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 (105)

•Transcription Errors (13)

•Dispensing Errors (20)

•Administration Errors (103)

•Monitoring Errors and Failures (5)

Origin/Sponsor

•Africa (2)

•Asia (20)

•Australia and New Zealand (26)

•Central and South America (4)

Resource Types

•Clinical Guideline (2)

•Journal Article (685)

•Legislation/Regulation (7)

•Meeting/Conference (3)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (83)

•Press Release/Announcement (11)

•Special or Theme Issue (7)

•Tools/Toolkit (8)

•Web Resource (11)

•Grant (3)

Error Types

•Epidemiology of Errors and Adverse Events (469)

•Active Errors (222)

•Latent Errors (58)

•Near Miss (22)

Approach to Improving Safety

•Quality Improvement Strategies (187)

•Legal and Policy Approaches (46)

•Error Reporting and Analysis (270)

•Communication Improvement (205)

•Human Factors Engineering (117)

•Teamwork (23)

•Specialization of Care (75)

•Logistical Approaches (46)

•Culture of Safety (48)

•Technologic Approaches (275)

•Education and Training (116)

Clinical Areas

•Allied Health Services (3)

•Medicine (599)

•Nursing (69)

•Pharmacy (295)

Target Audience

•Health Care Providers (687)

•Health Care Executives and Administrators (657)

•Non-Health Care Professionals (257)

•Patients (47)

Setting of Care

•Hospitals (530)

•Psychiatric Facilities (7)

•Residential Facilities (40)

•Ambulatory Care (138)

•Outpatient Surgery (5)

•Patient Transport (9)

1 - 20 of 853

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STUDY

Pediatric adverse drug events in the outpatient setting: an 11-year national analysis.

Bourgeois FT, Mandl KD, Valim C, Shannon MW. Pediatrics. 2009;124:e744-e750.

STUDY

The association between a prolonged stay in the emergency department and adverse events in older patients admitted to hospital: a retrospective cohort study.

Ackroyd-Stolarz S, Read Guernsey J, Mackinnon NJ, Kovacs G. BMJ Qual Saf. 2011;20:564-569.

STUDY

Medication use leading to emergency department visits for adverse drug events in older adults.

Budnitz DS, Shehab N, Kegler SR, Richards CL. Ann Intern Med. 2007;147:755-765.

BOOK/REPORT

Lucado J, Paez K, Elixhauser A. HCUP Statistical Brief #109. Rockville, MD: Agency for Healthcare Research and Quality; April 2011.

STUDY

Medication overdoses leading to emergency department visits among children.

Schillie SF, Shehab N, Thomas KE, Budnitz DS. Am J Prev Med. 2009;37:181-187.

STUDY

Therapeutic errors involving adults in the community setting: nature, causes and outcomes.

Taylor DM, Robinson J, MacLeod D, MacBean CE, Braitberg G. Aust N Z J Public Health. 2009;33:388-394.

COMMENTARY

Recurrent Hypoglycemia: A Care Transition Failure?

Eytan T. AHRQ WebM&M [serial online]. October 2008.

STUDY

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

Chan EW, Taylor SE, Marriott JL, Barger B. Med J Aust. 2009;191:374-377.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

STUDY

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

Barber ND, Alldred DP, Raynor DK, et al. Qual Saf Health Care. 2009;18:341-346.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors in the emergency department: need for pharmacy involvement?

PA-PSRS Patient Saf Advis. March 2011;8:1-7.

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

STUDY

Quantification and classification of errors associated with hand-repackaging of medications in long-term care facilities in Germany.

Gerber A, Kohaupt I, Lauterbach KW, Buescher G, Stock S, Lungen M. Am J Geriatr Pharmacother. 2008;6:212-219.

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.

REVIEW

Year in review: medication mishaps in the elderly.

Peron EP, Marcum ZA, Boyce R, Hanlon JT, Handler SM. Am J Geriatr Pharmacother. 2011;9:1-10.

STUDY

The nature and causes of unintended events reported at ten emergency departments.

Smits M, Groenewegen PP, Timmermans DRM, van der Wal G, Wagner C. BMC Emerg Med. 2009;9:16.

STUDY

Medication errors among acutely ill and injured children treated in rural emergency departments.

Marcin JP, Dharmar M, Cho M, et al. Ann Emerg Med. 2007;50:361-367.e1-2.

STUDY

Do emergency physicians attribute drug-related emergency department visits to medication-related problems?

Hohl CM, Zed PJ, Brubacher JR, Abu-Laban RB, Loewen PS, Purssell RA. Ann Emerg Med. 2010;55:493-502.e4.

STUDY

Improving medication safety with accurate preadmission medication lists and postdischarge education.

Gardella JE, Cardwell TB, Nnadi M. Jt Comm J Qual Patient Saf. 2012;38:452-458.

STUDY

On-site pharmacists in the ED improve medical errors.

Ernst AA, Weiss SJ, Sullivan A IV, et al. Am J Emerg Med. 2012;30:717-725.

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