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17 Patient Safety in Internal Medicine<br />

adverse drug events. ADE Prevention Study Group.<br />

JAMA. 1995;274(1):35–43.<br />

42. Kohn LT, Corrigan J, Donaldson MS, editors.<br />

To err is human: building a safer health system.<br />

Washington, DC: National Academy Press; 2000.<br />

43. Bedell SE, Jabbour S, Goldberg R, Glaser H, Gobble<br />

S, Young-Xu Y, et al. Discrepancies in the use of<br />

medications: their extent and predictors in an outpatient<br />

practice. Arch Intern Med. 2000;160(14):2129–<br />

34. https://doi.org/10.1001/archinte.160.14.2129.<br />

44. Bell CM, Brener SS, Gunraj N, Huo C, Bierman<br />

AS, Scales DC, et al. Association of ICU or hospital<br />

admission with unintentional discontinuation<br />

of medications for chronic diseases. JAMA.<br />

2011;306(8):840–7. https://doi.org/10.1001/<br />

jama.2011.1206.<br />

45. Coleman EA, Smith JD, Raha D, Min SJ. Posthospital<br />

medication discrepancies: prevalence and contributing<br />

factors. Arch Intern Med. 2005;165(16):1842–7.<br />

https://doi.org/10.1001/archinte.165.16.1842.<br />

46. Salanitro AH, Osborn CY, Schnipper JL, Roumie<br />

CL, Labonville S, Johnson DC, et al. Effect of<br />

patient- and medication-related factors on inpatient<br />

medication reconciliation errors. J Gen Intern<br />

Med. 2012;27(8):924–32. https://doi.org/10.1007/<br />

s11606-012-2003-y.<br />

47. Dornan T et al. An in-depth investigation into causes<br />

of prescribing errors by foundation trainees in relation<br />

to their medical education: EQUIP study. http://<br />

www.gmcuk.org/FINAL_Report_prevalence_and_<br />

causes_of_prescribing_errors.pdf_28935150.pdf.<br />

Last accessed 25 Oct 2019.<br />

48. Ryan C, Ross S, Davey P, Duncan EM, Francis JJ,<br />

Fielding S, et al. Prevalence and causes of prescribing<br />

errors: the PRescribing Outcomes for Trainee<br />

Doctors Engaged in Clinical Training (PROTECT)<br />

study. PLoS One. 2014;9(1):e79802. https://doi.<br />

org/10.1371/journal.pone.0079802.<br />

49. Aspden P, Wolcott J, Bootman JL, Cronenwett LR,<br />

editors. Preventing medication errors: quality chasm<br />

series. Washington, DC: Institute of Medicine of the<br />

National Academies; 2007. https://www.nap.edu/<br />

read/11623/chapter/1. Last accessed 25 Oct 2019.<br />

50. Medication safety in high-risk situations. Geneva:<br />

World Health Organization; 2019 (WHO/UHC/<br />

SDS/2019.10). Licence: CC BY-NC-SA 3.0 IGO.<br />

51. Masnoon N, Shakib S, Kalisch-Ellett L, Caughey<br />

GE. What is polypharmacy? A systematic review of<br />

definitions. BMC Geriatr. 2017;17(1):230. https://<br />

doi.org/10.1186/s12877-017-0621-2.<br />

52. Dupouy J, Moulis G, Tubery M, Ecoiffier M,<br />

Sommet A, Poutrain JC, et al. Which adverse events<br />

are related to health care during hospitalization in<br />

elderly inpatients? Int J Med Sci. 2013;10(9):1224–<br />

30. https://doi.org/10.7150/ijms.6640.<br />

53. Medication safety in transitions of care. Geneva:<br />

World Health Organization; 2019 (WHO/UHC/<br />

SDS/2019.9). Licence: CC BY-NC-SA 3.0 IGO.<br />

54. Salanitro AH, Kripalani S, Resnic J, Mueller SK,<br />

Wetterneck TB, Haynes KT, et al. Rationale and<br />

