TY - STD TI - WHO Collaborating Centre for Patient Safety Solutions. Assuring Medication Accuracy at Transitions in Care. [Internet]. 2007 [cited 2017 May 5];1(6) Available from: http://www.who.int/patientsafety/solutions/patientsafety/PS-Solution6.pdf UR - http://www.who.int/patientsafety/solutions/patientsafety/PS-Solution6.pdf ID - ref1 ER - TY - JOUR AU - Vira, T. PY - 2006 DA - 2006// TI - Reconcilable differences: correcting medication errors at hospital admission and discharge JO - Qual Saf Heal Care. VL - 15 UR - https://doi.org/10.1136/qshc.2005.015347 DO - 10.1136/qshc.2005.015347 ID - Vira2006 ER - TY - JOUR AU - Riordan, C. O. AU - Delaney, T. AU - Grimes, T. PY - 2016 DA - 2016// TI - Exploring discharge prescribing errors and their propagation post-discharge: an observational study JO - Int J Clin Pharm VL - 38 UR - https://doi.org/10.1007/s11096-016-0349-7 DO - 10.1007/s11096-016-0349-7 ID - Riordan2016 ER - TY - JOUR AU - Callen, J. AU - McIntosh, J. AU - Li, J. PY - 2010 DA - 2010// TI - Accuracy of medication documentation in hospital discharge summaries: a retrospective analysis of medication transcription errors in manual and electronic discharge summaries JO - Int J Med Inform VL - 79 UR - https://doi.org/10.1016/j.ijmedinf.2009.09.002 DO - 10.1016/j.ijmedinf.2009.09.002 ID - Callen2010 ER - TY - JOUR AU - Herrero-Herrero, J. -. I. AU - García-Aparicio, J. AU - Porsius, A. J. AU - De, B. A. AU - Cortes, T. PY - 2011 DA - 2011// TI - Medication discrepancies at discharge from an internal medicine service JO - Eur J Intern Med VL - 22 UR - https://doi.org/10.1016/j.ejim.2010.10.003 DO - 10.1016/j.ejim.2010.10.003 ID - Herrero-Herrero2011 ER - TY - JOUR AU - Pippins, J. R. AU - Gandhi, T. K. AU - Hamann, C. AU - Ndumele, C. D. AU - Labonville, S. A. AU - Diedrichsen, E. K. PY - 2008 DA - 2008// TI - Classifying and predicting errors of inpatient medication reconciliation JO - J Gen Intern Med VL - 23 UR - https://doi.org/10.1007/s11606-008-0687-9 DO - 10.1007/s11606-008-0687-9 ID - Pippins2008 ER - TY - JOUR AU - Amori, R. AU - Pittas, A. AU - Siegel, R. AU - Kumar, S. AU - Chen, J. AU - Karnam, S. PY - 2008 DA - 2008// TI - Inpatient medical errors involving glucose-lowering medications and their impact on patients: review of 2,598 incidents from a voluntary electronic error-reporting database JO - Endocr Pract VL - 14 UR - https://doi.org/10.4158/EP.14.5.535 DO - 10.4158/EP.14.5.535 ID - Amori2008 ER - TY - JOUR AU - c Van, W. AU - Seth, R. AU - Austin, P. C. AU - Laupacis, A. PY - 2002 DA - 2002// TI - Effect of discharge summary availability during post-discharge visits on hospital readmission JO - J Gen Intern Med VL - 17 UR - https://doi.org/10.1046/j.1525-1497.2002.10741.x DO - 10.1046/j.1525-1497.2002.10741.x ID - c Van2002 ER - TY - STD TI - Quality Commission C. Managing patients’ medicines after discharge from hospital. 2009 [cited. May 5. 2017; Available from: http://webarchive.nationalarchives.gov.uk/20101201001009/http:/www.cqc.org.uk/_db/_documents/Managing_patients_medicines_after_discharge_from_hospital.pdf UR - http://webarchive.nationalarchives.gov.uk/20101201001009/http:/www.cqc.org.uk/_db/_documents/Managing_patients_medicines_after_discharge_from_hospital.pdf ID - ref9 ER - TY - STD TI - National Prescribing Centre. Medicines Reconciliation: A Guide to Implementation. [Internet]. 