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 (100)

•Transcription Errors (18)

•Dispensing Errors (32)

•Administration Errors (90)

•Monitoring Errors and Failures (5)

Origin/Sponsor

•Africa (1)

•Asia (9)

•Australia and New Zealand (16)

•Central and South America (1)

Resource Types

•Clinical Guideline (2)

•Journal Article (707)

•Legislation/Regulation (11)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (134)

•Press Release/Announcement (6)

•Special or Theme Issue (11)

•Tools/Toolkit (20)

•Web Resource (10)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (340)

•Active Errors (189)

•Latent Errors (59)

•Near Miss (20)

Approach to Improving Safety

•Quality Improvement Strategies (207)

•Legal and Policy Approaches (68)

•Error Reporting and Analysis (317)

•Communication Improvement (193)

•Human Factors Engineering (137)

•Teamwork (21)

•Specialization of Care (81)

•Logistical Approaches (56)

•Culture of Safety (67)

•Technologic Approaches (389)

•Education and Training (115)

Clinical Areas

•Allied Health Services (2)

•Medicine (550)

•Nursing (105)

•Pharmacy (367)

Target Audience

•Health Care Providers (706)

•Health Care Executives and Administrators (705)

•Non-Health Care Professionals (361)

•Patients (72)

Setting of Care

•Hospitals (525)

•Psychiatric Facilities (4)

•Residential Facilities (33)

•Ambulatory Care (153)

•Outpatient Surgery (4)

•Patient Transport (6)

1 - 20 of 952

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STUDY

Medication errors with the use of allopurinol and colchicine: a retrospective study of a national, anonymous Internet-accessible error reporting system.

Mikuls TR, Curtis JF, Allison JJ, Hicks RW, Saag KG. J Rheumatol. 2006;33:562-566.

DATABASE/DIRECTORY

MEDMARX®.

Rockville, MD: U.S. Pharmacopeia; 2011.

NEWSPAPER/MAGAZINE ARTICLE

How business intelligence can improve patient safety.

Wanless S, McManaway J. Business Intelligence Network. August 30, 2005.

REVIEW

Pediatric aspects of inpatient health information technology systems.

Kim GR, Lehmann CU, and the Council on Clinical Information Technology. Pediatrics. 2008;122:e1287-e1296.

REVIEW

Informatics confronts drug–drug interactions.

Percha B, Altman RB. Trends Pharmacol Sci. 2013;34:178-184.

STUDY

The long road to patient safety: a status report on patient safety systems.

Longo DR, Hewett JE, Ge B, Schubert S. JAMA. 2005;294:2858-2865.

STUDY

Voluntary electronic reporting of medical errors and adverse events.

Milch CE, Salem DN, Pauker SG, Lundquist TG, Kumar S, Chen J. J Gen Intern Med. 2006;21:165-170.

STUDY

Evaluation of the contributions of an electronic web-based reporting system: enabling action.

Levtzion-Korach O, Alcalai H, Orav EJ, et al. J Patient Saf. 2009;5:9-15.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

STUDY

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

COMMENTARY

Iatrogenic disease management: moderating medication errors and risks in a pharmacy benefit management environment.

Nair V, Salmon JW, Kaul AF. Dis Manage. 2007;10:337-346.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

NEWSPAPER/MAGAZINE ARTICLE

Cause of death: sloppy doctors.

Caplan J. Time.com. January 15, 2007.

STUDY

The effect of the fit between organizational culture and structure on medication errors in medical group practices.

Kaissi A, Kralewski J, Dowd B, Heaton A. Health Care Manage Rev. 2007;32:12-21.

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.

COMMENTARY

Development of the Leapfrog methodology for evaluating hospital implemented inpatient computerized physician order entry systems.

Kilbridge PM, Welebob EM, Classen DC. Qual Saf Health Care. 2006;15:81-84.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Using consumer-based kiosk technology to improve and standardize medication reconciliation in a specialty care setting.

Lesselroth B, Adams S, Felder R, et al. Jt Comm J Qual Patient Saf. 2009;35:264-271.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

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