AHRQ Patient Safety Network

The Collection > Medication Errors/Preventable Adverse Drug Events

PATIENT SAFETY PRIMERS
Medication Errors

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Medication Errors/Preventable Adverse Drug Events

•Ordering/Prescribing Errors (115)

•Transcription Errors (11)

•Dispensing Errors (38)

•Administration Errors (163)

•Monitoring Errors and Failures (7)

Origin/Sponsor

•Africa (2)

•Asia (15)

•Australia and New Zealand (26)

•Central and South America (2)

Resource Types

•Clinical Guideline (2)

•Journal Article (819)

•Legislation/Regulation (11)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (146)

•Press Release/Announcement (11)

•Special or Theme Issue (10)

•Tools/Toolkit (14)

•Web Resource (9)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (398)

•Active Errors (262)

•Latent Errors (65)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (240)

•Legal and Policy Approaches (59)

•Error Reporting and Analysis (314)

•Communication Improvement (213)

•Human Factors Engineering (231)

•Teamwork (21)

•Specialization of Care (90)

•Logistical Approaches (69)

•Culture of Safety (61)

•Technologic Approaches (360)

•Education and Training (137)

Clinical Areas

•Allied Health Services (1)

•Medicine (645)

•Nursing (140)

•Pharmacy (392)

Target Audience

•Health Care Providers (782)

•Health Care Executives and Administrators (818)

•Non-Health Care Professionals (327)

•Patients (63)

Setting of Care

•Hospitals (643)

•Psychiatric Facilities (5)

•Residential Facilities (33)

•Ambulatory Care (145)

•Outpatient Surgery (3)

•Patient Transport (9)

1 - 20 of 1061

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STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Comparison of Broselow tape measurements versus physician estimations of pediatric weights.

Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Am J Emerg Med. 2011;29:482-488.

COMMENTARY

Weighing in on medication safety.

Paparella S. J Emerg Nurs. 2009;35:553-555.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.

Shehab N, Schaefer MK, Kegler SR, Budnitz DS. Pediatrics. 2010;126:1100-1107.

STUDY

Paramedic self-reported medication errors.

Vilke GM, Tornabene SV, Stepanski B, et al. Prehosp Emerg Care. 2006;10:457-462.

NEWSPAPER/MAGAZINE ARTICLE

Preventing medication errors during codes.

ISMP Medication Safety Alert! Acute Care Edition. February 9, 2011;16:1-3.

STUDY

The effects of resident level of training on the rate of pediatric prescription errors in an academic emergency department.

Pacheco GS, Viscusi C, Hays DP, Woolridge DP. J Emerg Med. 2012;43:e343-e348.

STUDY

Medication overdoses leading to emergency department visits among children.

Schillie SF, Shehab N, Thomas KE, Budnitz DS. Am J Prev Med. 2009;37:181-187.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

NEWSPAPER/MAGAZINE ARTICLE

Your attention please... designing effective warnings.

ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.

STUDY

Identifying medical errors: developing consensus on classifications and consequences.

Hobgood C, Eaton J, Weiner BJ. J Patient Saf. 2005;1:138-144.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

NEWSPAPER/MAGAZINE ARTICLE

Ding-a-ling-a-ling: ambulances can be dangerous places.

Meisel Z. Slate. November 8, 2005.

STUDY

National surveillance of emergency department visits for outpatient adverse drug events.

Budnitz DS, Pollock DA, Weidenbach KN, et al. JAMA. 2006;296:1858-1866.

STUDY

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals.

Juarez A, Gacki-Smith J, Bauer MR, et al. Jt Comm J Qual Patient Saf. 2009;35:49-59.

STUDY

Error in body weight estimation leads to inadequate parenteral anticoagulation.

Dos Reis Macedo LG, de Oliveira L, Pintão MC, Garcia AA, Pazin-Filho A. Am J Emerg Med. 2011;29:613-617.

STUDY

Medication errors in the management of anaphylaxis in a pediatric emergency department.

Benkelfat R, Gouin S, Larose G, Bailey B. J Emerg Med. 2013 Mar 8; [Epub ahead of print].

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