AHRQ Patient Safety Network

The Collection > Medication Safety

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Medication Safety

•Side Effects/Adverse Drug Reactions (30)

•Medication Errors/Preventable Adverse Drug Events (769)

•Specific to High-Risk Drugs (227)

Origin/Sponsor

•Africa (1)

•Asia (12)

•Australia and New Zealand (25)

•Central and South America (6)

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•North America (1130)

Resource Types

•Audiovisual (21)

•Award (10)

•Book/Report (47)

•Clinical Guideline (4)

•Journal Article (893)

•Legislation/Regulation (26)

•Meeting/Conference (6)

•Newsletter/Journal (6)

•Newspaper/Magazine Article (182)

•Press Release/Announcement (16)

•Special or Theme Issue (20)

•Tools/Toolkit (39)

•Web Resource (35)

•Grant (4)

Error Types

•Epidemiology of Errors and Adverse Events (385)

•Active Errors (293)

•Latent Errors (87)

•Near Miss (24)

Approach to Improving Safety

•Quality Improvement Strategies (342)

•Legal and Policy Approaches (85)

•Error Reporting and Analysis (333)

•Communication Improvement (347)

•Human Factors Engineering (230)

•Teamwork (55)

•Specialization of Care (121)

•Logistical Approaches (81)

•Culture of Safety (107)

•Technologic Approaches (417)

•Education and Training (197)

Clinical Areas

•Allied Health Services (2)

•Medicine (798)

•Nursing (139)

•Pharmacy (459)

Target Audience

•Health Care Providers (1062)

•Health Care Executives and Administrators (1027)

•Non-Health Care Professionals (418)

•Patients (99)

Setting of Care

•Hospitals (779)

•Psychiatric Facilities (4)

•Residential Facilities (36)

•Ambulatory Care (195)

•Outpatient Surgery (8)

•Patient Transport (11)

1 - 20 of 1309

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REVIEW

Computerized physician order entry in the critical care environment: a review of current literature.

Maslove DM, Rizk N, Lowe HJ. J Intensive Care Med. 2011;26:165-171.

SPECIAL OR THEME ISSUE

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Inappropriate medications in elderly ICU survivors: where to intervene?

Morandi A, Vasilevskis EE, Pandharipande PP, et al. Arch Intern Med. 2011;171:1032-1034.

NEWSPAPER/MAGAZINE ARTICLE

Perfect is possible.

Berwick DM, Leape LL. Newsweek. October 16, 2006:70-71.

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.

STUDY

Rework and workarounds in nurse medication administration process: implications for work processes and patient safety.

Halbesleben JRB, Savage GT, Wakefield DS, Wakefield BJ. Health Care Manage Rev. 2010;35:124-133.

STUDY

Effectiveness of a barcode medication administration system in reducing preventable adverse drug events in a neonatal intensive care unit: a prospective cohort study.

Morriss FH Jr, Abramowitz PW, Nelson SP, et al. J Pediatr. 2009;197:678-685.

STUDY

Pediatric safety incidents from an intensive care reporting system.

Skapik JL, Pronovost PJ, Miller MR, Thompson DA, Wu AW. J Patient Saf. 2009;5:95-101.

STUDY

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Effects of the implementation of a preventive interventions program on the reduction of medication errors in critically ill adult patients.

Romero CM, Salazar N, Rojas L, et al. J Crit Care. 2013 Jan 18; [Epub ahead of print].

STUDY

Association of ICU or hospital admission with unintentional discontinuation of medications for chronic diseases.

Bell CM, Brener SS, Gunraj N, et al. JAMA. 2011;306:840-847.

STUDY

What’s past is prologue: organizational learning from a serious patient injury.

Tamuz M, Franchois KE, Thomas EJ. Safety Sci. 2011;49:75-82.

NEWSPAPER/MAGAZINE ARTICLE

Another tragic parenteral nutrition compounding error.

ISMP Medication Safety Alert! Acute Care Edition. April 21, 2011;16:1-3.

COMMENTARY

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.

Carspecken CW, Sharek PJ, Longhurst C, Pageler NM. Pediatrics. 2013;131:e1970-e1973.

STUDY

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.

STUDY

Iatrogenic events resulting in intensive care admission: frequency, cause, and disclosure to patients and institutions.

Lehmann LS, Puopolo AL, Shaykevich S, Brennan TA. Am J Med. 2005;118:409-413.

COMMENTARY

Medication reconciliation in a community, nonteaching hospital.

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

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