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 (66)

•Transcription Errors (10)

•Dispensing Errors (44)

•Administration Errors (118)

•Monitoring Errors and Failures (2)

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (13)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (654)

•Legislation/Regulation (11)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (160)

•Press Release/Announcement (10)

•Special or Theme Issue (8)

•Tools/Toolkit (18)

•Web Resource (13)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (309)

•Active Errors (297)

•Latent Errors (73)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (200)

•Legal and Policy Approaches (67)

•Error Reporting and Analysis (261)

•Communication Improvement (202)

•Human Factors Engineering (209)

•Teamwork (19)

•Specialization of Care (77)

•Logistical Approaches (63)

•Culture of Safety (55)

•Technologic Approaches (311)

•Education and Training (130)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (697)

•Health Care Executives and Administrators (624)

•Non-Health Care Professionals (273)

•Patients (102)

Setting of Care

•Hospitals (510)

•Psychiatric Facilities (4)

•Residential Facilities (31)

•Ambulatory Care (181)

•Outpatient Surgery (4)

•Patient Transport (5)

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NEWSPAPER/MAGAZINE ARTICLE

'Use only as directed' isn't easy.

Landro L. Wall Street Journal. April 26, 2011:D1.

NEWSPAPER/MAGAZINE ARTICLE

Medication mistakes that can kill.

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

NEWSPAPER/MAGAZINE ARTICLE

Pharmacy reform reduces Rx errors: '05 CVS mishap spurred action.

Fargen J. Boston Herald. April 22, 2007.

NEWSPAPER/MAGAZINE ARTICLE

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

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

AUDIOVISUAL

Medication mix-ups.

Ross B. ABC News. March 1, 2010.

FACT SHEET/FAQS

Ten Tips to Prevent an Accidental Overdose.

Silver Spring, MD: US Food and Drug Administration; May 2011.

NEWSPAPER/MAGAZINE ARTICLE

Pill errors cost pharmacists cash, not career.

Dworkin A. The Oregonian. June 20, 2007:A01.

NEWSPAPER/MAGAZINE ARTICLE

Buying the wrong medicine overseas.

Chase M. Wall Street Journal. August 16, 2005:D1.

REVIEW

E-prescribing: a focused review and new approach to addressing safety in pharmacies and primary care.

Odukoya OK, Chui MA. Res Social Adm Pharm. 2012 Oct 10; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Look-alike, sound-alike drugs trigger dangers.

Aleccia J. MSNBC.com; May 28, 2010.

NEWSPAPER/MAGAZINE ARTICLE

The harm in pharmacy misfills.

Young A. The Atlanta Journal-Constitution; September 20, 2009:B1.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Rx for errors: speed, high volume can trigger mistakes.

McCoy K, Brady E. USA Today. February 11, 2008:A1.

NEWSPAPER/MAGAZINE ARTICLE

Make no mistake about it: chain pharmacies are finding innovative ways to combat medication errors.

Levy S. Drug Topics. July 9, 2007.

AUDIOVISUAL

Medication errors: it's patient beware.

KCRA Sacramento, CA. November 2, 2009.

NEWSPAPER/MAGAZINE ARTICLE

Don't let a hospital make you sick.

Mishori R. Parade Magazine. February 8, 2009.

MEASUREMENT TOOL/INDICATOR

Pharmacy Survey on Patient Safety Culture.

Rockville, MD: Agency for Healthcare Research and Quality; October 2012.

STUDY

Risk models to improve safety of dispensing high-alert medications in community pharmacies.

Cohen MR, Smetzer JL, Westphal JE, Comden SC, Horn DM. J Am Pharm Assoc. 2012;52:584-602.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2007;42:884–888.

NEWSPAPER/MAGAZINE ARTICLE

Potassium may no longer be stocked on patient care units, but serious threats still exist!

ISMP Medication Safety Alert! Acute Care Edition. October 4, 2007;12:1-2.

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