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 (236)

•Transcription Errors (29)

•Dispensing Errors (62)

•Administration Errors (239)

•Monitoring Errors and Failures (11)

Origin/Sponsor

•Africa (2)

•Asia (24)

•Australia and New Zealand (36)

•Central and South America (5)

•Europe (187)

•North America (1070)

Resource Types

•Audiovisual (18)

•Award (3)

•Book/Report (31)

•Clinical Guideline (2)

•Journal Article (1076)

•Legislation/Regulation (14)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (162)

•Press Release/Announcement (14)

•Special or Theme Issue (12)

•Tools/Toolkit (17)

•Web Resource (12)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (559)

•Active Errors (375)

•Latent Errors (98)

•Near Miss (33)

Approach to Improving Safety

•Quality Improvement Strategies (297)

•Legal and Policy Approaches (78)

•Error Reporting and Analysis (393)

•Communication Improvement (283)

•Human Factors Engineering (234)

•Teamwork (30)

•Specialization of Care (109)

•Logistical Approaches (90)

•Culture of Safety (74)

•Technologic Approaches (498)

•Education and Training (188)

Clinical Areas

•Allied Health Services (3)

•Medicine (840)

•Nursing (166)

•Pharmacy (505)

Target Audience

•Health Care Providers (1038)

•Health Care Executives and Administrators (999)

•Non-Health Care Professionals (458)

•Patients (86)

Setting of Care

•Hospitals (806)

•Psychiatric Facilities (7)

•Residential Facilities (44)

•Ambulatory Care (222)

•Outpatient Surgery (6)

•Patient Transport (9)

1 - 20 of 1367

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STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

An unintended consequence of electronic prescriptions: prevalence and impact of internal discrepancies.

Palchuk MB, Fang EA, Cygielnik JM, et al. J Am Med Inform Assoc. 2010;17:472-476.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

Critical drug–drug interactions for use in electronic health records systems with computerized physician order entry: review of leading approaches.

Classen DC, Phansalkar S, Bates DW. J Patient Saf. 2011;7:61-65.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

ED overcrowding is associated with an increased frequency of medication errors.

Kulstad EB, Sikka R, Sweis RT, Kelley KM, Rzechula KH. Am J Emerg Med. 2010;28:304-309.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

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.

STUDY

The relationship between computerized physician order entry and pediatric adverse drug events: a nested matched case-control study.

Yu F, Salas M, Kim YI, Menachemi N. Pharmacoepidemiol Drug Saf. 2009;18:751-755.

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

Eytan T. AHRQ WebM&M [serial online]. October 2008.

STUDY

Using an enhanced oral chemotherapy computerized provider order entry system to reduce prescribing errors and improve safety.

Collins CM, Elsaid KA. Int J Qual Health Care. 2011;23:36-43.

STUDY

A "back to basics" approach to reduce ED medication errors.

Blank FSJ, Tobin J, Macomber S, Jaouen M, Dinoia M, Visintainer P. J Emerg Nurs. 2011;37:141-147.

STUDY

Retrospective evaluation of a computerized physician order entry adaptation to prevent prescribing errors in a pediatric emergency department.

Sard BE, Walsh KE, Doros G, et al. Pediatrics. 2008;122:782-787.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

STUDY

Medication errors recovered by emergency department pharmacists.

Rothschild JM, Churchill W, Erickson A, et al. Ann Emerg Med. 2010;55:513-521.

STUDY

Physician order entry or nurse order entry? Comparison of two implementation strategies for a computerized order entry system aimed at reducing dosing medication errors.

Kazemi A, Fors UG, Tofighi S, Tessma M, Ellenius J. J Med Internet Res. 2010;12:e5.

NEWSPAPER/MAGAZINE ARTICLE

No more blame & shame: developing event-reporting systems may go a long way to reducing patient care errors in EMS.

Rajasekaran K, Fairbanks RJ, Shah MN. EMS Magazine. September 2008.

COMMENTARY

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

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