AHRQ Patient Safety Network

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Safety Target

•Device-related Complications (5)

•Fatigue and Sleep Deprivation (1)

•Medication Safety (36)

•Medical Complications (1)

•Nonsurgical Procedural Complications (2)

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•Australia and New Zealand (1)

•North America (40)

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Press Release/Announcement

Error Types

•Epidemiology of Errors and Adverse Events (2)

•Active Errors (13)

•Latent Errors (5)

•Near Miss (1)

Approach to Improving Safety

•Quality Improvement Strategies (13)

•Legal and Policy Approaches (1)

•Error Reporting and Analysis (6)

•Communication Improvement (4)

•Human Factors Engineering (11)

•Logistical Approaches (1)

•Technologic Approaches (1)

•Education and Training (8)

Clinical Areas

•Medicine (28)

•Pharmacy (22)

Target Audience

•Health Care Providers (41)

•Health Care Executives and Administrators (21)

•Non-Health Care Professionals (2)

•Patients (15)

Setting of Care

•Hospitals (6)

•Ambulatory Care (6)

1 - 20 of 42

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PRESS RELEASE/ANNOUNCEMENT

Safety warnings regarding use of fentanyl transdermal (skin) patches.

FDA Public Health Advisory. Silver Spring, MD: US Food and Drug Administration; December 21, 2007.

PRESS RELEASE/ANNOUNCEMENT

Consumers Filling U.S. Prescriptions Abroad May Get the Wrong Active Ingredient Because of Confusing Drug Names.

FDA Public Health Advisory [US Food and Drug Administration Web site]. January 2006.

PRESS RELEASE/ANNOUNCEMENT

NovoLog Dispensing Error Alert.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 14, 2005.

PRESS RELEASE/ANNOUNCEMENT

Nimodipine Capsules (marketed as Nimotop).

FDA Alert for Healthcare Professionals [US Food and Drug Administration Web site]. January 2006.

PRESS RELEASE/ANNOUNCEMENT

Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.

MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.

PRESS RELEASE/ANNOUNCEMENT

FDA public health notification: MRI-caused injuries in patients with implanted neurological stimulators.

Schultz DG. Rockville, MD: Center for Devices and Radiological Health, Food and Drug Administration; May 10, 2005.

PRESS RELEASE/ANNOUNCEMENT

Important change to heparin container labels to clearly state the total drug strength.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 6, 2012.

PRESS RELEASE/ANNOUNCEMENT

McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release].

Fort Washington, PA: McNeil Consumer & Specialty Pharmaceuticals; June 3, 2005.

PRESS RELEASE/ANNOUNCEMENT

Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.

PRESS RELEASE/ANNOUNCEMENT

Abbott Diabetes Care blood glucose meters.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 27, 2005.

PRESS RELEASE/ANNOUNCEMENT

Heparin sodium injection 1000 units/mL 10 mL and 30 mL vials.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; January 18, 2008.

PRESS RELEASE/ANNOUNCEMENT

Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions.

VA National Center for Patient Safety. Washington, DC: VA Central Office; April 6, 2006. Patient Safety Alert AL06-012.

PRESS RELEASE/ANNOUNCEMENT

Relenza (zanamivir) inhalation powder.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; October 9, 2009.

PRESS RELEASE/ANNOUNCEMENT

2007 Study of Injectable Medication Errors.

Silver Spring, MD: American Nurses Association; June 18, 2007.

PRESS RELEASE/ANNOUNCEMENT

20 mEq potassium chloride in 5% dextrose and 0.45% sodium chloride injection.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; December 9, 2008.

PRESS RELEASE/ANNOUNCEMENT

ISMP Safe Medication Management Fellowship.

Institute for Safe Medication Practices.

PRESS RELEASE/ANNOUNCEMENT

Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.

National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.

PRESS RELEASE/ANNOUNCEMENT

ReliOn insulin syringes for use with U-100 insulin (Tyco Healthcare-Covidien).

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 6, 2008.

PRESS RELEASE/ANNOUNCEMENT

Tamiflu (oseltamivir) for oral suspension: potential medication errors.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 25, 2009.

PRESS RELEASE/ANNOUNCEMENT

Edetate Disodium (marketed as Endrate and generic products).

FDA Public Health Advisory [US Food and Drug Administration Web site]. January 16, 2008.

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