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 (865)

•Specific to High-Risk Drugs (256)

Origin/Sponsor

•Africa (1)

•Asia (12)

•Australia and New Zealand (28)

•Central and South America (3)

•Europe (118)

•North America (1240)

Resource Types

•Audiovisual (26)

•Award (11)

•Book/Report (51)

•Clinical Guideline (4)

•Journal Article (954)

•Legislation/Regulation (25)

•Meeting/Conference (10)

•Newsletter/Journal (7)

•Newspaper/Magazine Article (208)

•Press Release/Announcement (28)

•Special or Theme Issue (20)

•Tools/Toolkit (46)

•Web Resource (36)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (406)

•Active Errors (293)

•Latent Errors (93)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (368)

•Legal and Policy Approaches (100)

•Error Reporting and Analysis (397)

•Communication Improvement (382)

•Human Factors Engineering (239)

•Teamwork (50)

•Specialization of Care (123)

•Logistical Approaches (82)

•Culture of Safety (112)

•Technologic Approaches (448)

•Education and Training (217)

Clinical Areas

•Allied Health Services (2)

•Medicine (801)

•Nursing (147)

•Pharmacy (608)

Target Audience

•Health Care Providers (1164)

•Health Care Executives and Administrators (1073)

•Non-Health Care Professionals (456)

•Patients (124)

Setting of Care

•Hospitals (762)

•Psychiatric Facilities (5)

•Residential Facilities (42)

•Ambulatory Care (235)

•Outpatient Surgery (8)

•Patient Transport (10)

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MULTI-USE WEBSITE

ISMP QuarterWatch Reports.

Institute for Safe Medication Practices.

COMMENTARY

Medication errors related to product names.

Santell JP, Cousins DD. Jt Comm J Qual Patient Saf. 2005;31:649-654.

COMMENTARY

Partners in safety: implementing a community-based patient safety advisory council.

Leonhardt KK, Bonin D, Pagel P. Wisc Med J. 2006;105;54-59.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.

NEWSPAPER/MAGAZINE ARTICLE

ISMP Medication Safety Alert! Acute Care Edition. November 1, 2007;12:1-3.

COMMENTARY

Simple strategies to avoid medication errors.

Jenkins RH, Vaida AJ. Fam Pract Manag. 2007;14:41-47.

PRESS RELEASE/ANNOUNCEMENT

National Patient Safety Goal on Reconciling Medication Information (NPSG.3.06.01).

Oakbrook Terrace, IL: Joint Commission; December 7, 2010.

STUDY

Personal digital assistant-based drug information sources: potential to improve medication safety.

Galt KA, Rule AM, Houghton B, Young DO, Remington G. J Med Libr Assoc. 2005;93:229-236.

COMMENTARY

Medication reconciliation in the emergency department: opportunities for workflow redesign.

Hummel J, Evans PC, Lee H. Qual Saf Health Care. 2010;19:531-535.

STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

NEWSPAPER/MAGAZINE ARTICLE

ISMP updates its list of drug name pairs with Tall man letters.

ISMP Medication Safety Alert! Acute Care Edition. November 18, 2010;15:1-3.

COMMENTARY

Ten years after the IOM report: engaging residents in quality and patient safety by creating a house staff quality council.

Fleischut PM, Evans AS, Nugent WC, et al. Am J Med Qual. 2011;26:89-94.

NEWSLETTER/JOURNAL

Drug, Healthcare and Patient Safety.

Princeton, NJ: Dove Press. ISSN: 1179-1365.

MINNESOTA MEETING/CONFERENCE

Medication Safety Collaborative.

American Society of Health-System Pharmacists. June 2–5, 2013; Minneapolis Convention Center, Minneapolis, MN.

MULTI-USE WEBSITE

Aware in Care.

Miami, FL: National Parkinson Foundation; October 2012.

STUDY

Medication discrepancies in integrated electronic health records.

Linsky A, Simon SR. BMJ Qual Saf. 2013;22:103-109.

STUDY

Post-discharge medication reviews for patients with heart failure: a pilot study.

Ponniah A, Shakib S, Doecke CJ, Boyce M, Angley M. Pharm World Sci. 2008;30:810-815.

STUDY

Medication errors involving oral chemotherapy.

Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.

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

Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.

Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.

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