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COMMENTARY
ISMP medication error report analysis.
Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.
COMMENTARY
Improving heparin safety: a multidisciplinary invited conference.
Peterson C, Ham CW, Vanderveen T. Hosp Pharm. 2008;43:491-497.
NEWSPAPER/MAGAZINE ARTICLE
Epidural-IV route mix-ups: reducing the risk of deadly errors.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
ORGANIZATIONAL POLICY/GUIDELINES
Preventing errors relating to commonly used anticoagulants.
Sentinel Event Alert. September 24, 2008;(41):1-4.
COMMENTARY
ISMP medication error report analysis.
Cohen MR. Hosp Pharm. 2008;43:696–698.
NEWSPAPER/MAGAZINE ARTICLE
Anticoagulant safety practices call for pharmacist supervision.
Scott A. Drug Topics (Health-System Edition). November 10, 2008.
BOOK/REPORT
Inpatient Computerized Provider Order Entry: Findings from the AHRQ Health IT Portfolio.
Dixon BE, Zafar A, for AHRQ National Resource Center for Health IT. Rockville, MD: Agency for Healthcare Research and Quality; January 2009. AHRQ Publication No. 09-0031-EF.
MULTI-USE WEBSITE
BOOSTing Care Transitions Resource Room.
Project BOOST (Better Outcomes for Older adults through Safe Transitions), Society of Hospital Medicine.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
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.
BOOK/REPORT
The Patient Safety Initiative at America’s Public Hospitals: The Year One Overview.
Research Brief. Washington, DC: National Association of Public Hospitals and Health Systems; January 2011.
BOOK/REPORT
Patient Safety Authority Annual Reports.
Harrisburg, PA: Patient Safety Authority; April 2014.
COMMENTARY
A new frontier in patient safety.
McCannon J, Berwick DM. JAMA. 2011;305:2221-2222.
STUDY
Bar-code verification: reducing but not eliminating medication errors.
Henneman PL, Marquard JL, Fisher DL, et al. J Nurs Adm. 2012;42:562-566.
MEETING/CONFERENCE PROCEEDINGS
The 2014 Eighth International High Reliability Organizing Conference.
IHRO Institute for High Reliability Organizing. March 28–30, 2014; University of North Texas Health Science Center, Fort Worth, TX.
TOOLKIT
MARQUIS Medication Reconciliation Resource Center.
Multi-Center Medication Reconciliation Quality Improvement Study (MARQUIS). Philadelpha, PA: Society for Hospital Medicine.
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