AHRQ Patient Safety Network

The Collection > Ordering/Prescribing Errors

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Ordering/Prescribing Errors

Origin/Sponsor

•Asia (5)

•Australia and New Zealand (3)

•Central and South America (1)

Resource Types

•Journal Article (226)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (28)

•Press Release/Announcement (5)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (95)

•Active Errors (71)

•Latent Errors (16)

•Near Miss (6)

Approach to Improving Safety

•Quality Improvement Strategies (63)

•Legal and Policy Approaches (11)

•Error Reporting and Analysis (49)

•Communication Improvement (50)

•Human Factors Engineering (27)

•Teamwork (4)

•Specialization of Care (20)

•Logistical Approaches (14)

•Culture of Safety (5)

•Technologic Approaches (143)

•Education and Training (42)

Clinical Areas

Target Audience

•Health Care Providers (230)

•Health Care Executives and Administrators (169)

•Non-Health Care Professionals (109)

•Patients (11)

Setting of Care

•Hospitals (140)

•Psychiatric Facilities (1)

•Residential Facilities (7)

•Ambulatory Care (52)

•Outpatient Surgery (1)

•Patient Transport (1)

1 - 20 of 274

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NEWSPAPER/MAGAZINE ARTICLE

Tablet splitting: Do it only if you "half" to, and then do it safely.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

TOOLKIT

ISMP and FDA campaign to eliminate use of error-prone abbreviations.

Huntington Valley, PA: Institute for Safe Medication Practices.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

STUDY

Effectiveness of a community collaborative for eliminating the use of high-risk abbreviations written by physicians.

Leonhardt KK, Botticelli J. J Patient Saf. 2006;2:147-153.

STUDY

Potential medication dosing errors in outpatient pediatrics.

McPhillips HA, Stille CJ, Smith D, et al. J Pediatr. 2005;147:761-767.

COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

COMMENTARY

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

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

COMMENTARY

Appropriate prescribing of medications: an eight-step approach.

Pollock M, Bazaldua OV, Dobbie AE. Am Fam Physician. 2007;75:231-236, 239-240.

NEWSPAPER/MAGAZINE ARTICLE

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

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

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

NEWSPAPER/MAGAZINE ARTICLE

Rx for a better prescription. Hospital bans doctors from using confusing medical abbreviations.

Hall J. The Free Lance-Star. September 25, 2005.

STUDY

The impact of abbreviations on patient safety.

Brunetti L, Santell JP, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:576-583.

STUDY

Use of a standardized protocol to decrease medication errors and adverse events related to sliding scale insulin.

Donihi AC, DiNardo MM, DeVita MA, Korytkowski MT. Qual Saf Health Care. 2006;15:89-91.

BOOK/REPORT

The Prescription Infrastructre: Are We Ready for ePrescribing?

Sarasohn-Kahn J, Holt M. Oakland, CA: California Healthcare Foundation; 2006. ISBN: 1933795026.

COMMENTARY

Medication reconciliation in acute care: ensuring an accurate drug regimen on admission and discharge.

Rodehaver C. Jt Comm J Qual Patient Saf. 2005;31:406-413.

STUDY

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

Frush K, Hohenhaus S, Luo X, Gerardi M, Wiebe RA. Pediatr Emerg Care. 2006;22:62-70.

NEWSPAPER/MAGAZINE ARTICLE

Drug name confusion: preventing medication errors.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:13-17.

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