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PATIENT SAFETY PRIMERS
Medication Errors

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Medication Errors/Preventable Adverse Drug Events

•Ordering/Prescribing Errors (30)

•Transcription Errors (2)

•Dispensing Errors (6)

•Administration Errors (49)

•Monitoring Errors and Failures (2)

Origin/Sponsor

•Australia and New Zealand (15)

•Central and South America (5)

•North America (408)

Resource Types

•Audiovisual (5)

•Book/Report (9)

•Clinical Guideline (1)

•Journal Article (460)

•Legislation/Regulation (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (44)

•Press Release/Announcement (4)

•Special or Theme Issue (6)

•Tools/Toolkit (4)

•Web Resource (4)

Error Types

•Epidemiology of Errors and Adverse Events (242)

•Active Errors (148)

•Latent Errors (34)

•Near Miss (14)

Approach to Improving Safety

•Quality Improvement Strategies (123)

•Legal and Policy Approaches (29)

•Error Reporting and Analysis (229)

•Communication Improvement (108)

•Human Factors Engineering (90)

•Teamwork (16)

•Specialization of Care (46)

•Logistical Approaches (39)

•Culture of Safety (39)

•Technologic Approaches (165)

•Education and Training (62)

Clinical Areas

•Allied Health Services (1)

•Medicine (354)

•Nursing (84)

•Pharmacy (142)

Target Audience

•Health Care Providers (383)

•Health Care Executives and Administrators (471)

•Non-Health Care Professionals (174)

•Patients (17)

Setting of Care

•Hospitals (370)

•Psychiatric Facilities (2)

•Residential Facilities (20)

•Ambulatory Care (58)

•Outpatient Surgery (1)

•Patient Transport (7)

1 - 20 of 542

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STUDY

Moral distress, compassion fatigue, and perceptions about medication errors in certified critical care nurses.

Maiden J, Georges JM, Connelly CD. Dimens Crit Care Nurs. 2011;30:339-345.

STUDY

Increasing medication error reporting rates while reducing harm through simultaneous cultural and system-level interventions in an intensive care unit.

Abstoss KM, Shaw BE, Owens TA, Juno JL, Commiskey EL, Niedner MF. BMJ Qual Saf. 2011;914-922.

STUDY

Toward learning from patient safety reporting systems.

Pronovost PJ, Thompson DA, Holzmueller CG, et al. J Crit Care. 2006;21:305-315.

REVIEW

Medication errors in critical care: risk factors, prevention and disclosure.

Camiré E, Moyen E, Stelfox HT. CMAJ. 2009;180:936-943.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

SPECIAL OR THEME ISSUE

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

Papadopoulos J, Kane-Gill SL, Cooper B, eds. Crit Care Med. 2010;38:(suppl 6):S83-S264.

STUDY

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Sanghera IS, Franklin BD, Dhillon S. Anaesthesia. 2007;62:53-61.

STUDY

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

Uppal N, Yasseen B, Seto W, Parshuram CS. CMAJ. 2011;183:E246-E248.

COMMENTARY

Unreported errors in the intensive care unit: a case study of the way we work.

Henneman EA. Crit Care Nurse. 2007;27:27-34.

STUDY

Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study.

Valentin A, Capuzzo M, Guidet B, et al. Intensive Care Med. 2006;32:1591-1598.

STUDY

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

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.

STUDY

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

Silva DCB, Araujo OR, Arduini RG, Alonso CFR, Shibata ARO, Troster EJ. BMJ Open. 2013;3:ee001868.

STUDY

An observational study of changes to long-term medication after admission to an intensive care unit.

Campbell AJ, Bloomfield R, Noble DW. Anaesthesia. 2006;61:1087-1092.

REVIEW

Computerized physician order entry in the critical care environment: a review of current literature.

Maslove DM, Rizk N, Lowe HJ. J Intensive Care Med. 2011;26:165-171.

STUDY

Computerized physician order entry, a factor in medication errors: descriptive analysis of events in the intensive care unit safety reporting system.

Thompson DA, Duling L, Holzmueller CG, et al. J Clin Outcomes Manage. 2005;12:407-412.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

STUDY

Prevalence of adverse events in pediatric intensive care units in the United States.

Agarwal S, Classen D, Larsen G, et al. Pediatr Crit Care Med. 2010;11:568-578.

STUDY

Specialty-based, voluntary incident reporting in neonatal intensive care: description of 4846 incident reports.

Snijders C, van Lingen RA, Klip H, Fetter WP, van der Schaaf TW, Molendijk HA, NEOSAFE study group. Arch Dis Child Fetal Neonatal Ed. 2009;94:F210-F215.

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