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PATIENT SAFETY PRIMERS
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COMMENTARY
Medication errors related to product names.
Santell JP, Cousins DD. Jt Comm J Qual Patient Saf. 2005;31:649-654.
COMMENTARY
Dealing honestly with an honest mistake.
Liang NL, Herring ME, Bush RL. J Vasc Surg. 2010;51:494-495.
STUDY
A comparison of voluntarily reported medication errors in intensive care and general care units.
Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.
STUDY
Medication error reporting in nursing homes: identifying targets for patient safety improvement.
Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2006;41:405-406.
STUDY
Quality of traditional surveillance for public reporting of nosocomial bloodstream infection rates.
Lin MY, Hota B, Khan YM, et al; CDC Prevention Epicenter Program. JAMA. 2010;304:2035-2041.
COMMENTARY
Between a rock and a hard place: disclosing medical errors.
Crone KG, Muraski MB, Skeel JD, Love-Gregory L, Ladenson JH, Gronowski AM. Clin Chem. 2006;52:1809-1814.
COMMENTARY
The Role of the Patient in Improving Patient Safety
Gibson R. AHRQ WebM&M [serial online]. March 2007.
STUDY
Inadvertent misadministration of meningococcal conjugate vaccine—United States, June–August 2005.
Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2006;55:1016-1017.
NEWSPAPER/MAGAZINE ARTICLE
Generic drug names: fertile ground for errors?
Wynn P. Drug Topics Supplements. August 8, 2005.
COMMENTARY
'Connecting the dots': leveraging visual analytics to make sense of patient safety event reports.
Ratwani RM, Fong A. J Am Med Inform Assoc. 2014 Oct 21; [Epub ahead of print].
STUDY
Medication injection safety knowledge and practices among anesthesiologists: New York State, 2011.
Gounder P, Beers R, Bornschlegel K, Hinterland K, Balter S. J Clin Anesth. 2013;25:521-528.
COMMENTARYclassic
Shaping systems for better behavioral choices: lessons learned from a fatal medication error.
Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.
STUDY
Self-reported violations during medication administration in two paediatric hospitals.
Alper SJ, Holden RJ, Scanlon MC, et al. BMJ Qual Saf. 2012;21:408-415.
STUDY
Repeat medication errors in nursing homes: contributing factors and their association with patient harm.
Crespin DJ, Modi AV, Wei D, et al. Am J Geriatr Pharmacother. 2010;8:258-270.
COMMENTARY
Using medical-error reporting to drive patient safety efforts.
Stow J. AORN J. 2006;84:406-408, 411-414, 417-420.
STUDY
Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.
Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.
STUDY
Responding to patient safety incidents: the "seven pillars."
McDonald TB, Helmchen LA, Smith KM, et al. Qual Saf Health Care. 2010;19:e11.
COMMENTARY
Safety strategies in an academic radiation oncology department and recommendations for action.
Terezakis SA, Pronovost P, Harris K, Deweese T, Ford E. Jt Comm J Qual Patient Saf. 2011;37:291-299.
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