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 (175)

•Transcription Errors (21)

•Dispensing Errors (44)

•Administration Errors (182)

•Monitoring Errors and Failures (10)

Origin/Sponsor

•Africa (3)

•Asia (29)

•Australia and New Zealand (40)

•Central and South America (6)

Resource Types

•Clinical Guideline (2)

•Journal Article (925)

•Legislation/Regulation (9)

•Meeting/Conference (4)

•Newspaper/Magazine Article (100)

•Press Release/Announcement (12)

•Special or Theme Issue (8)

•Tools/Toolkit (10)

•Web Resource (10)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (550)

•Active Errors (315)

•Latent Errors (89)

•Near Miss (26)

Approach to Improving Safety

•Quality Improvement Strategies (242)

•Legal and Policy Approaches (53)

•Error Reporting and Analysis (349)

•Communication Improvement (253)

•Human Factors Engineering (187)

•Teamwork (27)

•Specialization of Care (98)

•Logistical Approaches (68)

•Culture of Safety (69)

•Technologic Approaches (365)

•Education and Training (150)

Clinical Areas

•Allied Health Services (2)

•Medicine (760)

•Nursing (127)

•Pharmacy (384)

Target Audience

•Health Care Providers (860)

•Health Care Executives and Administrators (896)

•Non-Health Care Professionals (362)

•Patients (46)

Setting of Care

•Hospitals (718)

•Psychiatric Facilities (7)

•Residential Facilities (39)

•Ambulatory Care (177)

•Outpatient Surgery (4)

•Patient Transport (10)

1 - 20 of 1122

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STUDY

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

Climente-Martí M, García-Mañón ER, Artero-Mora AA, Jiménez-Torres NV. Ann Pharmacother. 2010;44:1747-1754.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

STUDY

Omitted and unjustified medications in the discharge summary.

Perren A, Previsdomini M, Cerutti B, Soldini D, Donghi D, Marone C. Qual Saf Health Care. 2009;18:205-208.

STUDY

Effect of admission medication reconciliation on adverse drug events from admission medication changes.

Boockvar KS, Blum S, Kugler A, et al. Arch Intern Med. 2011;171:860-861.

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

Medication reconciliation during internal hospital transfer and impact of computerized prescriber order entry.

Lee JY, Leblanc K, Fernandes OA, et al. Ann Pharmacother. 2010;44:1887-1895.

STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

STUDY

Incidence of adverse events related to health care in Spain: results of the Spanish National Study of Adverse Events.

Aranaz-Andrés JM, Aibar-Remón C, Vitaller-Murillo J, et al. J Epidemiol Community Health. 2008;62:1022-1029.

STUDY

Medication reconciliation: barriers and facilitators from the perspectives of resident physicians and pharmacists.

Boockvar KS, Santos SL, Kushniruk A, Johnson C, Nebeker JR. J Hosp Med. 2011;6:329-337.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

COMMENTARY

Implementation of a specialized pharmacy team to monitor high-risk medications during discharge.

Martin ES III, Overstreet RL, Jackson-Khalil LR, McCollough HL, Meyer TA, Xu Q. Am J Health Syst Pharm. 2013;70:18-21.

STUDY

Classifying and predicting errors of inpatient medication reconciliation.

Pippins JR, Gandhi TK, Hamann C, et al. J Gen Intern Med. 2008;23:1414-1422.

STUDY

Errors in medication history at hospital admission: prevalence and predicting factors.

Hellström LM, Bondesson A, Höglund P, Eriksson T. BMC Clin Pharmacol. 2012;12:9.

STUDY

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.

STUDY

Errors and omissions in hospital prescriptions: a survey of prescription writing in a hospital.

Calligaris L, Panzera A, Arnoldo L, et al. BMC Clin Pharmacol. 2009;9:9.

STUDY

Analysis of overridden alerts in a drug–drug interaction detection system.

Mille F, Schwartz C, Brion F, et al. Int J Qual Health Care. 2008 Dec; 20:400-5.

COMMENTARY

The role of housestaff in implementing medication reconciliation on admission at an academic medical center.

Evans AS, Lazar EJ, Tiase VL, et al. Am J Med Qual. 2011;26:39-42.

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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