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COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
STUDY
A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.
Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.
NEWSPAPER/MAGAZINE ARTICLE
Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:654-657.
STUDY
PCA safety data review after clinical decision support and smart pump technology implementation.
Prewitt J, Schneider S, Horvath M, Hammond J, Jackson J, Ginsberg B. J Patient Saf. 2013;9:103-109.
NEWSPAPER/MAGAZINE ARTICLE
Fatal PCA adverse events continue to happen...better patient monitoring is essential to prevent harm.
ISMP Medication Safety Alert! Acute Care Edition. May 30, 2013;18:1-3.
STUDY
An intervention to decrease narcotic-related adverse drug events in children's hospitals.
Sharek PJ, McClead RE Jr, Taketomo C, et al. Pediatrics. 2008;122:e861-e866.
STUDY
The rate and costs attributable to intravenous patient-controlled analgesia errors.
Meissner B, Nelson W, Hicks R, Sikirica V, Gagne J, Schein J. Hosp Pharm. 2009;44:312–324.
STUDY
Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.
Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.
STUDY
Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.
Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.
NEWSPAPER/MAGAZINE ARTICLE
Beware of basal opioid infusions with PCA therapy.
ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.
STUDY
Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.
Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.
STUDY
Impact of a comprehensive safety initiative on patient-controlled analgesia errors.
Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.
STUDY
Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.
Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.
COMMENTARY
Opioids, iatrogenic harm and disclosure of medical error.
Blinderman CD. J Pain Symptom Manage. 2010;39:309-313.
STUDY
A prevalence study of errors in opioid prescribing in a large teaching hospital.
Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.
NEWSPAPER/MAGAZINE ARTICLE
Common cause analysis.
Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.
PRESS RELEASE/ANNOUNCEMENT
Patient controlled analgesia by proxy.
The Joint Commission. Sentinel Event Alert. December 20, 2004;(33):1-2.
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