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 (140)

•Transcription Errors (16)

•Dispensing Errors (45)

•Administration Errors (145)

•Monitoring Errors and Failures (6)

Origin/Sponsor

•Africa (2)

•Asia (23)

•Australia and New Zealand (33)

•Central and South America (5)

Resource Types

•Clinical Guideline (2)

•Journal Article (803)

•Legislation/Regulation (6)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (100)

•Press Release/Announcement (19)

•Special or Theme Issue (9)

•Tools/Toolkit (14)

•Web Resource (9)

•Grant (2)

Error Types

•Epidemiology of Errors and Adverse Events (508)

•Active Errors (283)

•Latent Errors (108)

•Near Miss (23)

Approach to Improving Safety

•Quality Improvement Strategies (201)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (335)

•Communication Improvement (228)

•Human Factors Engineering (214)

•Teamwork (24)

•Specialization of Care (86)

•Logistical Approaches (61)

•Culture of Safety (49)

•Technologic Approaches (305)

•Education and Training (137)

Clinical Areas

•Allied Health Services (3)

•Medicine (664)

•Nursing (99)

•Pharmacy (427)

Target Audience

•Health Care Providers (805)

•Health Care Executives and Administrators (720)

•Non-Health Care Professionals (298)

•Patients (60)

Setting of Care

•Hospitals (571)

•Psychiatric Facilities (7)

•Residential Facilities (42)

•Ambulatory Care (168)

•Outpatient Surgery (5)

•Patient Transport (7)

1 - 20 of 1009

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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.

COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

STUDY

Causes of preventable drug-related hospital admissions: a qualitative study.

Howard R, Avery A, Bissell P. Qual Saf Health Care. 2008;17:109-116.

STUDY

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

Redwood S, Rajakumar A, Hodson J, Coleman JJ. BMC Med Inform Decis Mak. 2011;11:29.

STUDY

The influence of 'Tall Man' lettering on errors of visual perception in the recognition of written drug names.

Darker IT, Gerret D, Filik R, Purdy KJ, Gale AG. Ergonomics. 2011;54:21-33.

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.

REVIEW

Medication errors in older people with mental health problems: a review.

Maidment ID, Haw C, Stubbs J, Fox C, Katona C, Franklin BD. Int J Geriatr Psychiatry. 2008;23:564-573.

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.

COMMENTARY

Implementing a systematic response to medication errors.

Larsen D, Cole R, Higton P. Nurs Stand. 2007;21:35-40.

STUDY

Consistency between coded poison center data and fatality abstract narratives for therapeutic error deaths in older adults.

Hayes BD, Klein-Schwartz W. Clin Toxicol (Phila). 2010;48:68-71.

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

What do hospital staff in the UK think are the causes of penicillin medication errors?

Wilcock M, Harding G, Moore L, Nicholls I, Powell N, Stratton J. Int J Clin Pharm. 2013;35:72-78.

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.

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.

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

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

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.

NEWSPAPER/MAGAZINE ARTICLE

USP drug safety review: medication errors involving NMBAs.

Santell JP. Drug Topics (Health-System Edition). May 22, 2006.

STUDY

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

Bourgeois FT, Shannon MW, Valim C, Mandl KD. Pharmacoepidemiol Drug Saf. 2010;19:901-910.

STUDY

The influence of formulation and medicine delivery system on medication administration errors in care homes for older people.

Alldred DP, Standage C, Fletcher O, et al. BMJ Qual Saf. 2011;20:397-402.

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