2008 [cited 2017 Jun 26] Available from: https://www.nicpld.org/courses/fp/assets/MM/NPCMedicinesRecGuideImplementation.pdf UR - https://www.nicpld.org/courses/fp/assets/MM/NPCMedicinesRecGuideImplementation.pdf ID - ref10 ER - TY - STD TI - Hammad EA, Wright DJ, Walton C, Nunney I, Bhattacharya D. Adherence to UK national guidance for discharge information: an audit in primary care. Br J Clin Pharmacol. 2014/07/22 ed. 2014;78(6):1453–64. ID - ref11 ER - TY - STD TI - Cresswell A, Hart M, Suchanek O, Young T, Leaver L, Hibbs S. Mind the gap: Improving discharge communication between secondary and primary care. BMJ Qual Improv Reports. 2015 Sep 2;4(1):u207936.w3197. ID - ref12 ER - TY - JOUR AU - Grimes, T. AU - Delaney, T. AU - Duggan, C. AU - Kelly, J. G. AU - Graham, I. M. PY - 2008 DA - 2008// TI - Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care JO - Ir J Med Sci VL - 177 UR - https://doi.org/10.1007/s11845-008-0142-2 DO - 10.1007/s11845-008-0142-2 ID - Grimes2008 ER - TY - JOUR AU - Lehnbom, E. C. AU - Raban, M. Z. AU - Walter, S. R. AU - Richardson, K. AU - Westbrook, J. I. PY - 2014 DA - 2014// TI - Do electronic discharge summaries contain more complete medication information? A retrospective analysis of paper versus electronic discharge summaries JO - Heal Inf Manag J VL - 43 ID - Lehnbom2014 ER - TY - STD TI - Institute of Safe Medication Practices. ISMP List of High-Alert Medications in Acute Care Settings. Inst Safe Medicat Pract [Internet]. 2011; Available from: https://www.ismp.org/Tools/institutionalhighAlert.asp UR - https://www.ismp.org/Tools/institutionalhighAlert.asp ID - ref15 ER - TY - STD TI - National Patient Safety Agency. Safer administration of insulin. NHS. 2010. p. 14410. ID - ref16 ER - TY - JOUR AU - Smith, W. D. AU - Winterstein, A. G. AU - Johns, T. AU - Rosenberg, E. AU - Sauer, B. C. PY - 2005 DA - 2005// TI - Causes of hyperglycemia and hypoglycemia in adult inpatients JO - Am J Heal Pharm VL - 62 ID - Smith2005 ER - TY - STD TI - Leech NJ, Johnson G, Nayar R, Nunez E, Macleod J. Tackling insulin safety using a multifaceted multidisciplinary regional approach first report from the north east regional insulin safety and knowledge (RISK) project. Heal Found. 2013; ID - ref18 ER - TY - BOOK AU - Cousins, D. AU - Rosario, C. AU - Scarpello, J. PY - 2011 DA - 2011// TI - Insulin, hospitals and harm: a review of patient safety incidents reported to the National Patient Safety Agency PB - Journal of the Royal College of Physicians of London CY - Clinical Medicine ID - Cousins2011 ER - TY - JOUR AU - Rousseau, M. -. P. AU - Beauchesne, M. -. F. AU - Naud, A. -. S. AU - Leblond, J. AU - Cossette, B. AU - Lanthier, L. PY - 2014 DA - 2014// TI - An Interprofessional qualitative study of barriers and potential solutions for the safe use of insulin in the hospital setting JO - Can J Diabetes VL - 38 UR - https://doi.org/10.1016/j.jcjd.2014.01.013 DO - 10.1016/j.jcjd.2014.01.013 ID - Rousseau2014 ER - TY - STD TI - East & South East England Specialist Pharmacy Services. Pharmacy contribution to patient safety: Results of collaborative insulin baseline audit. 2010 [cited. Jun 6. 