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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
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
Diagnostic errors with inserted tubes, lines and catheters in children.
Fuentealba I, Taylor GA. Pediatr Radiol. 2012;42:1305-1315.
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
Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.
Gilbar P, Chambers CR, Larizza M. J Oncol Pharm Pract. 2014 Jan 13; [Epub ahead of print].
STUDY
What do hospital staff in the UK think are the causes of penicillin medication errors?
Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.
STUDY
Supratherapeutic dosing of acetaminophen among hospitalized patients.
Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.
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
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.
STUDY
Disclosing adverse events to patients: international norms and trends.
Wu AW, McCay L, Levinson W, et al. J Patient Saf. 2014 Apr 8; [Epub ahead of print].
COMMENTARY
Patient safety and quality care.
Nelson K. Clin Dermatol. 2014;32:542-544.
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
Venous thromboembolism after trauma: a never event?
Thorson CM, Ryan ML, Van Haren RM, et al. Crit Care Med. 2012;40:2967-2973.
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.
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
Management-changing errors in the recall of radiologic results—a pilot study.
Brus-Ramer M, Yerubandi V, Newhouse JH. Clin Radiol. 2012;67:574-578.
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.
STUDY
Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?
Lovig KO, Horwitz L, Lipska K, Kosiborod M, Krumholz HM, Inzucchi SE. Jt Comm J Qual Patient Saf. 2012;38:403-407.
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.
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