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 (41)

•Transcription Errors (10)

•Dispensing Errors (12)

•Administration Errors (129)

•Monitoring Errors and Failures (4)

Origin/Sponsor

•Africa (1)

•Asia (23)

•Australia and New Zealand (32)

•Central and South America (5)

Resource Types

•Clinical Guideline (1)

•Journal Article (591)

•Legislation/Regulation (4)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (59)

•Press Release/Announcement (6)

•Special or Theme Issue (8)

•Tools/Toolkit (9)

•Web Resource (5)

Error Types

•Epidemiology of Errors and Adverse Events (278)

•Active Errors (182)

•Latent Errors (44)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (176)

•Legal and Policy Approaches (31)

•Error Reporting and Analysis (256)

•Communication Improvement (136)

•Human Factors Engineering (121)

•Teamwork (18)

•Specialization of Care (58)

•Logistical Approaches (57)

•Culture of Safety (81)

•Technologic Approaches (213)

•Education and Training (109)

Clinical Areas

•Allied Health Services (2)

•Medicine (406)

•Nursing (189)

•Pharmacy (192)

Target Audience

•Health Care Providers (549)

•Health Care Executives and Administrators (629)

•Non-Health Care Professionals (227)

•Patients (18)

Setting of Care

•Hospitals (466)

•Psychiatric Facilities (4)

•Residential Facilities (25)

•Ambulatory Care (60)

•Outpatient Surgery (1)

•Patient Transport (7)

1 - 20 of 706

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BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

STUDY

Nurses' perceptions of causes of medication errors and barriers to reporting.

Ulanimo VM, O'Leary-Kelley C, Connolly PM. J Nurs Care Qual. 2007;22:28-33.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

An investigation of the relationship between safety climate and medication errors as well as other nurse and patient outcomes.

Hofmann DA, Mark B. Personnel Psychol. 2006;59:847-869.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

STUDY

The association of shift-level nurse staffing with adverse patient events.

Patrician PA, Loan L, McCarthy M, et al. J Nurs Adm. 2011;41:64-70.

REVIEW

A literature review of the individual and systems factors that contribute to medication errors in nursing practice.

Brady AM, Malone AM, Fleming S. J Nurs Manag. 2009;17:679-697.

STUDY

Influence of unit-level staffing on medication errors and falls in military hospitals.

Breckenridge-Sproat S, Johantgen M, Patrician P. West J Nurs Res. 2012;34:455-474.

COMMENTARY

Increasing the use of 'smart' pump drug libraries by nurses: a continuous quality improvement project.

Harding AD. Am J Nurs. 2012;112:26-35.

STUDY

Nursing home error and level of staff credentials.

Scott-Cawiezell J, Pepper GA, Madsen RW, Petroski G, Vogelsmeier A, Zellmer D. Clin Nurs Res. 2007;16:72-78.

STUDY

Nurses' responses to medication errors: suggestions for the development of organizational strategies to improve reporting.

Covell CL, Ritchie JA. J Nurs Care Qual. 2009;24:287-297.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

SPECIAL OR THEME ISSUE

Perianesthesia Safety.

Windle PE, ed. J Perianesth Nurs. 2007;22:365-448.

STUDY

Using ORA to explore the relationship of nursing unit communication to patient safety and quality outcomes.

Effken JA, Carley KM, Gephart S, et al. Int J Med Inform. 2011;80:507-517.

STUDY

Use of temporary nurses and nurse and patient safety outcomes in acute care hospital units.

Bae SH, Mark B, Fried B. Health Care Manage Rev. 2010;35:333-344.

COMMENTARY

A nurse-driven system for improving patient quality outcomes.

Johnson K, Hallsey D, Meredith RL, Warden E. J Nurs Care Qual. 2006;21:168-175.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

COMMENTARY

Nursing student medication errors: a case study using root cause analysis.

Dolansky MA, Druschel K, Helba M, Courtney K. J Prof Nurs. 2013;29:102-108.

STUDY

Prospective pilot intervention study to prevent medication errors in drugs administered to children by mouth or gastric tube: a programme for nurses, physicians and parents.

Bertsche T, Bertsche A, Krieg EM, et al. Qual Saf Health Care. 2010;19:e26.

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