References and Recommended Reading

Last modified by Support on 2016/03/31 10:35

  1. Standard Concentrations
    1. General Opioid Intervention
    2. General Paediatric Opioid Intervention
    3. General Paediatric High Alert Intervention
    4. Smart Pump Technology
  2. Dosing and Monitoring
  3. Independent Double Check
  4. Labelling and Storage
  5. Children's Pain

Standard Concentrations

General Opioid Intervention

  1.  Proceedings of a summit on preventing patient harm and death from i.v. Medication errors. (July 14-15, 2008). American Society of Health-systems Pharmacists. Am J Health-Syst Pharm, 2008; 65:2367-79
  2. Health Quality Council of Alberta & Institute For Safe Medication Practices-Canada: Opioid System Safety Checklist; HCQA and ISMP-Canada (2007)
  3. The Joint Commission Sentinel Event Alert, Issue 49, August 8, 2012

General Paediatric Opioid Intervention

  1. Sharek, PJ., McClead, RE., Taketomo, C., et al. An Intervention to Decrease Narcotic-Related Adverse Drug Events in Children’s Hopsitals. Pediatrics 2008: 122(4); e861-e866
  2. Children’s Health Corporation of America: Clinical Improvement Collaborative: Reducing ADEs related to Opioid and Non-Opioids Narcotics. (October 15, 2008)
  3. 2010 08 06 Consensus Statement on Opioid Use in Pediatric Inpatients (see attachment)
  4. Catherine Campbell, Avi Parush, Thomas Garvey, Jacqueline Ellis, Régis Vaillancourt,Daniel Lebreux Addressing Risk Factors in Morphine Administration:A Collaborative Prototyping Approach (see attached article)
  5. Avi Parush, Catherine Campbell, Jacqueline Ellis,  Régis  Vaillancourt, Jean Lockett, Elaine Wong, Elena Pascuet, A Human Factors Approach to Evaluating Intravenous Morphine Administration in a Pediatric Surgical Unit (see attached article) ( Poster)

General Paediatric High Alert Intervention

  1. How-to-guide Pediatric Supplement: High Alert Medications. Pediatric Affinity Group Collaborative.
  2. Pediatric Clinical Expert Workshop on Pediatric High Alert Medication October 18, 2008 ;  2009 07 23 Edmonton Clinical Expert Consensus and Edmonton Standard Concentration 
  3. PPAG Statement on Standardized Drug Concentrations (see attachment)
  4. Stuart R. Levine, PharmD, Michael R. Cohen, MS, Nicholas R. Blanchard, MEd,Frank Frederico, MS, Merrell Magelli, PharmD, Chris Lomax, PharmD, Gary Greiner,PharmD, Robert L. Poole, PharmD, Carlton K. K. Lee, PharmD, MPH,Anne Lesko, PharmD Guidelines for Preventing Medication Errors in Pediatrics J Pediatr Pharmacol Ther 2001;6:426-42 (see attachment)
  5. Sustaining and Spreading the Reduction of Adverse Drug Events in a Multicenter Collaborative (see attachment)
  6. Bullock, J et al. Standardizing IV Infusion Medication Concentrations to Reduce Variability in Medication Errors. Crit Care Nurs Clin N Am 18 (2006) 515–521(see attachment)
  7. Irwin, D et al. Standard concentrations of high-alert drug infusions across paediatric acute care. Paediatr Child Health Vol 13 No 5 May/June 2008 (see attachment)
  8. Lesar, T.S. Errors in the Use of Medication Dosage Equations, ARCH Pediatr Adolesc Med/Vol 152, Apr 1998 (see attachment)
  9. Dabliz, R., Levine, S, Medication Safety in Neonates, (see attachment)

Smart Pump Technology

  1. Wetterneck, T. et al. Using failure mode and effects analysis to plan implementation of smart i.v. pump technology.  Am J Health-Syst Pharm—Vol 63 Aug 15, 2006 (see attachment)
  2. Larsen, GY., Parker, HB., Cash, J.,  O'Connell, M., Grant, MC.  Standard Drug Concentrations and Smart-Pump Technology Reduce Continuous-Medication-Infusion Errors in Pediatric Patients. Pediatrics 2005;116;e21-e25,

Dosing and Monitoring

  1. Levine, SR Cohen, MR, Blanchard NR, et. al Guidelines for preventing medication errors in pediatrics. JPPT. 2001;6:426-442  http://www.ismp.org/newsletters/acutecare/articles/20020601.asp

Independent Double Check

  1. Evaluating a Computerised Double Check Tool for Nurses (link to poster)
  2. Preventing Medication Errors with High Alert Drugs: Testing the iDoseCheck
  3. Independent Double Checks ISMP Canada Presentation (link to slides)
  4. Lowering the Risk of Medication Errors: Independent Double Checks (link to ISMP Bulletin)
  5. Conducting independent double checks Nurse Advise -ERR, December 2008, Volume 6 Issue 12 (link to article)

Labelling and Storage

  1. Standardizing the Storage and Labelling of Medications: Part 1(link to article)
  2. Standardizing the Storage and Labelling of Medications: Part 2 (link to article)
  3. ISMP Medication Safety Alert July 30, 2009 - Will Colour-tinted IV tubing help (link to alert)
  4. Addressing Risk Factors in Morphine Administration (link to slides) (link to paper)

Children's Pain

Not Just Separation Anxiety:Withdrawal in the PICU and Beyond (link to presentation)

The CIHR Pain Team in Collaboration with CAPHC has created a series of 4 webinars on children's pain

Webinar Series