Reducing anticoagulant medication adverse events and avoidable patient harm

Joint Commission Journal on Quality and Patient Safety

Volumn 34, Issue 4, 2008, Pages 196-200

  Jennings, Heath R ^a   Miller, Eric C ^b   Williams, Tina S ^b   Tichenor, Sherry S ^c   Woods, Eugene A ^b  

^a Saint Joseph HealthCare Inc   (United States)

^b Department of Pharmacy Services ^*

^c Performance Management and Medical Staff Services

Author keywords

[No Author keywords available]

Indexed keywords

ANTICOAGULANT AGENT;

ARTICLE; AWARDS AND PRIZES; BLEEDING; CHEMICALLY INDUCED DISORDER; DRUG SURVEILLANCE PROGRAM; HEALTH SERVICES RESEARCH; HUMAN; MEDICATION ERROR; METHODOLOGY; MULTIHOSPITAL SYSTEM; ORGANIZATION AND MANAGEMENT; PATIENT CARE; SAFETY; THROMBOSIS; UNITED STATES;

ADVERSE DRUG REACTION REPORTING SYSTEMS; ANTICOAGULANTS; AWARDS AND PRIZES; HEMORRHAGE; HUMANS; KENTUCKY; MEDICATION ERRORS; MULTI-INSTITUTIONAL SYSTEMS; ORGANIZATIONAL CASE STUDIES; PATIENT CARE TEAM; SAFETY MANAGEMENT; THROMBOSIS;

EID: 42149105074     PISSN: 15537250     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1553-7250(08)34024-0     Document Type: Article

References (6)

1. Institute for Safe Medication Practices: ISMP's List of High-Alert Medications. http://www.ismp.org/Tools/highalertmedications.pdf (last accessed Feb. 11, 2008).
2. The Joint Commission: 2008 National Patient Safety Goals, Hospital Program. http://www.jointcommission.org/PatientSafety/ NationalPatientSafetyGoals/08_hap_npsgs.htm (last accessed Feb. 13, 2008).
3. Six Sigma: Home Page. http://www.sixsigma.com (last accessed Feb. 13, 2008).
4. Ansell J., et al.: The pharmacology and management of the vitamin K antagonists: The Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 126(suppl. 3):204S-233S, Sep. 2004.
5. Institute for Healthcare Improvement: Trigger Tool for Measuring ADEs. www.ihi.org/ihi/workspace/tools/trigger/ (last accessed Feb. 13, 2008).
6. Six Sigma: Process Sigma Calculator. http://www.isixsigma.com/ sixsigma/six_sigma_calculator.asp (last accessed Feb. 11, 2008).