Systems analysis and redesign: the foundation of medical error prevention / Lucian L. Leape -- Research on errors in dispensing and medication administration / Elizabeth Allan Flynn and Kenneth N. Barker -- Health care providers' experiences with making fatal medication errors / Zane Robinson Wolf -- Causes of medication errors / Michael R. Cohen -- Root cause analysis of medication errors / Mary Burkhardt ... [et al.] -- The role of drug names in medication errors / Michael R. Cohen, George Di Domizio, and Robert E. Lee Jr. -- The role of drug packaging and labeling in medication errors / Michael R. Cohen -- Error prone abbreviations and dose expressions / Michael J. Gaunt and Michael R. Cohen -- Preventing prescribing errors / Michael R. Cohen -- Preventing dispensing errors / Michael R. Cohen and Judy L. Smetzer -- Preventing drug administration errors / Judy L. Smetzer and Michael R. Cohen -- Preventing medication errors related to drug delivery devices / Judy L. Smetzer and Michael R. Cohen --

The patient's role in preventing medication errors / Stacy A. Aimette, Nancy R. Tuohy, and Michael R. Cohen -- High-alert medications: safeguarding against errors / Michael R. Cohen, Judy L. Smetzer, and Nancy R. Tuohy -- Using technology to prevent medication errors / Matthew Grissinger, Hedy Cohen, and Allen J. Vaida -- Preventing medication errors in cancer chemotherapy / Michael R. Cohen -- Preventing medication errors in pediatric and neonatal patients / Stuart Levine and Michael R. Cohen -- Preventing medication errors with immunologic drugs / John D. Grabenstein and Michael R. Cohen -- Medication error reporting systems / Judy L. Smetzer and Michael R. Cohen -- Disclosing medication errors to patients and families / Nancy R. Tuohy and Judy L. Smetzer -- Health care failure mode and effects analysis -- The clinical bioethics of safe medication practices / J. Russell Teagarden -- Managing medication risks through a culture of safety / Judy L. Smetzer.