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Administration Errors

Origin/Sponsor

•Australia and New Zealand (11)

•Central and South America (3)

•North America (193)

Resource Types

•Audiovisual (4)

•Book/Report (5)

•Journal Article (203)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (33)

•Press Release/Announcement (11)

•Special or Theme Issue (3)

•Tools/Toolkit (3)

Error Types

•Epidemiology of Errors and Adverse Events (78)

•Active Errors (129)

•Latent Errors (36)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (65)

•Legal and Policy Approaches (20)

•Error Reporting and Analysis (64)

•Communication Improvement (35)

•Human Factors Engineering (80)

•Teamwork (4)

•Specialization of Care (12)

•Logistical Approaches (21)

•Culture of Safety (19)

•Technologic Approaches (81)

•Education and Training (60)

Clinical Areas

•Allied Health Services (1)

•Medicine (178)

•Nursing (72)

•Pharmacy (77)

Target Audience

•Health Care Providers (231)

•Health Care Executives and Administrators (218)

•Non-Health Care Professionals (93)

•Patients (21)

Setting of Care

•Hospitals (171)

•Psychiatric Facilities (1)

•Residential Facilities (9)

•Ambulatory Care (20)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 267

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BOOK/REPORT

External Inquiry into the adverse incident that occurred at Queen's Medical Centre, Nottingham, 4th January 2001.

Toft B. London, England: Department of Health; 2001.

COMMENTARY

Wrong Route for Nutrients

Scott-Cawiezell JR, AHRQ WebM&M [serial online]. July 2008.

STUDY

Time-dependent drug–drug interaction alerts in care provider order entry: software may inhibit medication error reductions.

van der Sijs H, Lammers L, van den Tweel A, et al. J Am Med Inform Assoc. 2009;16:864-868.

STUDY

Competence and certification of registered nurses and safety of patients in intensive care units.

Kendall-Gallagher D, Blegen MA. Am J Crit Care. 2009;18:106-113.

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.

PRESS RELEASE/ANNOUNCEMENT

Serious medication errors from intravenous administration of nimodipine oral capsules.

MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; August 2, 2010.

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.

COMMENTARY classic

classic

Shaping systems for better behavioral choices: lessons learned from a fatal medication error.

Smetzer J, Baker C, Byrne FD, Cohen MR. Jt Comm J Qual Patient Saf. 2010;36:152-163, 1AP-2AP.

BOOK/REPORT

Vincristine: Learning from Error Workshop.

World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

STUDY

Errors in administration of parenteral drugs in intensive care units: multinational prospective study.

Valentin A, Capuzzo M, Guidet B, et al; Research Group on Quality Improvement of the European Society of Intensive Care Medicine (ESICM); Sentinel Events Evaluation (SEE) Study Investigators. BMJ. 2009;338:b814.

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.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

NEWSPAPER/MAGAZINE ARTICLE

Dennis Quaid's Quest.

Grant M. AARP The Magazine. September/October 2010;53:48-51,90-91.

STUDY

Medication administration errors in nursing homes using an automated medication dispensing system.

van den Bemt PM, Idzinga JC, Robertz H, Kormelink DG, Pels N. J Am Med Inform Assoc. 2009;16:486-492.

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 classic

classic

Computerization can create safety hazards: a bar-coding near miss.

McDonald CJ. Ann Intern Med. 2006;144:510-516.

COMMENTARY

Language Barrier

Flores G. AHRQ WebM&M [serial online]. April 2006.

STUDY

Selected medical errors in the intensive care unit: results of the IATROREF study: parts I and II.

Garrouste-Orgeas M, Timsit JF, Vesin A, et al; OUTCOMEREA Study Group. Am J Respir Crit Care Med. 2010:181:134-142.

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