AHRQ Patient Safety Network

The Collection > Medication Safety

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Medication Safety

•Side Effects/Adverse Drug Reactions (38)

•Medication Errors/Preventable Adverse Drug Events (979)

•Specific to High-Risk Drugs (273)

Origin/Sponsor

•Africa (2)

•Asia (20)

•Australia and New Zealand (33)

•Central and South America (3)

•Europe (168)

•North America (1295)

Resource Types

•Audiovisual (22)

•Award (11)

•Book/Report (74)

•Clinical Guideline (4)

•Journal Article (1044)

•Legislation/Regulation (28)

•Meeting/Conference (10)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (228)

•Press Release/Announcement (17)

•Special or Theme Issue (27)

•Tools/Toolkit (43)

•Web Resource (39)

•Grant (6)

Error Types

•Epidemiology of Errors and Adverse Events (440)

•Active Errors (314)

•Latent Errors (115)

•Near Miss (28)

Approach to Improving Safety

•Quality Improvement Strategies (401)

•Legal and Policy Approaches (116)

•Error Reporting and Analysis (385)

•Communication Improvement (413)

•Human Factors Engineering (237)

•Teamwork (58)

•Specialization of Care (147)

•Logistical Approaches (90)

•Culture of Safety (131)

•Technologic Approaches (582)

•Education and Training (232)

Clinical Areas

•Allied Health Services (3)

•Medicine (932)

•Nursing (132)

•Pharmacy (580)

Target Audience

•Health Care Providers (1215)

•Health Care Executives and Administrators (1134)

•Non-Health Care Professionals (541)

•Patients (128)

Setting of Care

•Hospitals (973)

•Psychiatric Facilities (5)

•Residential Facilities (43)

•Ambulatory Care (246)

•Outpatient Surgery (10)

•Patient Transport (7)

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AUDIOVISUAL

Chasing Zero: Winning the War on Healthcare Harm.

Austin, TX: Texas Medical Institute for Technology and the Quaid Foundation; 2010.

REVIEW

Medication safety in acute care in Australia: where are we now? Part 2: a review of strategies and activities for improving medication safety 2002-2008.

Semple SJ, Roughead EE. Aust New Zealand Health Policy. 2009;6:24.

COMMENTARY

Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps.

Greenwald JL, Halasyamani L, Greene J, et al. J Hosp Med. 2010;5:477-485.

BOOK/REPORT

Meeting the Joint Commission's 2013 National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; September 2012. ISBN: 9781599407555.

BOOK/REPORT

Improving America's Hospitals: The Joint Commission's Report on Quality and Safety 2008.

Oakbrook Terrace, IL: The Joint Commission; November 2008.

AWARD RECIPIENT

The Leapfrog Group Announces the 2008 Leapfrog Top Hospitals.

Washington, DC: Leapfrog Group; September 24, 2008.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

STUDY

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

Ash JS, Sittig DF, Dykstra R, Campbell E, Guappone K. Int J Med Inform. 2009;78(suppl 1): S69-S76.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

BOOK/REPORT

Adverse Events in Hospitals: Care Study of Incidence Among Medicare Beneficiaries in Two Selected Counties.

Levinson DR. Washington, DC: US Department of Health and Human Services, Office of the Inspector General; December 2008. Report No. OEI-06-08-00220.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

NEWSPAPER/MAGAZINE ARTICLE

Cause for concern: drug shortages disrupt operations, tax hospitalists' treatment patterns.

Collins TR. The Hospitalist. July 2011.

STUDY

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

Wetterneck TB, Walker JM, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:774-782.

REVIEW

Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems.

Radley DC, Wasserman MR, Olsho LE, Shoemaker SJ, Spranca MD, Bradshaw B. J Am Med Inform Assoc. 2013;20:470-476.

STUDY

Workarounds in the use of IS in healthcare: a case study of an electronic medication administration system.

Yang Z, Ng BY, Kankanhalli A, Yip JWL. Int J Hum Comput Stud. 2012;70:43-65.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

ISMP Medication Safety Alert! Acute Care Edition. December 4, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Effective use of medication-related decision support in CPOE.

Metzger JB, Welebob E, Turisco F, Classen DC. Patient Saf Qual Healthc. Sept/Oct 2008;5:16-24.

STUDY

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

Ward MM, Evans TC, Spies AJ, Roberts LL, Wakefield DS. Am J Med Qual. 2006;21:101-108.

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