-
1
-
-
0003413171
-
-
Kohn LT, Corrigan JM, Donaldson MS, eds. ,Institute of Medicine,National Academy of Sciences. Washington: National Academy Press
-
Kohn LT, Corrigan JM, Donaldson MS, eds. To err is human: Building a safer health system. Institute of Medicine, National Academy of Sciences. Washington: National Academy Press, 2000.
-
(2000)
To Err is Human: Building a Safer Health System
-
-
-
2
-
-
0026022279
-
The nature of adverse events in hospitalized patients
-
Results of the Harvard Medical Practice Study II
-
Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients. results of the Harvard Medical Practice Study II. N Engl J Med 1991;324:377-84.
-
(1991)
N Engl J Med
, vol.324
, pp. 377-384
-
-
Leape, L.L.1
Brennan, T.A.2
Laird, N.3
-
3
-
-
0031032055
-
Adverse drug events in hospitalized patients: Excess length of stay, extra costs, and attributable mortality
-
Classen DC, Pestonik SL, Evans RS, et al. Adverse drug events in hospitalized patients: Excess length of stay, extra costs, and attributable mortality. JAMA 1997;277:301-6.
-
(1997)
JAMA
, vol.277
, pp. 301-306
-
-
Classen, D.C.1
Pestonik, S.L.2
Evans, R.S.3
-
4
-
-
0029066463
-
Incidence of adverse drug events and potential adverse drug events: Implications for prevention
-
ADE Prevention Study Group
-
Bates DW, Cullen DJ, Laird N, et al. Incidence of adverse drug events and potential adverse drug events: Implications for prevention. ADE Prevention Study Group. JAMA 1995;274:29-34.
-
(1995)
JAMA
, vol.274
, pp. 29-34
-
-
Bates, D.W.1
Cullen, D.J.2
Laird, N.3
-
5
-
-
0038805213
-
Programming errors contribute to death from patient-controlled analgesia: Case report and estimate of probability
-
Vicente K, Kada-Bekhaled K, Hillel G, et al. Programming errors contribute to death from patient-controlled analgesia: Case report and estimate of probability. Can J Anaesth 2003;50:328-32.
-
(2003)
Can J Anaesth
, vol.50
, pp. 328-32
-
-
Vicente, K.1
Kada-Bekhaled, K.2
Hillel, G.3
-
6
-
-
78650333591
-
Design flaw predisposes abbott lifecare PCA plus II pump to dangerous medication errors
-
Institute for Safe Medication Practices,Institute for Safe Medication Practices,accessed 1 Mar 2010
-
Institute for Safe Medication Practices. Design flaw predisposes Abbott Lifecare PCA plus II pump to dangerous medication errors. ISMP Medication Safety Alert 2000;5:2. http://www.ismp.org/Newsletters/acutecare/archives/May00. asp#May31,2000 and http://www.ismp-canada.org/download/safetyBulletins/ ISMPCSB2005-01.pdf (accessed 1 Mar 2010).
-
(2000)
ISMP Medication Safety Alert
, vol.5
, pp. 2
-
-
-
7
-
-
34249274812
-
Misprogram a PCA pump? It's easy!
-
Institute for Safe Medication Practices
-
Institute for Safe Medication Practices. Misprogram a PCA pump? It's easy! ISMP Medication Safety Alert 2004;9:1.
-
(2004)
ISMP Medication Safety Alert
, vol.9
, pp. 1
-
-
-
9
-
-
72249096341
-
Lowering the risk of medication errors: Independent double checks
-
Institute for Safe Medication Practices Canada,accessed 1 Mar 2010
-
Institute for Safe Medication Practices Canada. Lowering the risk of medication errors: Independent double checks. Safety Bulletin 2005;5. http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2005-01.pdf (accessed 1 Mar 2010).
-
(2005)
Safety Bulletin
, vol.5
-
-
-
10
-
-
78650398527
-
Top 10 drugs reported as causing harm through medication error
-
accessed 1 March 2010.Institute for Safe Medication Practices Canada
-
Institute for Safe Medication Practices Canada. Top 10 drugs reported as causing harm through medication error. Safety Bulletin 2006;6. http://www.ismp-canada.org/download/safetyBulletins/ISMPCSB2006-01Top10.pdf (accessed 1 March 2010).
-
(2006)
Safety Bulletin
, pp. 6
-
-
-
11
-
-
39349117321
-
Effective interventions and implementation strategies to reduce adverse drug events in the veterans affairs (VA) system
-
Mills PD, Neily J, Kinney LM, et al. Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. Qual Saf Health Care 2008;17:37-46.
-
(2008)
Qual Saf Health Care
, vol.17
, pp. 37-46
-
-
Mills, P.D.1
Neily, J.2
Kinney, L.M.3
-
12
-
-
34548339702
-
The virtues of independent double checksdthey really are worth your time!
