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 (155)

•Transcription Errors (16)

•Dispensing Errors (41)

•Administration Errors (175)

•Monitoring Errors and Failures (7)

Origin/Sponsor

•Africa (2)

•Asia (21)

•Australia and New Zealand (32)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (937)

•Legislation/Regulation (11)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (132)

•Press Release/Announcement (8)

•Special or Theme Issue (9)

•Tools/Toolkit (12)

•Web Resource (8)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (543)

•Active Errors (282)

•Latent Errors (61)

•Near Miss (30)

Approach to Improving Safety

•Quality Improvement Strategies (254)

•Legal and Policy Approaches (62)

•Error Reporting and Analysis (365)

•Communication Improvement (221)

•Human Factors Engineering (187)

•Teamwork (21)

•Specialization of Care (98)

•Logistical Approaches (77)

•Culture of Safety (69)

•Technologic Approaches (386)

•Education and Training (150)

Clinical Areas

•Allied Health Services (2)

•Medicine (707)

•Nursing (150)

•Pharmacy (420)

Target Audience

•Health Care Providers (855)

•Health Care Executives and Administrators (892)

•Non-Health Care Professionals (359)

•Patients (59)

Setting of Care

•Hospitals (695)

•Psychiatric Facilities (5)

•Residential Facilities (39)

•Ambulatory Care (180)

•Outpatient Surgery (4)

•Patient Transport (9)

1 - 20 of 1160

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STUDY

Paramedic self-reported medication errors.

Vilke GM, Tornabene SV, Stepanski B, et al. Prehosp Emerg Care. 2007;11:80-84.

NEWSPAPER/MAGAZINE ARTICLE

Ding-a-ling-a-ling: ambulances can be dangerous places.

Meisel Z. Slate. November 8, 2005.

STUDY

Medication errors recovered by emergency department pharmacists.

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

STUDY

Medical error identification, disclosure, and reporting: do emergency medicine provider groups differ?

Hobgood C, Weiner B, Tamayo-Sarver JH. Acad Emerg Med. 2006;13:443-451.

STUDY

Rapid response teams and continuous quality improvement.

Dailey MS, Durkin S, Gulczynski B, Kearney M, Loeb B, Pouliot J. Patient Saf Qual Healthc. Nov/Dec 2009;6:28-31.

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

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

A comparison of voluntarily reported medication errors in intensive care and general care units.

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19:55-59.

STUDY

Improving medication error reporting in hospice care.

Boyer R, McPherson ML, Deshpande G, Smith SW. Am J Hosp Palliat Care. 2009;26:361-367.

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

Color coded medication safety system reduces community pediatric emergency nursing medication errors.

Feleke R, Kalynych CJ, Lundblom B, Wears R, Luten R, Kling D. J Patient Saf. 2009;5:79-85.

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

Effect of illness severity and comorbidity on patient safety and adverse events.

Naessens J, Campbell CR, Shah N, et al. Am J Med Qual. 2012;27:48-57.

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

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

Gokhman R, Seybert AL, Phrampus P, Darby J, Kane-Gill SL. Resuscitation. 2012;83:482-487.

STUDY

Pediatric antidepressant medication errors in a national error reporting database.

Rinke ML, Bundy DG, Shore AD, Colantuoni E, Morlock LL, Miller MR. J Dev Behav Pediatr. 2010;31:129-136.

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.

REVIEW

Patient safety in emergency medical services: a systematic review of the literature.

Bigham BL, Buick JE, Brooks SC, Morrison M, Shojania KG, Morrison LJ. Prehosp Emerg Care. 2012;16:20-35.

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