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 (134)

•Transcription Errors (18)

•Dispensing Errors (40)

•Administration Errors (112)

•Monitoring Errors and Failures (7)

Origin/Sponsor

•Africa (2)

•Asia (17)

•Australia and New Zealand (16)

•Central and South America (2)

Resource Types

•Clinical Guideline (2)

•Journal Article (820)

•Legislation/Regulation (7)

•Meeting/Conference (4)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (135)

•Press Release/Announcement (9)

•Special or Theme Issue (7)

•Tools/Toolkit (17)

•Web Resource (10)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (495)

•Active Errors (221)

•Latent Errors (57)

•Near Miss (29)

Approach to Improving Safety

•Quality Improvement Strategies (220)

•Legal and Policy Approaches (63)

•Error Reporting and Analysis (335)

•Communication Improvement (223)

•Human Factors Engineering (147)

•Teamwork (14)

•Specialization of Care (85)

•Logistical Approaches (68)

•Culture of Safety (56)

•Technologic Approaches (350)

•Education and Training (134)

Clinical Areas

•Allied Health Services (3)

•Medicine (632)

•Nursing (116)

•Pharmacy (443)

Target Audience

•Health Care Providers (781)

•Health Care Executives and Administrators (722)

•Non-Health Care Professionals (295)

•Patients (72)

Setting of Care

•Hospitals (563)

•Psychiatric Facilities (5)

•Residential Facilities (49)

•Ambulatory Care (183)

•Outpatient Surgery (4)

•Patient Transport (8)

1 - 20 of 1053

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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

Effect of a pharmacist-led multicomponent intervention focusing on the medication monitoring phase to prevent potential adverse drug events in nursing homes.

Lapane KL, Hughes CM, Daiello LA, Cameron KA, Feinberg J. J Am Geriatr Soc. 2011;59:1238-1245.

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.

AUDIOVISUAL

Panel Discussion: Error Proofing Your Pharmacy.

Woodcliff Lake, NJ: Drug Topics; 2007.

STUDY

Field test results of a new ambulatory care Medication Error and Adverse Drug Event Reporting System—MEADERS.

Hickner J, Zafar A, Kuo GM, et al. Ann Fam Med. 2010;8:517-525.

STUDY

Interrater agreement with a standard scheme for classifying medication errors.

Forrey RA, Pedersen CA, Schneider PJ. Am J Health Syst Pharm. 2007;64:175-181.

STUDY

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

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.

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

Medication discrepancies upon hospital to skilled nursing facility transitions.

Tjia J, Bonner A, Briesacher BA, McGee S, Terrill E, Miller K. J Gen Intern Med. 2009;24:630-635.

STUDY

Types, prevalence, and potential clinical significance of medication administration errors in assisted living.

Young HM, Gray SL, McCormick WC, et al. J Am Geriatr Soc. 2008 56:1199-1205.

STUDY

Effect of computerized provider order entry with clinical decision support on adverse drug events in the long-term care setting.

Gurwitz JH, Field TS, Rochon P, et al. J Am Geriatr Soc. 2008;56:2225-2233.

STUDY

Achieving quality improvement in the nursing home: influence of nursing leadership on communication and teamwork.

Vogelsmeier A, Scott-Cawiezell J. J Nurs Care Qual. 2011;26:236-242.

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

Identifying modifiable barriers to medication error reporting in the nursing home setting.

Handler SM, Perera S, Olshansky EF, et al. J Am Med Dir Assoc. 2007;8:568-574.

STUDY

The safety of warfarin therapy in the nursing home setting.

Gurwitz JH, Field TS, Radford MJ, et al. Am J Med. 2007;120:539-544.

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.

STUDY

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

Boockvar KS, Liu S, Goldstein N, Nebeker J, Siu A, Fried T. Qual Saf Health Care. 2009;18:32-36.

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