AHRQ Patient Safety Network

The Collection > Ordering/Prescribing Errors

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Ordering/Prescribing Errors

Origin/Sponsor

•Asia (4)

•Australia and New Zealand (9)

Resource Types

•Journal Article (200)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (24)

•Press Release/Announcement (4)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

Error Types

•Epidemiology of Errors and Adverse Events (91)

•Active Errors (79)

•Latent Errors (16)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (60)

•Legal and Policy Approaches (11)

•Error Reporting and Analysis (38)

•Communication Improvement (45)

•Human Factors Engineering (29)

•Teamwork (6)

•Specialization of Care (23)

•Logistical Approaches (12)

•Culture of Safety (4)

•Technologic Approaches (147)

•Education and Training (36)

Clinical Areas

Target Audience

•Health Care Providers (208)

•Health Care Executives and Administrators (165)

•Non-Health Care Professionals (105)

•Patients (10)

Setting of Care

•Hospitals (135)

•Psychiatric Facilities (1)

•Residential Facilities (6)

•Ambulatory Care (39)

•Outpatient Surgery (1)

•Patient Transport (1)

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COMMENTARY

ISMP medication error report analysis.

Cohen M. Hosp Pharm. 2006;41:222-224.

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

ORGANIZATIONAL POLICY/GUIDELINES

Electronic prescribing in pediatrics: toward safer and more effective medication management.

Council on Clinical Information Technology Executive Committee. Pediatrics. 2013;131:824-826.

NEWSPAPER/MAGAZINE ARTICLE

Improving the safety of telephone or verbal orders.

PA-PSRS Patient Saf Advis. June 2006;3:1-5.

COMMENTARY

Dangerous Dapsone.

Bookwalter T. AHRQ WebM&M [serial online]. June 2004.

STUDY

Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study.

Westbrook JI, Reckmann M, Li L, et al. PLoS Med. 2012;9:e1001164.

NEWSPAPER/MAGAZINE ARTICLE

Will you survive being healed?

Bruce D. Erie Times-News. July 2, 2006:1.

NEWSPAPER/MAGAZINE ARTICLE

Drug name confusion: preventing medication errors.

Rados C. FDA Consum. 2005;39:35-37.

STUDY

Prescription errors and outcomes related to inconsistent information transmitted through computerized order entry: a prospective study.

Singh H, Mani S, Espadas D, Petersen N, Franklin V, Petersen LA. Arch Intern Med. 2009;169:982-989.

AWARD RECIPIENT

The Safe RX Awards.

SureScripts.

REVIEW

What evidence supports the use of computerized alerts and prompts to improve clinicians' prescribing behavior?

Schedlbauer A, Prasad V, Mulvaney C, et al. J Am Med Inform Assoc. 2009;16:531-538.

TOOLKIT

POP (Paul O’Neill Pledge) Patient Safety Campaign.

Florida Health Care Coalition.

COMMENTARY

Prescribing errors resulting in adverse drug events: how can they be prevented?

Thurmann PA. Expert Opin Drug Saf. 2006;5:489-493.

COMMENTARY

Medication Overdose.

Kaushal R. AHRQ WebM&M [serial online]. April 2003.

NEWSPAPER/MAGAZINE ARTICLE

NHS drug error 'crackdown' urged.

BBC News. August 11, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Death by handwriting.

Glabman M. Trustee. October 2005;58:29-32.

STUDY

Factors contributing to an increase in duplicate medication order errors after CPOE implementation.

Wetterneck TB, Walker JM, Blosky MA, et al. J Am Med Inform Assoc. 2011;18:774-782.

STUDY

Impact of electronic prescribing in a hospital setting: a process-focused evaluation.

Cunningham TR, Geller ES, Clarke SW. Int J Med Inform. 2008;77:546-554.

STUDY

Mixed results in the safety performance of computerized physician order entry.

Metzger J, Welebob E, Bates DW, Lipsitz S, Classen DC. Health Aff (Millwood). 2010;29:655-663.

NEWSPAPER/MAGAZINE ARTICLE

Handwritten-prescription ban puts pharmacists in awkward position as "enforcers."

Ostrom CM. Seattle Times. June 22, 2006:B1.

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