Medication Incidents: References

Accreditation Canada, Canadian Institute for Health Information, Canadian Patient Safety Institute, Institute for Safe Medication Practices Canada. Medication reconciliation in Canada: Raising the bar. Progress to date and the course ahead. Ottawa, ON: Accreditation Canada; 2012. https://accreditation.ca/sites/default/files/med-rec-en.pdf

Alex S, Adenew AB, Arundel C, Maron DD, Kerns JC. Medication errors despite using electronic health records: The value of a clinical pharmacist service in reducing discharge-related medication errors. Qual Manag Health Care. 2016; 25 (1): 32–37. doi: 10.1097/QMH.0000000000000080.

Aspden P, Wolcott J, Bootman JL, Cronenwett LR. Preventing medication errors. Quality chasm series. Institute of Medicine; 2006. http://www.nationalacademies.org/hmd/Reports/2006/Preventing-Medication-Errors-Quality-Chasm-Series.aspx

Baker GR, Norton PG, Flintoft V, et al. The Canadian adverse events study: The incidence of adverse events among hospitalized patients in Canada. CMAJ. 2004; 170 (11): 1678-1686. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC408508/

Bell CM, Brener SS, Gunraj N, Huo C, et al. Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases. JAMA. 2011; 306 (8): 840-847. doi: 10.1001/jama.2011.1206. http://jama.jamanetwork.com/article.aspx?articleid=1104261

Bishop MA, Cohen BA, Billings LK, Thomas EV. Reducing errors through discharge medication reconciliation by pharmacy services. Am J Health Syst Pharm. 2015; 72 (17 Suppl 2): S120-S16. doi: 10.2146/sp150021.

Boockvar KS, Blum S, Kugler A, et al. Effect of admission medication reconciliation on adverse drug events from admission medication changes. Arch Intern Med. 2011; 171 (9): 860-861. doi: 10.1001/archinternmed.2011.163. http://archinte.jamanetwork.com/article.aspx?articleid=487036

Canadian Patient Safety Institute. Never Events for Hospital Care in Canada Safer Care for Patients. 2015.

Canadian Patient Safety Institute. Implementing MedRec at Horizon Health Network. 2015. https://www.patientsafetyinstitute.ca/en/NewsAlerts/News/Pages/Implementing-MedRec-at-Horizon-Health-Network.aspx 

Eggink RN, Lenderink AW, Widdershoven JWMG, van den Bemt PMLA. The effect of a clinical pharmacist discharge service on medication discrepancies in patients with heart failure. Pharm World Sci. 2010; 32 (6): 759-766. doi: 10.1007/s11096-010-9433-6. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2993887/

Health Standards Organization (HS0). Leading Practices Hamilton Health Sciences Toolkit for Safe Implementation of Insulin Pens. Health Standards Organization; 2012. https://healthstandards.org/leading-practice/toolkit-for-safe-implementation-of-insulin-pens 

Institute for Safe Medication Practices (ISMP). ISMP list of high-alert medications in acute care settings. ISMP; 2011. http://ismp.org/Tools/highalertmedications.pdf

ISMP Canada. Definitions of terms. 2016. https://www.ismp-canada.org/definitions.htm

Leape LL, Bates DW, Cullen DJ, et al. Systems analysis of adverse drug events: ADE prevention study group. JAMA. 1995; 274 (1): 35-43.

Lee JY, Leblanc K, Fernandes OA, Huh JH, et al. Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry. Ann Pharmacother. 2010 Dec;44(12):1887-95.

Mekonned AB, McLachlan AJ, Brien JE. Effectiveness of pharmacist-led medication reconciliation programmes on clinical outcomes at hospital transitions: a systematic review and meta-analysis. BMJ Open. 2016; 6 (2): e010003. doi: 10.1136/bmjopen-2015-010003. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4769405/

Michels RD, Meisel SB. Program using pharmacy technicians to obtain medication histories. Am J Health-Sys Pharm. 2003; 60 (19): 1982-1986.

Rozich JD, Howard RJ, Justeson JM, Macken PD, Lindsay ME, Resar RK. Standardization as a mechanism to improve safety in health care. Jt Comm J Qual Saf. 2004; 30 (1): 5-14.

Safer Healthcare Now! Medication Reconciliation Getting Started Kit. Canadian Patient Safety Institute; 2017. https://era.library.ualberta.ca/items/3c229b9d-af36-4741-8353-25d190610b07

Scales DC, Fischer HD, Li P, et al. Unintentional continuation of medications intended for acute illness after hospital discharge: A population-based cohort study. J Gen Intern Med. 2016; 31 (2): 196-202. doi: 10.1007/s11606-015-3501-5.

Vira T, Colquhoun M, Etchells EE. Reconcilable differences: correcting medication errors at hospital admission and discharge. Qual Saf Health Care. 2006; 15 (2): 122-126. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2464829/

Whittington J, Cohen H. OSF healthcare's journey in patient safety. Qual Manag Health Care. 2004; 13 (1): 53-59.