AHRQ Patient Safety Network

The Collection > Medication Safety

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Medication Safety

•Side Effects/Adverse Drug Reactions (48)

•Medication Errors/Preventable Adverse Drug Events (1090)

•Specific to High-Risk Drugs (304)

Origin/Sponsor

•Africa (2)

•Asia (23)

•Australia and New Zealand (41)

•Central and South America (6)

•Europe (187)

•North America (1405)

Resource Types

•Audiovisual (30)

•Award (11)

•Book/Report (66)

•Clinical Guideline (4)

•Journal Article (1157)

•Legislation/Regulation (27)

•Meeting/Conference (9)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (240)

•Press Release/Announcement (21)

•Special or Theme Issue (27)

•Tools/Toolkit (49)

•Web Resource (45)

•Grant (5)

Error Types

•Epidemiology of Errors and Adverse Events (500)

•Active Errors (363)

•Latent Errors (128)

•Near Miss (35)

Approach to Improving Safety

•Quality Improvement Strategies (423)

•Legal and Policy Approaches (104)

•Error Reporting and Analysis (438)

•Communication Improvement (469)

•Human Factors Engineering (286)

•Teamwork (61)

•Specialization of Care (160)

•Logistical Approaches (107)

•Culture of Safety (156)

•Technologic Approaches (555)

•Education and Training (288)

Clinical Areas

•Allied Health Services (3)

Target Audience

•Health Care Providers (1320)

•Health Care Executives and Administrators (1233)

•Non-Health Care Professionals (538)

•Patients (152)

Setting of Care

•Hospitals (1061)

•Psychiatric Facilities (5)

•Residential Facilities (43)

•Ambulatory Care (274)

•Outpatient Surgery (9)

•Patient Transport (10)

1 - 20 of 1698

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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.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing errors relating to commonly used anticoagulants.

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

NEWSPAPER/MAGAZINE ARTICLE

Shakespeare was on target—don't be a borrower or lender.

ISMP Medication Safety Alert! Acute Care Edition. November 19, 2009;14:1-3.

STUDY

Effect of medication reconciliation with and without patient counseling on the number of pharmaceutical interventions among patients discharged from the hospital.

Karapinar-Çarkit F, Borgsteede SD, Zoer J, Smit HJ, Egberts ACG, van den Bemt PMLA. Ann Pharmacother. 2009;43:1001-1010.

NEWSPAPER/MAGAZINE ARTICLE

Survey shows recession has weakened patient safety net.

ISMP Medication Safety Alert! Acute Care Edition. January 14, 2010;15:1-4.

STUDY

Decrease in hospital-wide mortality rate after implementation of a commercially sold computerized physician order entry system.

Longhurst CA, Parast L, Sandborg CI, et al. Pediatrics. 2010;126:14-21.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

NEWSPAPER/MAGAZINE ARTICLE

How has the current economy affected patient safety?

ISMP Medication Safety Alert! Acute Care Edition. September 10, 2009;14:1-2.

STUDY

Adopting National Quality Forum medication safe practices: progress and barriers to hospital implementation.

Rask K, Culler S, Scott T, et al. J Hosp Med. 2007;2:212-218.

STUDY

Parenteral nutrition prescribing processes using computerized prescriber order entry: opportunities to improve safety.

Hilmas E, Peoples JD. JPEN J Parenter Enteral Nutr. 2012;36(suppl 2):32S-35S.

MEASUREMENT TOOL/INDICATOR

2011 ISMP Medication Safety Self Assessment for Hospitals.

Horsham, PA: Institute for Safe Medication Practices; April 2011.

NEWSPAPER/MAGAZINE ARTICLE

Safe practice environment chapter proposed by USP.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

MULTI-USE WEBSITE

Aware in Care.

Miami, FL: National Parkinson Foundation; October 2012.

AWARD RECIPIENT

2006 Quest for Quality Prize.

Runy LA. Hosp Health Netw. September 2006.

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.

NEWSPAPER/MAGAZINE ARTICLE

5 sure-fire methods: complying with NPSG.03.04.01.

Joint Commission: The Source. January 2012;10:5-6.

ORGANIZATIONAL POLICY/GUIDELINES

Safely implementing health information and converging technologies.

Sentinel Event Alert. December 11, 2008;(42):1-4.

MULTI-USE WEBSITE

Getting Safer Care.

Agency for Healthcare Research and Quality.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

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