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 (112)

•Transcription Errors (11)

•Dispensing Errors (45)

•Administration Errors (204)

•Monitoring Errors and Failures (8)

Origin/Sponsor

•Africa (1)

•Asia (23)

•Australia and New Zealand (30)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (853)

•Legislation/Regulation (12)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (153)

•Press Release/Announcement (11)

•Special or Theme Issue (11)

•Tools/Toolkit (18)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (401)

•Active Errors (268)

•Latent Errors (74)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (254)

•Legal and Policy Approaches (63)

•Error Reporting and Analysis (321)

•Communication Improvement (216)

•Human Factors Engineering (236)

•Teamwork (23)

•Specialization of Care (90)

•Logistical Approaches (90)

•Culture of Safety (70)

•Technologic Approaches (369)

•Education and Training (161)

Clinical Areas

•Allied Health Services (2)

•Medicine (637)

•Nursing (206)

•Pharmacy (406)

Target Audience

•Health Care Providers (843)

•Health Care Executives and Administrators (836)

•Non-Health Care Professionals (334)

•Patients (65)

Setting of Care

•Hospitals (653)

•Psychiatric Facilities (6)

•Residential Facilities (36)

•Ambulatory Care (141)

•Outpatient Surgery (4)

•Patient Transport (7)

1 - 20 of 1107

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COMMENTARY

Medication room madness: calming the chaos.

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

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

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

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

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

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

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

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.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

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.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

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.

COMMENTARY

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

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

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

Strategies used by critical care nurses to identify, interrupt, and correct medical errors.

Henneman EA, Gawlinski A, Blank FS, Henneman PL, Jordan D, McKenzie JB. Am J Crit Care. 2010;19:500-509.

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

Antecedents of severe and nonsevere medication errors.

Chang YK, Mark BA. J Nurs Scholarsh. 2009;41:70-78.

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.

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