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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.

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.

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.

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.

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.

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. 

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.

Health Standards Organization (HS0). Leading Practices Hamilton Health Sciences Toolkit for Safe Implementation of Insulin Pens. Health Standards Organization; 2012. 

Institute for Safe Medication Practices (ISMP). ISMP list of high-alert medications in acute care settings. ISMP; 2011.

ISMP Canada. Definitions of terms. 2016.

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.

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.

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.

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


Medication Incidents

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Medication Incidents

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