2017; Available from: https://www.sps.nhs.uk/wp-content/uploads/2010/11/Report_Collaborative_Insulin_Baseline_Audit_20Aug10_v4_CL.pdf UR - https://www.sps.nhs.uk/wp-content/uploads/2010/11/Report_Collaborative_Insulin_Baseline_Audit_20Aug10_v4_CL.pdf ID - ref21 ER - TY - JOUR AU - Doyle, M. A. AU - Malcolm, J. C. AU - Liu, D. AU - Maranger, J. AU - Ooi, T. C. AU - Keely, E. PY - 2015 DA - 2015// TI - Using a structured discharge letter template to improve communication during the transition from a specialized outpatient diabetes clinic to a primary care physician JO - Can J Diabetes VL - 39 UR - https://doi.org/10.1016/j.jcjd.2015.06.009 DO - 10.1016/j.jcjd.2015.06.009 ID - Doyle2015 ER - TY - STD TI - NaDIA advisory group. National Diabetes Inpatient Audit England and Wales, 2016 [Internet]. 2016 [cited 2017 Jun 6]. p. 1–123. Available from: http://www.content.digital.nhs.uk/catalogue/PUB23539/nati-diab-inp-audi-16-rep.pdf. UR - http://www.content.digital.nhs.uk/catalogue/PUB23539/nati-diab-inp-audi-16-rep.pdf ID - ref23 ER - TY - STD TI - Cornish W. Safe and appropriate use of insulin and other antihyperglycemic agents in hospital. Vol. 38, Canadian Journal of Diabetes. 2014. p. 94–100. ID - ref24 ER - TY - STD TI - C. Jairam EW. Discharge planning for adult inpatients with diabetes [Internet]. 2015 [cited 2017 Jun 6] Available from: http://www.diabetologists-abcd.org.uk/JBDS/JBDS_Discharge_Planning_Final_2015.pdf UR - http://www.diabetologists-abcd.org.uk/JBDS/JBDS_Discharge_Planning_Final_2015.pdf ID - ref25 ER - TY - JOUR AU - Staff, P. E. PY - 2014 DA - 2014// TI - Insulin use: preventable errors JO - Prescrire Int VL - 23 ID - Staff2014 ER - TY - STD TI - NHS Improvement. Risk of severe harm and death due to withdrawing insulin from pen devices. Patient Saf Alert [Internet]. 2016 [cited 2017 May 22]; Available from: https://improvement.nhs.uk/uploads/documents/Patient_Safety_Alert_-_Withdrawing_insulin_from_pen_devices.pdf UR - https://improvement.nhs.uk/uploads/documents/Patient_Safety_Alert_-_Withdrawing_insulin_from_pen_devices.pdf ID - ref27 ER - TY - STD TI - Dornan T, Investigator P, Ashcroft D, Lewis P, Miles J, Taylor D, et al. An in depth investigation into causes of prescribing errors by foundation trainees in relation to their medical education. EQUIP study. Vol. 44, Methods. 2010. ID - ref28 ER - TY - STD TI - Pocklington C, Al-Dhahir L. A Comparison of Methods of Producing a Discharge Summary: handwritten vs. electronic documentation. Br J Med Pract BJMP.org BJMP. 2011;44(33). UR - http://bjmp.org ID - ref29 ER - TY - STD TI - Barr R, Chin KY, Yeong K. Improving patient discharge process using electronic medication input tool and on-line guide to arranging follow-ups. BMJ Qual Improv Rep. 2013/01/01 ed. 2013;2(1). ID - ref30 ER - TY - STD TI - Clinical Indicators Team, Health and Social Care Information Centre. Indicator Quality Statement: Emergency readmissions within 30 days of discharge from hospital. NHS Outcomes Framew 3b [Internet]. 2014 [cited 2017 Jun 14]; Available from: https://indicators.hscic.gov.uk/download/Outcomes%20Framework/Specification/NHSOF_3b_I00712_Q.pdf. UR - https://indicators.hscic.gov.uk/download/Outcomes%20Framework/Specification/NHSOF_3b_I00712_Q.pdf ID - ref31 ER - TY - STD TI - Rubin DJ. Hospital Readmission of Patients with Diabetes. Curr Diab Rep. 2015;15(4). ID - ref32 ER - TY - JOUR AU - Witherington, E. M. A. AU - Pirzada, O. M. AU - Avery, A. J. PY - 2008 DA - 2008// TI - Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study JO - Qual Saf Heal Care VL - 17 UR - https://doi.org/10.1136/qshc.2006.020842 DO - 10.1136/qshc.2006.020842 ID - Witherington2008 ER -