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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.
STUDY
Paid malpractice claims for adverse events in inpatient and outpatient settings.
Bishop TF, Ryan AK, Casalino LP. JAMA. 2011;305:2427-2431.
MEASUREMENT TOOL/INDICATOR
Tubing Misconnections Self Assessment for Healthcare Facilities.
Horsham, PA: Institute for Safe Medication Practices, Deerfield, IL: Baxter Healthcare; 2012.
STUDY
The safety of hospital stroke care.
Holloway RG, Tuttle D, Baird T, Skelton WK. Neurology. 2007;68:550-555.
COMMENTARY
Application of failure mode and effect analysis in a radiology department.
Thornton E, Brook OR, Mendiratta-Lala M, Hallett DT, Kruskal JB. Radiographics. 2011;31:281-293.
STUDY
Handoff communication between hospital and outpatient dialysis units at patient discharge: a qualitative study.
Reilly JB, Marcotte LM, Berns JS, Shea JA. Jt Comm J Qual Patient Saf. 2013;39:70-76.
STUDY
Venous thromboembolism after trauma: a never event?
Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.
STUDY
Wisdom through adversity: learning and growing in the wake of an error.
Plews-Ogan M, Owens JE, May NB. Patient Educ Couns. 2013;91:236-242.
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.
STUDY
Complexity of medication-related verbal orders.
Wakefield DS, Ward MM, Groath D, et al. Am J Med Qual. 2008;23:7-17. 
COMMENTARY
Diagnostic errors—The next frontier for patient safety.
Newman-Toker DE, Pronovost PJ. JAMA. 2009;301:1060-1062.
STUDY
Challenges and opportunities to prevent transfusion errors: a Qualitative Evaluation for Safer Transfusion (QUEST).
Heddle NM, Fung M, Hervig T, et al; BEST Collaborative. Transfusion. 2012;52:1687-1695.
NEWSPAPER/MAGAZINE ARTICLE
Events associated with the prescribing, dispensing, and administering of medication loading doses.
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
STUDY
French national survey of inpatient adverse events prospectively assessed with ward staff.
Michel P, Quenon JL, Djihoud A, Tricaud-Vialle S, de Sarasqueta AM. Qual Saf Health Care. 2007;16:369-377.
COMMENTARY
The concept of error and malpractice in radiology.
Pinto A, Brunese L, Pinto F, Reali R, Daniele S, Romano L. Semin Ultrasound CT MR. 2012;33:275-279.
COMMENTARY
Preventable errors in organ transplantation: an emerging patient safety issue?
Ison MG, Holl JL, Ladner D. Am J Transplant. 2012;12:2307-2312.
STUDY
Quantitative assessment of workload and stressors in clinical radiation oncology.
Mazur LM, Mosaly PR, Jackson M, et al. Int J Radiat Oncol Biol Phys. 2012;83:e571-e576.
STUDYclassic
Factors contributing to all-cause 30-day readmissions: a structured case series across 18 hospitals.
Feigenbaum P, Neuwirth E, Trowbridge L, et al. Med Care. 2012;50:599-605.
COMMENTARY
Using the opportunity estimator tool to improve engagement in a quality and safety intervention.
Duval-Arnould J, Mathews SC, Weeks K, et al. Jt Comm J Qual Patient Saf. 2012;38:41-47.
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