AHRQ Patient Safety Network

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Dispensing Errors

Origin/Sponsor

•Australia and New Zealand (1)

•Central and South America (1)

•Europe (9)

•North America (66)

Resource Types

•Book/Report (1)

•Journal Article (61)

•Newspaper/Magazine Article (15)

•Press Release/Announcement (5)

•Special or Theme Issue (1)

Error Types

•Epidemiology of Errors and Adverse Events (18)

•Active Errors (29)

•Latent Errors (13)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (17)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (23)

•Communication Improvement (15)

•Human Factors Engineering (24)

•Teamwork (1)

•Specialization of Care (5)

•Logistical Approaches (11)

•Culture of Safety (4)

•Technologic Approaches (37)

•Education and Training (10)

Clinical Areas

•Medicine (30)

•Nursing (9)

•Pharmacy (72)

Target Audience

•Health Care Providers (79)

•Health Care Executives and Administrators (51)

•Non-Health Care Professionals (25)

•Patients (6)

Setting of Care

•Hospitals (34)

•Residential Facilities (1)

•Ambulatory Care (28)

•Outpatient Surgery (1)

1 - 20 of 83

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COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:725-728.

COMMENTARY

ISMP medication error report analysis.

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

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

It's All in the Syringe

Weingart SN. AHRQ WebM&M [serial online]. August 2006.

STUDY

Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.

Cousins DH, Sabatier B, Begue D, Schmitt C, Hoppe-Tichy T. Qual Saf Health Care. 2005;14:190-195.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:844-847.

PRESS RELEASE/ANNOUNCEMENT

Consumers Filling U.S. Prescriptions Abroad May Get the Wrong Active Ingredient Because of Confusing Drug Names.

FDA Public Health Advisory [US Food and Drug Administration Web site]. January 2006.

COMMENTARY

XL or Smaller?

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

STUDY

Potential medication dosing errors in outpatient pediatrics.

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

NEWSPAPER/MAGAZINE ARTICLE

Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.

ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.

COMMENTARY

Workaround Error

Pape T. AHRQ WebM&M [serial online]. Febuary 2006.

COMMENTARY

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

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

STUDY

Assessing and monitoring override medications in automated dispensing devices.

Kowiatek JG, Weber RJ, Skledar SJ, Frank S, DeVita M. Jt Comm J Qual Patient Saf. 2006;32:309-317.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:114-117.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:445-448.

PRESS RELEASE/ANNOUNCEMENT

Tamiflu (oseltamivir) for oral suspension: potential medication errors.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; September 25, 2009.

STUDY

Evaluating sample medications in primary care: a practice-based research network study.

Hansen LB, Saseen JJ, Westfall JM, et al. Jt Comm J Qual Patient Saf. 2006;32:688-692.

COMMENTARY

Caution, Interrupted.

Wears RL. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2007;42:790-792.

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