AHRQ Patient Safety Network

The Collection > Hospital Pharmacy

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Safety Target

•Device-related Complications (18)

•Identification Errors (2)

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

•Medication Safety (325)

•Medical Complications (6)

•Surgical Complications (3)

Origin/Sponsor

•Africa (1)

•Asia (9)

•Australia and New Zealand (11)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (254)

•Legislation/Regulation (8)

•Newspaper/Magazine Article (49)

•Press Release/Announcement (2)

•Special or Theme Issue (1)

•Tools/Toolkit (4)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (129)

•Active Errors (77)

•Latent Errors (22)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (56)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (60)

•Communication Improvement (79)

•Human Factors Engineering (67)

•Teamwork (5)

•Specialization of Care (74)

•Logistical Approaches (18)

•Culture of Safety (13)

•Technologic Approaches (165)

•Education and Training (45)

Clinical Areas
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Hospital Pharmacy

Target Audience

•Health Care Providers (253)

•Health Care Executives and Administrators (246)

•Non-Health Care Professionals (105)

•Patients (5)

Setting of Care

•Hospitals (311)

•Psychiatric Facilities (1)

•Ambulatory Care (5)

•Outpatient Surgery (2)

1 - 20 of 330

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STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

Evaluating the medication process in the context of CPOE use: the significance of working around the system.

Niazkhani Z, Pirnejad H, van der Sijs H, Aarts J. Int J Med Inform. 2011;80:490-506.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

COMMENTARY

In Conversation with…Eric G. Poon, MD, MPH

AHRQ WebM&M [serial online]. September 2008.

STUDY

Adopting real-time surveillance dashboards as a component of an enterprisewide medication safety strategy.

Waitman LR, Phillips IE, McCoy AB, et al. Jt Comm J Qual Patient Saf. 2011;37:326-332.

STUDY

Preventable and non-preventable adverse drug events in hospitalized patients: a prospective chart review in the Netherlands.

Dequito AB, Mol PG, van Doormaal JE, et al. Drug Saf. 2011;34:1089-1100.

STUDY

Impact of health information technology on detection of potential adverse drug events at the ordering stage.

Roberts LL, Ward MM, Brokel JM, Wakefield DS, Crandall DK, Conlon P. Am J Health Syst Pharm. 2010;67:1838-1846.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Medication errors resulting from computer entry by nonprescribers.

Santell JP, Kowiatek JG, Weber RJ, Hicks RW, Sirio CA. Am J Health Syst Pharm. 2009;66:843-853.

STUDY

Clinicians' satisfaction with CPOE ease of use and effect on clinicians' workflow, efficiency and medication safety.

Khajouei R, Wierenga PC, Hasman A, Jaspers MW. Int J Med Inform. 2011;80:297-309.

STUDY

Utilising improvement science methods to optimise medication reconciliation.

White CM, Schoettker PJ, Conway PH, et al. BMJ Qual Saf. 2011;20:372-380.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

Electronic health records and adverse drug events after patient transfer.

Boockvar KS, Livote EE, Goldstein N, Nebeker JR, Siu A, Fried T. Qual Saf Health Care. 2010;19:e16.

STUDY

Predictive value of alert triggers for identification of developing adverse drug events.

Moore C, Li J, Hung CC, Downs J, Nebeker JR. J Patient Saf. 2009;5:223-228.

STUDY

Pharmacists' interventions in prescribing errors at hospital discharge: an observational study in the context of an electronic prescribing system in a UK teaching hospital.

Abdel-Qader DH, Harper L, Cantrill JA, Tully MP. Drug Saf. 2010;33:1027-1044.

STUDY

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

Medication reconciliation performed by pharmacy technicians at the time of preoperative screening.

van den Bemt PM, van den Broek S, van Nunen AK, Harbers JB, Lenderink AW. Ann Pharmacother. 2009;43:868-874.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

STUDY

Effect of admission medication reconciliation on adverse drug events from admission medication changes.

Boockvar KS, Blum S, Kugler A, et al. Arch Intern Med. 2011;171:860-861.

STUDY

Analysis of overridden alerts in a drug–drug interaction detection system.

Mille F, Schwartz C, Brion F, et al. Int J Qual Health Care. 2008 Dec; 20:400-5.

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