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 (146)

•Transcription Errors (27)

•Dispensing Errors (49)

•Administration Errors (91)

•Monitoring Errors and Failures (8)

Origin/Sponsor

•Africa (2)

•Asia (19)

•Australia and New Zealand (25)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (715)

•Legislation/Regulation (6)

•Meeting/Conference (1)

•Newspaper/Magazine Article (87)

•Press Release/Announcement (11)

•Special or Theme Issue (3)

•Tools/Toolkit (14)

•Web Resource (4)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (485)

•Active Errors (165)

•Latent Errors (49)

•Near Miss (21)

Approach to Improving Safety

•Quality Improvement Strategies (190)

•Legal and Policy Approaches (40)

•Error Reporting and Analysis (320)

•Communication Improvement (179)

•Human Factors Engineering (99)

•Teamwork (12)

•Specialization of Care (73)

•Logistical Approaches (49)

•Culture of Safety (40)

•Technologic Approaches (278)

•Education and Training (108)

Clinical Areas

•Allied Health Services (1)

•Medicine (555)

•Nursing (65)

•Pharmacy (383)

Target Audience

•Health Care Providers (685)

•Health Care Executives and Administrators (580)

•Non-Health Care Professionals (239)

•Patients (52)

Setting of Care

•Hospitals (490)

•Psychiatric Facilities (6)

•Residential Facilities (28)

•Ambulatory Care (181)

•Outpatient Surgery (3)

•Patient Transport (5)

1 - 20 of 877

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STUDY

A pharmacist-led information technology intervention for medication errors (PINCER): a multicentre, cluster randomised, controlled trial and cost-effectiveness analysis.

Avery AJ, Rodgers S, Cantrill JA, et al. Lancet. 2012;379:1310-1319.

STUDY

Ambulatory prescribing errors among community-based providers in two states.

Abramson EL, Bates DW, Jenter C, et al. J Am Med Inform Assoc. 2012;19:644-648.

STUDY

Retail pharmacy staff perceptions of design strengths and weaknesses of electronic prescribing.

Odukoya O, Chui MA. J Am Med Inform Assoc. 2012;19:1059-1065.

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].

STUDY

Adverse drug events in general practice patients in Australia.

Miller GC, Britt HC, Valenti L. Med J Aust. 2006;184:321-324.

STUDY

Sources and types of discrepancies between electronic medical records and actual outpatient medication use.

Orrico KB. J Manag Care Pharm. 2008;14:626-631.

REVIEW

Interventions in primary care to reduce medication related adverse events and hospital admissions: systematic review and meta-analysis.

Royal S, Smeaton L, Avery AJ, Hurwitz B, Sheikh A. Qual Saf Health Care. 2006;15:23-31.

STUDY

Usability of a computerised drug monitoring programme to detect adverse drug events and non-compliance in outpatient ambulatory care.

Auger C, Forster AJ, Oake N, Tamblyn R. BMJ Qual Saf. 2013;22:306-316.

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.

STUDY

Using nurses and office staff to report prescribing errors in primary care.

Kennedy AG, Littenberg B, Senders JW. Int J Qual Health Care. 2008;20:238-245.

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

Physician patient communication failure facilitates medication errors in older polymedicated patients with multiple comorbidities.

Mira JJ, Orozco-Beltrán D, Pérez-Jover V, et al. Fam Pract. 2013;30:56-63.

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.

BOOK/REPORT

Prescription for Improving Patient Safety: Addressing Medication Errors.

The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.

STUDY

An investigation of occupational subgroups with respect to patient safety culture.

Phipps DL, Ashcroft DM. Saf Sci. 2012;50:1290-1298.

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

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Frequency of risk factors that potentially increase harm from medications in older adults receiving primary care.

McCarthy L, Dolovich L, Haq M, Thabane L, Kaczorowski J. Can J Clin Pharmacol. 2007;14:e283-e290.

STUDY

Adverse drug events resulting from patient errors in older adults.

Field TS, Mazor KM, Briesacher B, Debellis KR, Gurwitz JH. J Am Geriatr Soc. 2007;55:271-276.

STUDY

Differences in medication errors between central and remote site telepharmacies.

Scott DM, Friesner DL, Rathke AM, Peterson CD, Anderson HC. J Am Pharm Assoc. 2012;52:e97-e104.

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