PharmSafety.Org

This page lists articles, technical reports, conference handouts and Web sites related to patient safety and medication errors.

These sources offer information about safe pharmacy practices and other healthcare practices that utilize systems and human factors principles. It will be updated regularly.

Currently, articles and other information about the Cognitive Systems Model that forms a backdrop to several of the self-study modules offered through this site are listed.

Articles and information from other sources will be posted as they become available.

To read an article or other document, click on the corresponding link below.

See the help page,if you would like more information on how to download and view PDF files.

You will need Acrobat 4.0 or later to view any of the following documents. (You can download the most recent version of Acrobat from Adobe's Web site.

ARTICLES CLICK TO DOWNLOAD
Pharmacy workload: The causes and confusion behind dispensing errors Anthony F. Grasha (CPJ)
CPJ Workload.pdf
Into the abyss: Seven principles for identifying the causes of and preventing human error in complex systems Anthony F. Grasha (AJHSP)
AJHSP-Preventing Error.pdf
Anxiety and Performance in a Simulated Pharmacy
Kraig L. Schell and Anthony F. Grasha (JPMS)
Anxiety and Error.pdf
A Lesson in Patient Safety from "A Beautiful Mind"
Anthony F. Grasha (NE)
Conflict and Safety.pdf
Self-Monitoring, Feedback, Goal-Setting and Error Reduction
Anthony F. Grasha (HN)
Feedback and Goal-Setting.pdf
Psychosocial Factors, Workload, and Human Error in a Simulated Pharmacy
Anthony F. Grasha and Kraig L. Schell (JPMS)
Psychosocial Factors.pdf
Psychosocial Factors, Workload, and Risk of Medication Errors
Anthony F. Grasha (USP)
Workload.pdf

TECHNICAL REPORTS CLICK TO DOWNLOAD
Workload, Mood, and Perceived Stress on Error Detection
S. Reilley, A.F. Grasha, J. Schafer
Tech Report: Mood-Stress.pdf
Process and Delayed Verification Errors: Improving Accuracy and Patient Safety
S. Reilley, A.F. Grasha, K. Schell, D. Tranum
Tech Report: Process and Errors.pdf

CONFERENCE HANDOUTS CLICK TO DOWNLOAD
Human Performance and Job Satisfaction in Pharmacy
Performance Handout.pdf
Human Factors Annotated Checklist
Checklist.pdf
Examples of Prototypes in Evaluation Research Project
Prototype Examples.pdf
The Role of Human Factors in Pharmacy Errors: 12 Practical Applications
Human Factors Handout.pdf

OTHER WEB SITES CLICK ON THE LINK
UCSF School of Pharmacy
Quality Assurance (Health Notes, Vol.1, No.6)
(CE credit is available from the UCSF School of Pharmacy)
www.pharmacy.ucsf.edu/ce/qa
Institute for the Advancement of Community Pharmacy
www.advancepharmacy.org
Institute for Safe Medication Practices
www.ismp.org
National Patient Safety Foundation
www.npsf.org
VA National Center for Patient Safety
www.patientsafety.gov