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 (182)

•Transcription Errors (21)

•Dispensing Errors (52)

•Administration Errors (178)

•Monitoring Errors and Failures (10)

Origin/Sponsor

•Africa (1)

•Asia (23)

•Australia and New Zealand (31)

•Central and South America (3)

Resource Types

•Clinical Guideline (2)

•Journal Article (929)

•Legislation/Regulation (13)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (141)

•Press Release/Announcement (10)

•Special or Theme Issue (10)

•Tools/Toolkit (17)

•Web Resource (8)

Error Types

•Epidemiology of Errors and Adverse Events (450)

•Active Errors (287)

•Latent Errors (71)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (261)

•Legal and Policy Approaches (62)

•Error Reporting and Analysis (369)

•Communication Improvement (225)

•Human Factors Engineering (189)

•Teamwork (25)

•Specialization of Care (98)

•Logistical Approaches (68)

•Culture of Safety (70)

•Technologic Approaches (454)

•Education and Training (142)

Clinical Areas

•Allied Health Services (1)

•Medicine (697)

•Nursing (148)

•Pharmacy (435)

Target Audience

•Health Care Providers (872)

•Health Care Executives and Administrators (903)

•Non-Health Care Professionals (415)

•Patients (62)

Setting of Care

•Hospitals (681)

•Psychiatric Facilities (4)

•Residential Facilities (34)

•Ambulatory Care (169)

•Outpatient Surgery (3)

•Patient Transport (6)

1 - 20 of 1168

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STUDY

Automated medication error studies with audit supplementation were effectively designed and analyzed by time series.

Shuster JJ, Winterstein AG. J Clin Epidemiol. 2006;59:957-963.

REVIEW

Informatics confronts drug–drug interactions.

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

STUDY

Improving self-reporting of adverse drug events in a West Virginia hospital.

Schade CP, Hannah K, Ruddick P, Starling C, Brehm J. Am J Med Qual. 2006;21:335-341.

STUDY

Decreasing errors in pediatric continuous intravenous infusions.

Lehmann CU, Kim GR, Gujral R, Veltri MA, Clark JS, Miller MR. Pediatr Crit Care Med. 2006;7:225-230.

STUDY

Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system.

Han YY, Carcillo JA, Venkataraman ST, et al. Pediatrics. 2005;116:1506-1512.

STUDY

Adverse drug event reporting in intensive care units: a survey of current practices.

Kane-Gill SL, Devlin JW. Ann Pharmacother. 2006;40:1267-73.

STUDY

Protocol-based computer reminders, the quality of care and the non-perfectability of man.

McDonald CJ. N Engl J Med. 1976;295:1351-1355.

STUDY

A framework for evaluating the appropriateness of clinical decision support alerts and responses.

McCoy AB, Waitman LR, Lewis JB, et al. J Am Med Inform Assoc. 2012;19:346-352.

REVIEW

Epidemiology of medication-related adverse events in nursing homes.

Handler SM, Wright RM, Ruby CM, Hanlon JT. Am J Geriatr Pharmacother. 2006;4:264-272.

STUDY

An examination of technical efficiency, quality, and patient safety in acute care nursing units.

Mark B, Jones C, Lindley L, Ozcan Y. Policy Polit Nurs Pract. 2009;10:180-186.

STUDY

Comparison of methods for identifying patients at risk of medication-related harm.

van Doormaal JE, Rommers MK, Kosterink JGW, Teepe-Twiss IM, Haaijer-Ruskamp FM, Mol PGM. Qual Saf Health Care. 2010;19:e26.

STUDY

The costs of adverse drug events in community hospitals.

Hug BL, Keohane C, Seger DL, Yoon C, Bates DW. Jt Comm J Qual Patient Saf. 2012;38:120-126.

REVIEW

Systematic review of medication safety assessment methods.

Meyer-Massetti C, Cheng CM, Schwappach DL, et al. Am J Health Syst Pharm. 2011;68:227-240.

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

Effects of computer-based clinical decision support systems on physician performance and patient outcomes: a systematic review.

Hunt DL, Haynes RB, Hanna SE, Smith K. JAMA. 1998;280:1339-1346.

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.

REVIEW

Methods for assessing the preventability of adverse drug events: a systematic review.

Hakkarainen KM, Anderson Sundell K, Petzold M, Hägg S. Drug Saf. 2012;35:105-126.

STUDY

Assessment of adverse drug events among patients in a tertiary care medical center.

Johnston PE, France DJ, Byrne DW, et al. Am J Health Syst Pharm. 2006;63:2218-2227.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

STUDY

Evaluating clinical decision support systems: monitoring CPOE order check override rates in the Department of Veterans Affairs' computerized patient record system.

Lin C-P, Payne TH, Nichol WP, et al. J Am Med Inform Assoc. 2008;15:620-626.

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