AHRQ Patient Safety Network

The Collection > Pharmacy

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Safety Target

•Device-related Complications (18)

•Diagnostic Errors (2)

•Identification Errors (5)

•Discontinuities, Gaps, and Hand-Off Problems (52)

•Medication Safety (618)

•Medical Complications (11)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (4)

•Psychological and Social Complications (1)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (8)

•Central and South America (1)

Resource Types

•Journal Article (412)

•Legislation/Regulation (10)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (128)

•Press Release/Announcement (16)

•Special or Theme Issue (5)

•Tools/Toolkit (18)

•Web Resource (7)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (170)

•Active Errors (108)

•Latent Errors (47)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (120)

•Legal and Policy Approaches (47)

•Error Reporting and Analysis (132)

•Communication Improvement (166)

•Human Factors Engineering (103)

•Teamwork (10)

•Specialization of Care (84)

•Logistical Approaches (32)

•Culture of Safety (23)

•Technologic Approaches (254)

•Education and Training (89)

Clinical Areas
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Pharmacy

•Hospital Pharmacy (206)

•Community Pharmacy (85)

Target Audience

•Health Care Providers (538)

•Health Care Executives and Administrators (357)

•Non-Health Care Professionals (187)

•Patients (64)

Setting of Care

•Hospitals (266)

•Psychiatric Facilities (2)

•Residential Facilities (11)

•Ambulatory Care (145)

•Outpatient Surgery (2)

1 - 20 of 638

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STUDY

The impact of prescribing safety alerts for elderly persons in an electronic medical record: an interrupted time series evaluation.

Smith DH, Perrin N, Feldstein A, et al. Arch Intern Med. 2006;166:1098-1104.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

STUDY

Outpatient prescribing errors and the impact of computerized prescribing.

Gandhi TK, Weingart SN, Seger AC, et al. J Gen Intern Med. 2005;20:837-841.

STUDY

Reasons provided by prescribers when overriding drug–drug interaction alerts.

Grizzle AJ, Mahmood MH, Ko Y, et al. Am J Manag Care. 2007;13:573-580.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

BOOK/REPORT

The Prescription Infrastructre: Are We Ready for ePrescribing?

Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.

STUDY

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.

Grossman JM, Cross DA, Boukus ER, Cohen GR. J Am Med Inform Assoc. 2012;19:353-359.

STUDY

Computerized clinical decision support for medication prescribing and utilization in pediatrics.

Stultz JS, Nahata MC. J Am Med Inform Assoc. 2012;19:942-953.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

COMMENTARY

Integrating Multiple Medication Decision Support Systems: How Will We Make It All Work?

Peterson J. AHRQ WebM&M [serial online]. May 2008

NEWSPAPER/MAGAZINE ARTICLE

Ongoing, preventable fatal events with fentanyl transdermal patches are alarming!

ISMP Medication Safety Alert! Acute Care Edition. June 28, 2007;12:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

STUDY

Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber order entry.

Weant KA, Cook AM, Armitstead JA. Am J Health Syst Pharm. 2007;64:526-530.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

NEWSPAPER/MAGAZINE ARTICLE

Fatal 1,000-fold overdoses can occur, particularly in neonates, by transposing mcg and mg.

ISMP Medication Safety Alert! Acute Care Edition. September 6, 2007;12:1-4.

STUDY

Electronic prescribing within an electronic health record reduces ambulatory prescribing errors.

Abramson EL, Barrón Y, Quaresimo J, Kaushal R. Jt Comm J Qual Patient Saf. 2011;37:470-478.

TOOLKIT

ISMP and FDA campaign to eliminate use of error-prone abbreviations.

Huntington Valley, PA: Institute for Safe Medication Practices.

COMMENTARY

Surprise Wire

Pearl JM, Donaldson NE. AHRQ WebM&M [serial online]. July/August 2005.

NEWSPAPER/MAGAZINE ARTICLE

Drug errors show need for tech aid.

Landro L. The Wall Street Journal. June 1, 2005:D4.

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