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STUDY
Errare humanum est: frequency of laterality errors in radiology reports.
Sangwaiya MJ, Saini S, Blake MA, Dreyer KJ, Kalra MK. AJR Am J Roentgenol. 2009;192:W239-W244.
STUDY
Diagnostic errors in pediatric radiology.
Taylor GA, Voss SD, Melvin PR, Graham DA. Pediatr Radiol. 2011;41:327-334.
COMMENTARY
When diagnostic testing leads to harm: a new outcomes-based approach for laboratory medicine.
Epner PL, Gans JE, Graber ML. BMJ Qual Saf. 2013;22(supp 2):6-10.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
STUDY
Diagnostic errors with inserted tubes, lines and catheters in children.
Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
STUDY
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.
NEWSPAPER/MAGAZINE ARTICLE
Shared MDIs: can cross-contamination be avoided?
ISMP Medication Safety Alert! Acute Care Edition. April 9, 2009;14:1-3.
STUDY
Disclosing harmful mammography errors to patients.
Gallagher TH, Cook AJ, Brenner RJ, et al. Radiology. 2009;253:443-452.
MEASUREMENT TOOL/INDICATOR
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
STUDY
Accuracy of radiographic readings in the emergency department.
Petinaux B, Bhat R, Boniface K, Aristizabal J. Am J Emerg Med. 2011;29:18-25.
NEWSPAPER/MAGAZINE ARTICLE
Small effort, big payoff...automated maximum dose alerts with hard stops.
ISMP Medication Safety Alert! Acute Care Edition. September 19, 2013;18:1-4.
STUDY
Clinically missed cancer: how effectively can radiologists use computer-aided detection?
Nishikawa RM, Schmidt RA, Linver MN, Edwards AV, Papaioannou J, Stull MA. AJR Am J Roentgenol. 2012;198:708-716.
TOOLS/TOOLKIT
Improving Transitions of Care: Hand-off Communications.
Oakbrook Terrace, IL: Joint Commission Center for Transforming Healthcare; June 2012.
SPECIAL OR THEME ISSUE
Disrespectful behaviors—part 1 and part 2.
ISMP Medication Safety Alert! Acute Care Edition. October 3, 2013;18:1-4. April 24, 2014;19:1-4.
STUDY
An observational study of how patients are identified before medication administrations in medical and surgical wards.
Härkänen M, Kervinen M, Ahonen J, Turunen H, Vehviläinen-Julkunen K. Nurs Health Sci. 2014 Jul 8; [Epub ahead of print].
STUDY
Communication failures in patient sign-out and suggestions for improvement: a critical incident analysis.
Arora V, Johnson J, Lovinger D, Humphrey HJ, Meltzer DO. Qual Saf Health Care. 2005;14:401-407.
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