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 (199)

•Transcription Errors (23)

•Dispensing Errors (54)

•Administration Errors (233)

•Monitoring Errors and Failures (8)

Origin/Sponsor

•Africa (2)

•Asia (26)

•Australia and New Zealand (41)

•Central and South America (6)

•Europe (178)

•North America (1031)

Resource Types

•Audiovisual (15)

•Award (3)

•Book/Report (29)

•Clinical Guideline (2)

•Journal Article (1035)

•Legislation/Regulation (14)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (159)

•Press Release/Announcement (14)

•Special or Theme Issue (14)

•Tools/Toolkit (18)

•Web Resource (12)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (563)

•Active Errors (345)

•Latent Errors (91)

•Near Miss (32)

Approach to Improving Safety

•Quality Improvement Strategies (284)

•Legal and Policy Approaches (73)

•Error Reporting and Analysis (403)

•Communication Improvement (267)

•Human Factors Engineering (254)

•Teamwork (29)

•Specialization of Care (103)

•Logistical Approaches (86)

•Culture of Safety (76)

•Technologic Approaches (440)

•Education and Training (183)

Clinical Areas

•Allied Health Services (2)

•Medicine (810)

•Nursing (166)

•Pharmacy (490)

Target Audience

•Health Care Providers (1005)

•Health Care Executives and Administrators (978)

•Non-Health Care Professionals (414)

•Patients (80)

Setting of Care

•Hospitals (787)

•Psychiatric Facilities (8)

•Residential Facilities (41)

•Ambulatory Care (209)

•Outpatient Surgery (6)

•Patient Transport (9)

1 - 20 of 1322

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STUDY

Comparison of Broselow tape measurements versus physician estimations of pediatric weights.

Rosenberg M, Greenberger S, Rawal A, Latimer-Pierson J, Thundiyil J. Am J Emerg Med. 2011;29:482-488.

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

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

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.

COMMENTARY

Weighing in on medication safety.

Paparella S. J Emerg Nurs. 2009;35:553-555.

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

Factors associated with medication errors in the pediatric emergency department.

Vilà-de-Muga M, Colom-Ferrer L, Gonzàlez-Herrero M, Luaces-Cubells C. Pediatr Emerg Care. 2011;27:290-294.

STUDY

National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors.

Pham JC, Story JL, Hicks RW, et al. J Emerg Med. 2011;40:485-492.

STUDY

A prospective, multicenter study of pharmacist activities resulting in medication error interception in the emergency department.

Patanwala AE, Sanders AB, Thomas MC, et al. Ann Emerg Med. 2012;59:369-373.

STUDY

Adverse events from cough and cold medications after a market withdrawal of products labeled for infants.

Shehab N, Schaefer MK, Kegler SR, Budnitz DS. Pediatrics. 2010;126:1100-1107.

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

Identifying medical errors: developing consensus on classifications and consequences.

Hobgood C, Eaton J, Weiner BJ. J Patient Saf. 2005;1:138-144.

STUDY

National surveillance of emergency department visits for outpatient adverse drug events.

Budnitz DS, Pollock DA, Weidenbach KN, et al. JAMA. 2006;296:1858-1866.

NEWSPAPER/MAGAZINE ARTICLE

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

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

NEWSPAPER/MAGAZINE ARTICLE

Side tracks on the safety express. Interruptions lead to errors and unfinished…wait, what was I doing?

ISMP Medication Safety Alert! Acute Care Edition. November 29, 2012;17:1-3.

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

Barriers to emergency departments' adherence to four medication safety–related Joint Commission National Patient Safety Goals.

Juarez A, Gacki-Smith J, Bauer MR, et al. Jt Comm J Qual Patient Saf. 2009;35:49-59.

STUDY

Error in body weight estimation leads to inadequate parenteral anticoagulation.

Dos Reis Macedo LG, de Oliveira L, Pintão MC, Garcia AA, Pazin-Filho A. Am J Emerg Med. 2011;29:613-617.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

Regional surveillance of emergency-department visits for outpatient adverse drug events.

Capuano A, Irpino A, Gallo M, et al. Eur J Clin Pharmacol. 2009;65:721-728.

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