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 (119)

•Transcription Errors (16)

•Dispensing Errors (41)

•Administration Errors (194)

•Monitoring Errors and Failures (8)

Origin/Sponsor

•Africa (1)

•Asia (22)

•Australia and New Zealand (30)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (867)

•Legislation/Regulation (12)

•Meeting/Conference (2)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (143)

•Press Release/Announcement (6)

•Special or Theme Issue (10)

•Tools/Toolkit (19)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (411)

•Active Errors (256)

•Latent Errors (68)

•Near Miss (31)

Approach to Improving Safety

•Quality Improvement Strategies (270)

•Legal and Policy Approaches (61)

•Error Reporting and Analysis (361)

•Communication Improvement (215)

•Human Factors Engineering (189)

•Teamwork (24)

•Specialization of Care (90)

•Logistical Approaches (78)

•Culture of Safety (74)

•Technologic Approaches (358)

•Education and Training (158)

Clinical Areas

•Allied Health Services (2)

•Medicine (636)

•Nursing (204)

•Pharmacy (402)

Target Audience

•Health Care Providers (844)

•Health Care Executives and Administrators (845)

•Non-Health Care Professionals (335)

•Patients (60)

Setting of Care

•Hospitals (653)

•Psychiatric Facilities (5)

•Residential Facilities (33)

•Ambulatory Care (148)

•Outpatient Surgery (4)

•Patient Transport (6)

1 - 20 of 1106

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STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

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.

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.

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

Medication errors, routines, and differences between perioperative and non-perioperative nurses.

Treiber LA, Jones JH. AORN J. 2012;96:285-294.

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.

REVIEW

The novice nurse and clinical decision-making: how to avoid errors.

Saintsing D, Gibson LM, Pennington AW. J Nurs Manag. 2011;19:354-359.

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

Interruptions and medication errors: part I.

Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.

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

Linking nurse characteristics, team member effectiveness, practice environment, and medication error incidence.

Fasolino T, Snyder R. J Nurs Care Qual. 2012;27:E9-E16.

COMMENTARY

Medication room madness: calming the chaos.

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

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.

PRESS RELEASE/ANNOUNCEMENT

2007 Study of Injectable Medication Errors.

Silver Spring, MD: American Nurses Association; June 18, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

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

A human factors framework and study of the effect of nursing workload on patient safety and employee quality of working life.

Holden RJ, Scanlon MC, Patel NR, et al. BMJ Qual Saf. 2011;20:15-24.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

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