AHRQ Patient Safety Network

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Administration Errors

Origin/Sponsor

•Africa (1)

•Asia (12)

•Australia and New Zealand (14)

•Central and South America (4)

Resource Types

•Journal Article (242)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (35)

•Press Release/Announcement (10)

•Special or Theme Issue (5)

•Tools/Toolkit (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (130)

•Latent Errors (36)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (73)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (87)

•Communication Improvement (40)

•Human Factors Engineering (90)

•Teamwork (5)

•Specialization of Care (13)

•Logistical Approaches (21)

•Culture of Safety (18)

•Technologic Approaches (92)

•Education and Training (61)

Clinical Areas

•Allied Health Services (1)

•Medicine (204)

•Nursing (87)

•Pharmacy (96)

Target Audience

•Health Care Providers (259)

•Health Care Executives and Administrators (250)

•Non-Health Care Professionals (102)

•Patients (22)

Setting of Care

•Hospitals (193)

•Psychiatric Facilities (3)

•Residential Facilities (11)

•Ambulatory Care (22)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 311

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STUDY

Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

Jayaram G, Doyle D, Steinwachs D, Samuels J. J Psychiatr Pract. 2011;17:81–88.

STUDY

Medication errors in paediatric outpatients.

Kaushal R, Goldmann DA, Keohane CA, et al. Qual Saf Health Care. 2010;19:e30.

STUDY

Multimodal system designed to reduce errors in recording and administration of drugs in anaesthesia: prospective randomised clinical evaluation.

Merry AF, Webster CS, Hannam J, et al. BMJ. 2011;343:d5543.

STUDY

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.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

STUDY

Computerized order entry with limited decision support to prevent prescription errors in a PICU.

Kadmon G, Bron-Harlev E, Nahum E, Schiller O, Haski G, Shonfeld T. Pediatrics. 2009;124:945-950.

STUDY

Computerized decision support for medication dosing in renal insufficiency: a randomized, controlled trial.

Terrell KM, Perkins AJ, Hui SL, Callahan CM, Dexter PR, Miller DK. Ann Emerg Med. 2010;56:623-629.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

STUDY

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. J Am Med Inform Assoc. 2012;19:72-78.

STUDY

A multidisciplinary approach to adverse drug events in pediatric trauma patients in an adult trauma center.

Kalina M, Tinkoff G, Gleason W, Veneri P, Fulda G. Pediatr Emerg Care. 2009;25:444-446.

STUDY

NICU medication errors: identifying a risk profile for medication errors in the neonatal intensive care unit.

Stavroudis TA, Shore AD, Morlock L, Hicks RW, Bundy D, Miller MR. J Perinatol. 2010;30:459-468.

STUDY

Impact of computerized orders for pediatric continuous drug infusions on detecting infusion pump programming errors: a simulated study.

Sowan AK, Gaffoor MI, Soeken K, Johantgen ME, Vaidya VU. J Pediatr Nurs. 2010;25:108-118.

COMMENTARY

Medication Overdose.

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

COMMENTARY

Double Dosing, by the Rules

Cohen H. AHRQ WebM&M [serial online]. February/March 2009.

STUDY

Medication prescribing errors in the prehospital setting and in the ED.

Lifshitz AE, Goldstein LH, Sharist M, et al. Am J Emerg Med. 2012;30:726-731.

STUDY

Automated drug dispensing system reduces medication errors in an intensive care setting.

Chapuis C, Roustit M, Bal G, et al. Crit Care Med. 2010;38:2275-2281.

COMMENTARY

Information technology-based approaches to reducing repeat drug exposure in patients with known drug allergies.

Cresswell KM, Sheikh A. J Allergy Clin Immunol. 2008;121:1112-1117.e7.

STUDY

Cranshaw J, Gupta KJ, Cook TM. Anaesthesia. 2009;64:1317-1323.

STUDY

Medication prescribing errors involving the route of administration.

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

REVIEW

Work interruptions and their contribution to medication administration errors: an evidence review.

Biron AD, Loiselle CG, Lavoie-Tremblay M. Worldviews Evid Based Nurs. 2009;6:70-86.

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