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 (153)

•Transcription Errors (25)

•Dispensing Errors (50)

•Administration Errors (174)

•Monitoring Errors and Failures (10)

Origin/Sponsor

•Africa (3)

•Asia (20)

•Australia and New Zealand (28)

•Central and South America (2)

Resource Types

•Clinical Guideline (2)

•Journal Article (853)

•Legislation/Regulation (16)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (172)

•Press Release/Announcement (17)

•Special or Theme Issue (12)

•Tools/Toolkit (21)

•Web Resource (15)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (407)

•Active Errors (304)

•Latent Errors (92)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (266)

•Legal and Policy Approaches (82)

•Error Reporting and Analysis (338)

•Communication Improvement (264)

•Human Factors Engineering (197)

•Teamwork (25)

•Specialization of Care (97)

•Logistical Approaches (79)

•Culture of Safety (69)

•Technologic Approaches (395)

•Education and Training (172)

Clinical Areas

•Allied Health Services (2)

Target Audience

•Health Care Providers (897)

•Health Care Executives and Administrators (805)

•Non-Health Care Professionals (356)

•Patients (114)

Setting of Care

•Hospitals (729)

•Psychiatric Facilities (6)

•Residential Facilities (37)

•Ambulatory Care (198)

•Outpatient Surgery (6)

•Patient Transport (7)

1 - 20 of 1173

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COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

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

Identifying discrepancies in electronic medical records through pharmacist medication reconciliation.

Stewart AL, Lynch KJ. J Am Pharm Assoc (2003). 2012;52:59-66.

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

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.

STUDY

Racial disparities in the frequency of patient safety events: results from the National Medicare Patient Safety Monitoring System.

Metersky ML, Hunt DR, Kliman R, et al. Med Care. 2011;49:504-510.

STUDY

Assessing the value of electronic prescribing in ambulatory care: A focus group study.

Weingart SN, Massagli M, Cyrulik A, et al. Int J Med Inform. 2009;78:571-578.

BOOK/REPORT

Safety in Doses.

London, UK: National Patient Safety Agency; 2009. ISBN: 9781906624088.

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

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.

STUDY

Impact of non-interruptive medication laboratory monitoring alerts in ambulatory care.

Lo HG, Matheny ME, Seger DL, Bates DW, Gandhi TK. J Am Med Inform Assoc. 2009;16:66-71.

AUDIOVISUAL PRESENTATION

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.

NEWSPAPER/MAGAZINE ARTICLE

5 sure-fire methods: complying with NPSG.03.04.01.

Joint Commission: The Source. January 2012;10:5-6.

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.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

STUDY

Improving medication reconciliation in the outpatient setting.

Varkey P, Cunningham J, Bisping S. Jt Comm J Qual Patient Saf. 2007;33:286-292.

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

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.

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