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 (157)

•Transcription Errors (28)

•Dispensing Errors (68)

•Administration Errors (128)

•Monitoring Errors and Failures (10)

Origin/Sponsor

•Africa (1)

•Asia (7)

•Australia and New Zealand (10)

Resource Types

•Clinical Guideline (2)

•Journal Article (759)

•Legislation/Regulation (12)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (163)

•Press Release/Announcement (20)

•Special or Theme Issue (9)

•Tools/Toolkit (22)

•Web Resource (14)

Error Types

•Epidemiology of Errors and Adverse Events (335)

•Active Errors (210)

•Latent Errors (72)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (247)

•Legal and Policy Approaches (64)

•Error Reporting and Analysis (302)

•Communication Improvement (231)

•Human Factors Engineering (156)

•Teamwork (14)

•Specialization of Care (91)

•Logistical Approaches (62)

•Culture of Safety (55)

•Technologic Approaches (358)

•Education and Training (141)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (813)

•Health Care Executives and Administrators (661)

•Non-Health Care Professionals (290)

•Patients (114)

Setting of Care

•Hospitals (526)

•Psychiatric Facilities (3)

•Residential Facilities (33)

•Ambulatory Care (187)

•Outpatient Surgery (3)

•Patient Transport (4)

1 - 20 of 1048

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COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

NEWSPAPER/MAGAZINE ARTICLE

Buying the wrong medicine overseas.

Chase M. Wall Street Journal. August 16, 2005:D1.

COMMENTARY

Prevent medication errors: a New Year's resolution: teaching patients about their medications.

Polzien G. Home Healthc Nurse. 2007;25:59-62.

NEWSPAPER/MAGAZINE ARTICLE

To be safe, keep track of pills.

Foreman J. Los Angeles Times. September 4, 2006:F3.

STUDY

Diagramming patients' views of root causes of adverse drug events in ambulatory care: an online tool for planning education and research.

Brown M, Frost R, Ko Y, Woosley R. Patient Educ Couns. 2006;62:302-315.

NEWSPAPER/MAGAZINE ARTICLE

Your attention please... designing effective warnings.

ISMP Medication Safety Alert! Acute Care Edition. August 24, 2006;11:1-3.

COMMENTARY

Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.

Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.

COMMENTARY

What medications does your patient take? Enhancing medication safety in the outpatient setting.

Institute for Healthcare Improvement. March 14, 2007.

FACT SHEET/FAQS

Patient Education Pages.

Journal of Patient Safety.

NEWSPAPER/MAGAZINE ARTICLE

Manic for medication safety: bar codes and drug information databases are helping to reduce medication errors.

Rogoski RR. Health Manage Technol. February 2007;28:14, 16-18.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:675-679.

STUDY

Risk of unintentional overdose with non-prescription acetaminophen products.

Wolf MS, King J, Jacobson K, et al. J Gen Intern Med. 2012;27:1587-1593.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Patient, protect thyself.

Szabo L. USA Today. February 5, 2007.

NEWSPAPER/MAGAZINE ARTICLE

Dose of technology helps Shands at UF avoid drug errors.

Chun D. Gainsville Sun. August 21, 2006.

STUDY

Medication safety in older adults: home-based practice patterns.

Metlay JP, Cohen A, Polsky D, Kimmel SE, Koppel R, Hennessy S. J Am Geriatr Soc. 2005;53:976-982.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

FACT SHEET/FAQS

An 8-Step Check List for Medicine Safety.

Vienna, VA: The Partnership for Safe Medicines; 2005.

NEWSPAPER/MAGAZINE ARTICLE

Medication mistakes that can kill.

Haiken M. Caring.com. August 17, 2009.

STUDY

Assessing the National Electronic Injury Surveillance System—Cooperative Adverse Drug Event Surveillance Project—six sites, United States, January 1–June 15, 2004.

Centers for Disease and Control Prevention. MMWR Morb Mortal Wkly Rep. 2005;54:380-383.

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