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 (32)

•Medication Safety (294)

•Medical Complications (4)

•Surgical Complications (3)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (10)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (235)

•Legislation/Regulation (7)

•Newspaper/Magazine Article (40)

•Press Release/Announcement (1)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

Error Types

•Epidemiology of Errors and Adverse Events (130)

•Active Errors (80)

•Latent Errors (23)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (54)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (58)

•Communication Improvement (74)

•Human Factors Engineering (60)

•Teamwork (5)

•Specialization of Care (64)

•Logistical Approaches (17)

•Culture of Safety (12)

•Technologic Approaches (145)

•Education and Training (46)

Clinical Areas
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Hospital Pharmacy

Target Audience

•Health Care Providers (233)

•Health Care Executives and Administrators (232)

•Non-Health Care Professionals (95)

•Patients (7)

Setting of Care

•Hospitals (287)

•Psychiatric Facilities (1)

•Ambulatory Care (6)

•Outpatient Surgery (2)

1 - 20 of 298

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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

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

Analgesic prescribing errors and associated medication characteristics.

Smith HS, Lesar TS. J Pain. 2011;12:29-40.

STUDY

Can an electronic prescribing system detect doctors who are more likely to make a serious prescribing error?

Coleman JJ, Hemming K, Nightingale PG, et al. J R Soc Med. 2011;104:208-218.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

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.

BOOK/REPORT

An In Depth Investigation into Causes of Prescribing Errors by Foundation Trainees in Relation to Their Medical Education—EQUIP Study.

Dornan T, Ashcroft D, Heathfield H, et al. London: General Medical Council; 2009.

STUDY

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

Hartel MJ, Staub LP, Röder C, Eggli S. BMC Health Serv Res. 2011;11:199.

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.

STUDY

Association between license status and medication errors.

Conroy S. Arch Dis Child. 2011;96:305-306.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

Wortman SB. Am J Health Syst Pharm. 2008;65:2047-2054.

STUDY

Formal medicine reconciliation within the emergency department reduces the medication error rates for emergency admissions.

Mills PR, McGuffie AC. Emerg Med J. 2010;27:911-915.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

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

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

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

Evaluation of the role of the critical care pharmacist in identifying and avoiding or minimizing significant drug–drug interactions in medical intensive care patients.

Rivkin A, Yin H. J Crit Care. 2011;26:104.e1-104.e6.

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