design of the multicenter medication reconcili-<br />

247<br />

ation quality improvement study (MARQUIS).<br />

BMC Health Serv Res. 2013;13:230. https://doi.<br />

org/10.1186/1472-6963-13-230.<br />

55. Nuckols TK, Smith-Spangler C, Morton SC, Asch<br />

SM, Patel VM, Anderson LJ, et al. The effectiveness<br />

of computerized order entry at reducing<br />

preventable adverse drug events and medication<br />

errors in hospital settings: a systematic review and<br />

meta-analysis. Syst Rev. 2014;3:56. https://doi.<br />

org/10.1186/2046-4053-3-56.<br />

56. Poon EG, Keohane CA, Yoon CS, Ditmore M, Bane<br />

A, Levtzion-Korach O, et al. Effect of bar-code technology<br />

on the safety of medication administration.<br />

N Engl J Med. 2010;362(18):1698–707. https://doi.<br />

org/10.1056/NEJMsa0907115.<br />

57. Kwan JL, Lo L, Sampson M, Shojania KG.<br />

Medication reconciliation during transitions of care<br />

as a patient safety strategy: a systematic review. Ann<br />

Intern Med. 2013;158(5 Pt 2):397–403. https://doi.<br />

org/10.7326/0003-4819-158-5-201303051-00006.<br />

58. Lamont T, Luettel D, Scarpello J, O’Driscoll<br />

BR, Connew S. Improving the safety of oxygen<br />

therapy in hospitals: summary of a safety report<br />

from the National Patient Safety Agency. BMJ.<br />

2010;340:c187. https://doi.org/10.1136/bmj.c187.<br />

59. Risk of severe harm and death from unintentional<br />

interruption of non-invasive ventilation. https://<br />

www.england.nhs.uk/wp-content/uploads/2015/02/<br />

psa-niv.pdf. Last accessed 28 Oct 2019.<br />

60. Safety in respiratory care: a guide to JCAHO<br />

requirements. http://hcpro.com/content/32186.pdf.<br />

Last accessed 28 Oct 2019.<br />

61. Davidson AC, Banham S, Elliott M, Kennedy<br />

D, Gelder C, Glossop A, et al. BTS/ICS guideline<br />

for the ventilatory management of acute<br />

hypercapnic respiratory failure in adults. Thorax.<br />

2016;71(Suppl 2):ii1–35. https://doi.org/10.1136/<br />

thoraxjnl-2015-208209.<br />

62. National Safety Standards for Invasive Procedures<br />

(NatSSIPS). https://improvement.nhs.uk/documents/923/natssips-safety-standards.pdf.<br />

Last<br />

accessed 28 Oct 2019.<br />

63. Gordon CE, Feller-Kopman D, Balk EM, Smetana<br />

GW. Pneumothorax following thoracentesis: a<br />

systematic review and meta-analysis. Arch Intern<br />

Med. 2010;170(4):332–9. https://doi.org/10.1001/<br />

archinternmed.2009.548.<br />

64. MacMillan TE, Wu RC, Morra D. Quality of bedside<br />

procedures performed on general medical inpatients:<br />

can we do better? Can J Gen Intern Med.<br />

2014;9(1):17–20.<br />

65. Hewett R, Counsell C. Documentation of cerebrospinal<br />

fluid opening pressure and other important<br />

aspects of lumbar puncture in acute headache.<br />

Int J Clin Pract. 2010;64(7):930–5. https://doi.<br />

org/10.1111/j.1742-1241.2010.02415.x.<br />

66. Daniels CE, Ryu JH. Improving the safety of thoracentesis.<br />

Curr Opin Pulm Med. 2011;17(4):232–6.<br />

https://doi.org/10.1097/MCP.0b013e328345160b.<br />

67. Wigton RS, Alguire P, American College of<br />

Physicians. The declining number and variety of

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