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 (46)

•Transcription Errors (6)

•Dispensing Errors (23)

•Administration Errors (153)

•Monitoring Errors and Failures (3)

Origin/Sponsor

•Africa (1)

•Asia (24)

•Australia and New Zealand (47)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (609)

•Legislation/Regulation (7)

•Meeting/Conference (5)

•Newspaper/Magazine Article (78)

•Press Release/Announcement (9)

•Special or Theme Issue (10)

•Tools/Toolkit (8)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (278)

•Active Errors (206)

•Latent Errors (53)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (167)

•Legal and Policy Approaches (32)

•Error Reporting and Analysis (226)

•Communication Improvement (144)

•Human Factors Engineering (203)

•Teamwork (16)

•Specialization of Care (59)

•Logistical Approaches (65)

•Culture of Safety (53)

•Technologic Approaches (229)

•Education and Training (120)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (569)

•Health Care Executives and Administrators (630)

•Non-Health Care Professionals (225)

•Patients (22)

Setting of Care

•Hospitals (478)

•Psychiatric Facilities (4)

•Residential Facilities (22)

•Ambulatory Care (67)

•Outpatient Surgery (2)

•Patient Transport (6)

1 - 20 of 745

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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.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

STUDY

Understanding the cognitive work of nursing in the acute care environment.

Potter P, Wolf L, Boxerman S, et al. J Nurs Adm. 2005;35:327-335.

COMMENTARY

Medication room madness: calming the chaos.

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

COMMENTARY

Interruptions and medication errors: part I.

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

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Evaluation of contextual influences on the medication administration practice of paediatric nurses.

Davis L, Ware R, McCann D, Keogh S, Watson K. J Adv Nurs. 2009;65:1293-1299.

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.

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

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.

STUDY

Nighttime and weekend medication error rates in an inpatient pediatric population.

Miller AD, Piro CC, Rudisill CN, Bookstaver PB, Bair JD, Bennett CL. Ann Pharmacother. 2010;44:1739-1746.

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

Horus meets Nightingale in the modern age: how nursing communicates with pharmacy in HCIT era.

Armstrong I, Cox MA. Stud Health Technol Inform. 2006;122:585-586.

STUDY

A secondary care nursing perspective on medication administration safety.

McBride-Henry K, Foureur M. J Adv Nurs. 2007;60:58-66.

COMMENTARY

Medication errors in nursing—part 1 and part 2.

Leufer T, Cleary-Holdforth J. Nurse Educ Pract. 2013;13:213-220.

STUDY

Medication error reporting and the work environment in a military setting.

Patrician PA, Brosch LR. J Nurs Care Qual. 2009;24:277-286.

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.

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.

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

Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

Payne CH, Smith CR, Newkirk LE, Hicks RW. AORN J. 2007;85:731-740.

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