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 (135)

•Transcription Errors (12)

•Dispensing Errors (36)

•Administration Errors (157)

•Monitoring Errors and Failures (4)

Origin/Sponsor

•Africa (2)

•Asia (21)

•Australia and New Zealand (33)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (764)

•Legislation/Regulation (9)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (102)

•Press Release/Announcement (10)

•Special or Theme Issue (11)

•Tools/Toolkit (11)

•Web Resource (9)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (391)

•Active Errors (346)

•Latent Errors (86)

•Near Miss (28)

Approach to Improving Safety

•Quality Improvement Strategies (219)

•Legal and Policy Approaches (53)

•Error Reporting and Analysis (280)

•Communication Improvement (229)

•Human Factors Engineering (185)

•Teamwork (27)

•Specialization of Care (77)

•Logistical Approaches (81)

•Culture of Safety (62)

•Technologic Approaches (317)

•Education and Training (162)

Clinical Areas

•Allied Health Services (2)

•Medicine (659)

•Nursing (122)

•Pharmacy (319)

Target Audience

•Health Care Providers (761)

•Health Care Executives and Administrators (774)

•Non-Health Care Professionals (338)

•Patients (51)

Setting of Care

•Hospitals (606)

•Psychiatric Facilities (7)

•Residential Facilities (32)

•Ambulatory Care (170)

•Outpatient Surgery (2)

•Patient Transport (8)

1 - 20 of 965

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STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

NEWSPAPER/MAGAZINE ARTICLE

Patient safety records: silent witness.

Gould M. Health Service Journal. September 15, 2008:22-24.

STUDY

Transitioning between electronic health records: effects on ambulatory prescribing safety.

Abramson EL, Malhotra S, Fischer K, et al. J Gen Intern Med. 2011;26:868-874.

STUDY

Clinical outcomes from the use of Medication Report when elderly patients are discharged from hospital.

Midlöv P, Deierborg E, Holmdahl L, Höglund P, Eriksson T. Pharm World Sci. 2008;30:840-845.

STUDY

Development of a tool within the electronic medical record to facilitate medication reconciliation after hospital discharge.

Schnipper JL, Liang CL, Hamann C, et al. J Am Med Inform Assoc. 2011;18:309-313.

STUDY

Impact of implementing alerts about medication black-box warnings in electronic health records.

Yu DT, Seger DL, Lasser KE, et al. Pharmacoepidemiol Drug Saf. 2011;20:192-202.

STUDY

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

Guthrie B, McCowan C, Davey P, Simpson CR, Dreischulte T, Barnett K. BMJ. 2011;342:d3514.

STUDY

Alternatives to potentially inappropriate medications for use in e-prescribing software: triggers and treatment algorithms.

Hume AL, Quilliam BJ, Goldman R, Eaton C, Lapane KL. BMJ Qual Saf. 2011;20:875-884.

REVIEW

Strategies to reduce medication errors in pediatric ambulatory settings.

Mehndiratta S. J Postgrad Med. 2012;58:47-53.

STUDY

Literacy and misunderstanding prescription drug labels.

Davis TC, Wolf MS, Bass PF III, et al. Ann Intern Med. 2006;145:887-94.

REVIEW

Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.

Royal S, Smeaton L, Avery AJ, Hurwitz B, Sheikh A. Qual Saf Health Care. 2006;15:23-31.

STUDY

Trends in primary care clinician perceptions of a new electronic health record.

El-Kareh R, Gandhi TK, Poon EG, et al. J Gen Intern Med. 2009;24:464-468.

STUDY

What do hospital staff in the UK think are the causes of penicillin medication errors?

Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.

STUDY

Experience with a trigger tool for identifying adverse drug events among older adults in ambulatory primary care.

Singh R, McLean-Plunckett EA, Kee R, et al. Qual Saf Health Care. 2009;18:199-204.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43:869-872.

STUDY

Medication errors reported by US family physicians and their office staff.

Kuo GM, Phillips RL, Graham D, Hickner JM. Qual Saf Health Care. 2008;17:286-290.

STUDY

Medication safety in primary care practice: results from a PPRNet quality improvement intervention.

Wessell AM, Ornstein SM, Jenkins RG, Nemeth LS, Litvin CB, Nietert PJ. Am J Med Qual. 2013;28:16-24.

STUDY

Improving prescription drug warnings to promote patient comprehension.

Wolf MS, Davis TC, Bass PF, et al. Arch Intern Med. 2010;170:50-56.

STUDY

Receptionist input to quality and safety in repeat prescribing in UK general practice: ethnographic case study.

Swinglehurst D, Greenhalgh T, Russell J, Myall M. BMJ. 2011;343:d6788.

STUDY

Using an electronic prescribing system to ensure accurate medication lists in a large multidisciplinary medical group.

Stock R, Scott J, Gurtel S. Jt Comm J Qual Patient Saf. 2009;35:271-279.

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