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PATIENT SAFETY PRIMERS
Human Factors Engineering
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STUDY
Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.
Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.
STUDYclassic
Association of interruptions with an increased risk and severity of medication administration errors.
Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.
SPECIAL OR THEME ISSUE
CMS 30-minute rule for drug administration needs revision.
ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.
STUDY
Medication safety initiative in reducing medication errors.
Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.
STUDY
Medication Administration Time Study (MATS): nursing staff performance of medication administration.
Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.
STUDY
The application of Aronson's taxonomy to medication errors in nursing.
Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.
REVIEW
Work interruptions and their contribution to medication administration errors: an evidence review.
Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.
STUDY
Designing for distractions: a human factors approach to decreasing interruptions at a centralised medication station.
Colligan L, Guerlain S, Steck SE, Hoke TR. BMJ Qual Saf. 2012;21:939-947.
STUDY
Going blank: factors contributing to interruptions to nurses' work and related outcomes.
Hall LM, Ferguson-Paré M, Peter E, et al. J Nurs Manag. 2010;18:1040-1047.
REVIEW
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review.
Raban MZ, Westbrook JI. BMJ Qual Saf. 2013 Aug 26; [Epub ahead of print].
REVIEW
Fall prevention in hospitals: an integrative review.
Spoelstra SL, Given BA, Given CW. Clin Nurs Res. 2012;21:92-112.
COMMENTARY
Interruptions and medication errors: part I.
Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.
NEWSPAPER/MAGAZINE ARTICLE
Action needed to prevent dangerous heparin-insulin confusion.
ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.
COMMENTARY
Medication room madness: calming the chaos.
Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.
COMMENTARY
Medication errors: don't let them happen to you.
Anderson P, Townsend T. Amer Nurs Today. March 2010;5:23-27.
STUDY
The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.
Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.
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