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 (80)

•Transcription Errors (16)

•Dispensing Errors (25)

•Administration Errors (122)

•Monitoring Errors and Failures (6)

Origin/Sponsor

•Africa (1)

•Asia (8)

•Australia and New Zealand (16)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (691)

•Legislation/Regulation (9)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (144)

•Press Release/Announcement (9)

•Special or Theme Issue (9)

•Tools/Toolkit (19)

•Web Resource (15)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (339)

•Active Errors (315)

•Latent Errors (68)

•Near Miss (27)

Approach to Improving Safety

•Quality Improvement Strategies (212)

•Legal and Policy Approaches (66)

•Error Reporting and Analysis (279)

•Communication Improvement (204)

•Human Factors Engineering (165)

•Teamwork (21)

•Specialization of Care (83)

•Logistical Approaches (62)

•Culture of Safety (62)

•Technologic Approaches (319)

•Education and Training (134)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (699)

•Health Care Executives and Administrators (666)

•Non-Health Care Professionals (275)

•Patients (102)

Setting of Care

•Hospitals (592)

•Psychiatric Facilities (3)

•Residential Facilities (33)

•Ambulatory Care (134)

•Outpatient Surgery (6)

•Patient Transport (6)

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NEWSPAPER/MAGAZINE ARTICLE

Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.

Higgins W. Indianapolis Star. September 13, 2008;News section:A1

NEWSPAPER/MAGAZINE ARTICLE

Baby's death spotlights safety risks linked to computerized systems.

Graham J, Dizikes C. Chicago Tribune. June 27, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

STUDY

Direct observation approach for detecting medication errors and adverse drug events in a pediatric intensive care unit.

Buckley MS, Erstad BL, Kopp BJ, Theodorou AA, Priestley G. Pediatr Crit Care Med. 2007;8:145-152.

STUDY

Safety on an inpatient pediatric otolaryngology service: many small errors, few adverse events.

Shah RK, Lander L, Forbes P, Jenkins K, Healy GB, Roberson DW. Laryngoscope. 2009;119:871-879.

AUDIOVISUAL

Medical Mistakes: Dr. Oz Talks to Actor Dennis Quaid.

The Oprah Winfrey Show. March 10, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

STUDY

Unit-based clinical pharmacists' prevention of serious medication errors in pediatric inpatients.

Kaushal R, Bates DW, Abramson EL, Soukup JR, Goldmann DA. Am J Health Syst Pharm. 2008;65:1254-1260.

NEWSPAPER/MAGAZINE ARTICLE

MGH faces suit over drug error that killed woman.

Valencia MJ. Boston Globe. March 10, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

MULTI-USE WEBSITE

Solutions for Patient Safety.

Ohio Business Roundtable. 41 S. High Street, Suite 2240, Columbus, OH, 43215.

BOOK/REPORT

To Err Is Human — To Delay Is Deadly.

Jewell K, McGiffert L. Austin, TX: Consumers Union; 2009.

NEWSPAPER/MAGAZINE ARTICLE

Officials investigate infants' heparin OD at Texas hospital.

Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Neuromuscular blocking agents: reducing associated wrong-drug errors.

PA-PSRS Patient Saf Advis. December 2009;6:109-114.

STUDY

Preprinted order sets as a safety intervention in pediatric sedation.

Broussard M, Bass PF 3rd, Arnold CL, McLarty JW, Bocchini JA Jr. J Pediatr. 2009;154:865-868.

STUDY

Cardiac surgery errors: results from the UK National Reporting and Learning System.

Martinez EA, Shore A, Colantuoni E, et al. Int J Qual Health Care. 2011;23:151-158.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

BOOK/REPORT

Medmarx Data Report: A Chartbook of Medication Error Findings from the Perioperative Settings from 1998-2005.

Rockville, MD: United States Pharmacopeia; 2007.

NEWSPAPER/MAGAZINE ARTICLE

Medication mistakes that can kill.

Haiken M. Caring.com. August 17, 2009.

STUDY

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.

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