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 (32)

•Transcription Errors (6)

•Dispensing Errors (17)

•Administration Errors (113)

•Monitoring Errors and Failures (4)

Origin/Sponsor

•Africa (1)

•Asia (22)

•Australia and New Zealand (43)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (495)

•Legislation/Regulation (5)

•Meeting/Conference (2)

•Newspaper/Magazine Article (81)

•Press Release/Announcement (5)

•Special or Theme Issue (5)

•Tools/Toolkit (7)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (209)

•Active Errors (141)

•Latent Errors (55)

•Near Miss (15)

Approach to Improving Safety

•Quality Improvement Strategies (143)

•Legal and Policy Approaches (23)

•Error Reporting and Analysis (180)

•Communication Improvement (140)

•Human Factors Engineering (108)

•Teamwork (15)

•Specialization of Care (48)

•Logistical Approaches (78)

•Culture of Safety (53)

•Technologic Approaches (195)

•Education and Training (103)

Clinical Areas

•Allied Health Services (3)

•Medicine (351)

•Nursing (189)

•Pharmacy (192)

Target Audience

•Health Care Providers (503)

•Health Care Executives and Administrators (476)

•Non-Health Care Professionals (177)

•Patients (23)

Setting of Care

•Hospitals (455)

•Psychiatric Facilities (3)

•Residential Facilities (39)

•Ambulatory Care (89)

•Outpatient Surgery (1)

•Patient Transport (1)

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STUDY

Nurses relate the contributing factors involved in medication errors.

Tang FI, Sheu SJ, Yu S, Wei IL, Chen CH. J Clin Nurs. 2007;16:447-457.

STUDY

Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.

Schwappach DLB, Hochreutener MA, Wernli M. Oncol Nurs Forum. 2010;37:E84-E91.

STUDY

Paediatric nurses' understanding of the process and procedure of double-checking medications.

Dickinson A, McCall E, Twomey B, James N. J Clin Nurs. 2010;19:728-735.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors common for hospital diabetes.

Nursing Times. April 1, 2011.

NEWSPAPER/MAGAZINE ARTICLE

Scanner beep only means the barcode has been scanned.

ISMP Medication Safety Alert! Acute Care Edition. June 30, 2011;16:1-2.

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.

COMMENTARY

A performance improvement plan to increase nurse adherence to use of medication safety software.

Gavriloff C. J Pediatr Nurs. 2012;27:375-382.

BOOK/REPORT

Focus on Patient Safety.

Fitzpatrick J, Stone P, Hinton-Walker P, eds. Annual Review of Nursing Research. New York, NY: Springer; 2006. ISBN: 0826141366.

STUDY

Nursing perception of the impact of medication carts on patient safety and ergonomics in a teaching health care center.

Rochais É, Atkinson S, Bussières JF. J Pharm Pract. 2013;26:131-137.

STUDY

Medication errors and professional practice of registered nurses.

Deans C. Collegian. 2005;12:29-33.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

Quantifying nursing workflow in medication administration.

Keohane CA, Bane AD, Featherstone E, et al. J Nurs Admin. 2008;38:19-26.

STUDY

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.

Vogus TJ, Sutcliffe KM. Med Care. 2007;45:997-1002.

COMMENTARY

Medication room madness: calming the chaos.

Conrad C, Fields W, McNamara T, Cone M. J Nurs Care Qual. 2009;25:137-144.

STUDY

Nursing management of medication errors.

Luk LA, Ng WIM, Ko KKS, Ung VH. Nurs Ethics. 2008;15:28-39.

STUDY

Patient self-medication--a change in hospital practice.

Grantham G, McMillan V, Dunn SV, Gassner LA, Woodcock P. J Clin Nurs. 2006;15:962-970.

STUDY

Rate, causes and reporting of medication errors in Jordan: nurses' perspectives.

Mrayyan MT, Shishani K, Al-Faouri I. J Nurs Manag. Sep 2007;15:659-670.

COMMENTARY

Interruptions and medication errors: part I.

Flanders S, Clark AP. Clin Nurse Spec. 2010;24:281-285.

STUDY

Nurses' practice environments, error interception practices, and inpatient medication errors.

Flynn L, Liang Y, Dickson GL, Xie M, Suh DC. J Nurs Scholarsh. 2012;44:180-186.

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