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COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
NEWSPAPER/MAGAZINE ARTICLE
Misprogramming PCA concentration leads to dosing errors.
ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.
NEWSPAPER/MAGAZINE ARTICLE
Medication errors occurring with the use of bar-code administration technology.
PA-PSRS Patient Saf Advis. December 2008;5:122-126.
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.
STUDYclassic
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.
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.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
COMMENTARY
Learning accountability for patient outcomes.
Pronovost PJ. JAMA. 2010;304:204-205.
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
Suicide attempts and completions on medical-surgical and intensive care units.
Mills PD, Watts BV, Hemphill RR. J Hosp Med. 2014;9:182-185.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:191-195.
COMMENTARY
Medication event huddles: a tool for reducing adverse drug events.
Morvay S, Lewe D, Stewart B, Catt C, McClead RE Jr, Brilli RJ. Jt Comm J Qual Patient Saf. 2014;40:39-45.
NEWSPAPER/MAGAZINE ARTICLE
Administering a saline flush "site unseen" can lead to a wrong route error.
ISMP Medication Safety Alert! Acute Care Edition. May 16, 2013;18:1-3.
COMMENTARY
The next organizational challenge: finding and addressing diagnostic error.
Graber ML, Trowbridge R, Myers JS, Umscheid CA, Strull W, Kanter MH. Jt Comm J Qual Patient Saf. 2014;40:102-110.
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.
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