AHRQ Patient Safety Network

The Collection > Hospital Pharmacy

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Safety Target

•Device-related Complications (18)

•Identification Errors (3)

•Discontinuities, Gaps, and Hand-Off Problems (31)

•Medication Safety (341)

•Medical Complications (8)

•Nonsurgical Procedural Complications (1)

•Surgical Complications (4)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (11)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (248)

•Legislation/Regulation (9)

•Newspaper/Magazine Article (65)

•Press Release/Announcement (3)

•Special or Theme Issue (1)

•Tools/Toolkit (5)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (113)

•Active Errors (76)

•Latent Errors (25)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (57)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (65)

•Communication Improvement (82)

•Human Factors Engineering (70)

•Teamwork (5)

•Specialization of Care (87)

•Logistical Approaches (24)

•Culture of Safety (17)

•Technologic Approaches (168)

•Education and Training (46)

Clinical Areas
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Hospital Pharmacy

Target Audience

•Health Care Providers (266)

•Health Care Executives and Administrators (244)

•Non-Health Care Professionals (97)

•Patients (12)

Setting of Care

•Hospitals (324)

•Psychiatric Facilities (1)

•Ambulatory Care (7)

•Outpatient Surgery (2)

1 - 20 of 348

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NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:730-733.

NEWSPAPER/MAGAZINE ARTICLE

An extra dose of safety.

Health Manage Techol. April 2007;28:30-32, 34.

COMMENTARY

Implementing a bar-code medication administration system.

Weber RJ. Hosp Pharm. 2008;43:1016-1023.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

NEWSPAPER/MAGAZINE ARTICLE

Epidural-IV route mix-ups: reducing the risk of deadly errors.

ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

Sentinel Event Alert. September 24, 2008;(41):1-4.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:618-621.

MEASUREMENT TOOL/INDICATOR

Medication Safety Self Assessment for Automated Dispensing Cabinets.

Horsham, PA: Institute for Safe Medication Practices; 2009.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

STUDY

Errors associated with medications removed from automated dispensing machines using override functions.

Kester K, Baxter J, Freudenthal K. Hosp Pharm. 2006;41:535-537.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

STUDY

Severity of medication administration errors detected by a bar-code medication administration system.

Sakowski J, Newman JM, Dozier K. Am J Health Syst Pharm. 2008;65:1661-1666.

COMMENTARY

Process indicators of quality clinical pharmacy services during transitions of care.

American College of Clinical Pharmacy, Kirwin J, Canales AE, et al. Pharmacotherapy. 2012;32:e338-e347.

NEWSPAPER/MAGAZINE ARTICLE

ADC survey shows some improvements, but unnecessary risks still exist.

ISMP Medication Safety Alert! Acute Care Edition. January 17, 2008;13:1-2.

FACT SHEET/FAQS

Bar-Coded Medication Administration (BCMA).

Decisionmaker Brief. AHRQ Publication No: 08-0085, August 2008. Agency for Healthcare Research and Quality, Rockville, MD.

STUDY

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.

COMMENTARY

The Role of Bar Coding and Smart Pumps in Safety

Jeffrey M. Rothschild, MD, MPH; Carol Keohane, RN, BSN AHRQ WebM&M [serial online]. September 2008.

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