U.S. Department of Health & Human Services
Automatic drug dispensers
PATIENT SAFETY PRIMERS
2014 ANNUAL PERSPECTIVES
Device-related Complications (9)
Identification Errors (2)
Discontinuities, Gaps, and Hand-Off Problems (7)
Medication Safety (61)
Surgical Complications (1)
Australia and New Zealand (1)
North America (51)
Journal Article (37)
Newspaper/Magazine Article (15)
Press Release/Announcement (1)
Special or Theme Issue (1)
Epidemiology of Errors and Adverse Events (12)
Active Errors (16)
Latent Errors (8)
Approach to Improving Safety
Automatic drug dispensers
Health Care Providers (50)
Health Care Executives and Administrators (52)
Non-Health Care Professionals (28)
Setting of Care
Residential Facilities (1)
Ambulatory Care (6)
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Prevalence of medication administration errors in two medical units with automated prescription and dispensing.
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.
Dose of technology helps Shands at UF avoid drug errors.
Chun D. Gainsville Sun. August 21, 2006.
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.
Medication errors: a year in review.
Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.
Automated drug dispensing system reduces medication errors in an intensive care setting.
Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.
Guidelines for timely medication administration: response to the CMS "30-minute rule."
ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.
Medication errors associated with documented allergies.
PA-PSRS Patient Saf Advis. September 2008;5:75-80.
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
Piecing together medication administration.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.
Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2009;44:730-733.
Severity of medication administration errors detected by a bar-code medication administration system.
Sakowski J, Newman JM, Dozier K. Am J Health Syst Pharm. 2008;65:1661-1666.
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.
ASHP guidelines on the safe use of automated dispensing devices.
Am J Health Syst Pharm. 2010;67:483-490.
The Role of Bar Coding and Smart Pumps in Safety
Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.
Bar-Coded Medication Administration (BCMA).
Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.
Vial Mistakes Involving Heparin.
Vanderveen T. AHRQ WebM&M [serial online]. May 2009.
Follow ISMP guidelines to safeguard the design and use of automated dispensing cabinets (ADCs).
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.
Oops, sorry, wrong patient! A patient verification process is needed everywhere, not just at the bedside.
ISMP Medication Safety Alert! Acute Care Edition. March 10, 2011;16:1-4.
Evaluation of causes and frequency of medication errors during information technology downtime.
Hanuscak TL, Szeinbach SL, Seoane-Vazquez E, Reichert BJ, McCluskey CF. Am J Health Syst Pharm. 2009;66:1119-1124.
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