-
Institute for Safe Medication Practices
-
Institute for Safe Medication Practices. The virtues of independent double checksdthey really are worth your time! ISMP Medication Safety Alert 2003;8:1.
-
(2003)
ISMP Medication Safety Alert
, vol.8
, pp. 1
-
-
-
13
-
-
0042388765
-
Double-checking:Does it work? Medication safety alerts
-
UD
-
U, D. Double-checking: Does it work? Medication safety alerts. Can J Hosp Pharm 2003;56:167-9.
-
(2003)
Can J Hosp Pharm
, vol.56
, pp. 167-169
-
-
-
14
-
-
0032063963
-
Using process control charts to monitor dispensing and checking errors
-
Campbell GM, Facchinetti N. Using process control charts to monitor dispensing and checking errors. Am J Health Syst Pharm 1998;55:946-52.
-
(1998)
Am J Health Syst Pharm
, vol.55
, pp. 946-952
-
-
Campbell, G.M.1
Facchinetti, N.2
-
15
-
-
78650398017
-
-
College of Nurses of Ontario,Practice standard: Medication, Toronto, Ontario, Canada
-
College of Nurses of Ontario. Practice standard: Medication, Toronto, Ontario, Canada. 2005. http://www.cno.org/docs/prac/41007-Medication.pdf.
-
(2005)
-
-
-
16
-
-
59449089116
-
A surgical safety checklist to reduce morbidity and mortality in a global population
-
Haynes AB, Weiser TG, Berry W, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009;360:491-9.
-
(2009)
N Engl J Med
, vol.360
, pp. 491-499
-
-
Haynes, A.B.1
Weiser, T.G.2
Berry, W.3
-
17
-
-
27144495832
-
Getting teams to talk: Development and pilot implementation of a checklist to promote interprofessional communication in the OR
-
Lingard L, Espin S, Rubin S, et al. Getting teams to talk: Development and pilot implementation of a checklist to promote interprofessional communication in the OR. Qual Saf Health Care 2005;14:340-6.
-
(2005)
Qual Saf Health Care
, vol.14
, pp. 340-346
-
-
Lingard, L.1
Espin, S.2
Rubin, S.3
-
18
-
-
33845880922
-
An intervention to decrease catheter-related bloodstream infections in the ICU
-
Pronovost P, Needham D, Berenholtz S, et al. An intervention to decrease catheter-related bloodstream infections in the ICU. N Engl J Med 2006;355: 2725-3.
-
(2006)
N Engl J Med
, vol.355
, pp. 2725-2723
-
-
Pronovost, P.1
Needham, D.2
Berenholtz, S.3
-
19
-
-
38149081351
-
Development of medical checklists for improved quality of patient care
-
Hales B, Terblanche M, Fowler R, et al. Development of medical checklists for improved quality of patient care. Int J Qual Health Care 2008;2091: 22-30.
-
(2008)
Int J Qual Health Care
, vol.2091
, pp. 22-30
-
-
Hales, B.1
Terblanche, M.2
Fowler, R.3
-
20
-
-
77951818059
-
-
Cohen MR, ed. Medication errors. 2nd edn. Washington: American Pharmacists Association
-
Cohen MR. Preventing medication errors in cancer chemotherapy. In: Cohen MR, ed. Medication errors. 2nd edn. Washington: American Pharmacists Association 2006:445-68.
-
(2006)
Preventing Medication Errors in Cancer Chemotherapy
, pp. 445-68
-
-
Cohen, M.R.1
-
23
-
-
0036580468
-
Using health care failure mode and effect analysis: The VA national center for patient safety's prospective risk analysis system
-
DeRosier J, Stalhandske E, Bagian JP, et al. Using health care failure mode and effect analysis: The VA National Center for Patient Safety's prospective risk analysis system. Jt Comm J Qual Improv 2002;27:248-67.
-
(2002)
Jt Comm J Qual Improv
, vol.27
, pp. 248-267
-
-
DeRosier, J.1
Stalhandske, E.2
Bagian, J.P.3
-
24
-
-
0004223940
-
-
Cambridge:Cambridge University Press
-
Reason J. Human error. Cambridge: Cambridge University Press, 1990.
-
(1990)
Human Error
-
-
Reason, J.1
-
25
-
-
0001202375
-
Error detection processes in statistical problem solving
-
Allwood CM. Error detection processes in statistical problem solving. Cogn Sci 1984;8:413-37.
-
(1984)
Cogn Sci
, vol.8
, pp. 413-437
-
-
Allwood, C.M.1
-
27
-
-
0027610491
-
Cockpit checklists: Concepts, design and use
-
Degani A, Weiner EL. Cockpit checklists: Concepts, design and use. Hum Factors 1993;35:345-59.
-
(1993)
Hum Factors
, vol.35
, pp. 345-359
-
-
Degani, A.1
Weiner, E.L.2
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