: Patient Safety.
Ergonomics. 2006;49:439-630.
STUDY
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.
STUDY
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008.
Pedersen CA, Schneider P, Scheckelhoff DJ. Am J Health Syst Pharm. 2009;66:926-946.
FACT SHEET/FAQS
Bar-Coded Medication Administration (BCMA).
Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.
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