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Medication Errors

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Medication Errors/Preventable Adverse Drug Events

•Ordering/Prescribing Errors (253)

•Transcription Errors (31)

•Dispensing Errors (81)

•Administration Errors (279)

•Monitoring Errors and Failures (10)

Origin/Sponsor

•Australia and New Zealand (47)

•Central and South America (8)

•Europe (209)

•North America (1126)

Resource Types

•Audiovisual (21)

•Book/Report (33)

•Clinical Guideline (2)

•Journal Article (1140)

•Legislation/Regulation (16)

•Meeting/Conference (5)

•Newspaper/Magazine Article (180)

•Press Release/Announcement (16)

•Special or Theme Issue (15)

•Tools/Toolkit (20)

•Web Resource (12)

Error Types

•Epidemiology of Errors and Adverse Events (574)

•Active Errors (393)

•Latent Errors (112)

•Near Miss (34)

Approach to Improving Safety

•Quality Improvement Strategies (317)

•Legal and Policy Approaches (84)

•Error Reporting and Analysis (417)

•Communication Improvement (298)

•Human Factors Engineering (263)

•Teamwork (30)

•Specialization of Care (114)

•Logistical Approaches (98)

•Culture of Safety (80)

•Technologic Approaches (518)

•Education and Training (203)

Clinical Areas

•Allied Health Services (2)

•Dentistry (1)

•Medicine (891)

•Nursing (188)

•Pharmacy (557)

Target Audience

•Health Care Providers (1101)

•Health Care Executives and Administrators (1049)

•Non-Health Care Professionals (485)

•Patients (90)

Setting of Care

•Hospitals (889)

•Psychiatric Facilities (8)

•Residential Facilities (43)

•Ambulatory Care (235)

•Outpatient Surgery (6)

•Patient Transport (9)

1 - 20 of 1466

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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.

STUDY

Characteristics of medication errors and adverse drug events in hospitals participating in the California Pediatric Patient Safety Initiative.

Takata GS, Taketomo CK, Waite S; for the California Pediatric Patient Safety Initiative. Am J Health Syst Pharm. 2008;65:2036-2044.

STUDY

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Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

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

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Preventing potentially inappropriate medication use in hospitalized older patients with a computerized provider order entry warning system.

Mattison MLP, Afonso KA, Ngo LH, Mukamal KJ. Arch Intern Med. 2010;170:1331-1336.

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.

NEWSPAPER/MAGAZINE ARTICLE

Medication errors: a year in review.

Institute for Safe Medication Practices. Pharmacy Practice News. October 2011:7-14.

STUDY

Intravenous infusion safety technology: return on investment.

Danello SH, Maddox RR, Schaack GJ. Hosp Pharm. 2009;44:680-687, 696.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

Supratherapeutic dosing of acetaminophen among hospitalized patients.

Zhou L, Maviglia SM, Mahoney LM, et al. Arch Intern Med. 2012;172:1721-1728.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Medicines reconciliation using a shared electronic health care record.

Moore P, Armitage G, Wright J, Dobrzanski S, Ansari N, Hammond I, Scally A. J Patient Saf. 2011;7:147-153.

STUDY

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Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial.

Kripalani S, Roumie CL, Dalal AK, et al; PILL-CVD (Pharmacist Intervention for Low Literacy in Cardiovascular Disease) Study Group. Ann Intern Med. 2012;157:1-10.

COMMENTARY

Preparing your hospital for compliance with The Joint Commission's National Patient Safety Goals.

Murdaugh L, Jordin R. Hosp Pharm. 2008;43:728-733.

AUDIOVISUAL PRESENTATION

When things go wrong.

Institute for Healthcare Improvement. Campaign Live. August 18, 2008.

STUDY

Collaboration between pharmacists, physicians and nurse practitioners: a qualitative investigation of working relationships in the inpatient medical setting.

Makowsky MJ, Schindel TJ, Rosenthal M, Campbell K, Tsuyuki RT, Madill HM. J Interprof Care. 2009;23:169-84.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Anticoagulant safety practices call for pharmacist supervision.

Scott A. Drug Topics (Health-System Edition). November 10, 2008.

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