The trigger tool as a method to measure harmful medication errors in children.
Maaskant JM, Smeulers M, Bosman D, et al. J Patient Saf. 2015 Apr 7; [Epub ahead of print].
This study compared the performance of a pediatric medication-focused trigger tool with a multifaceted method which relied on chart reviews and voluntary incident reports for detecting harmful medication errors. The multifaceted approach revealed 33 harmful medication errors, whereas the trigger tool failed to pick up any of these incidents and identified only false-positive events in this sample.
Failed check system for chemotherapy leads to pharmacist's "no contest" plea for involuntary manslaughter.
ISMP Medication Safety Alert! Acute Care Edition. April 23, 2009;14:1-2.
A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.
Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.
Risk reduction for adverse drug events through sequential implementation of patient safety initiatives in a children's hospital.
Leonard MS, Cimino M, Shaha S, McDougal S, Pilliod J, Brodsky L. Pediatrics. 2006;118:e1124-e1129.
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Matlow A, Laxer RM, eds. Pediatr Clin North Am. 2006;53:1053-1267.