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Administration Errors

Origin/Sponsor

•Australia and New Zealand (6)

•Central and South America (4)

•North America (246)

Resource Types

•Audiovisual (4)

•Book/Report (5)

•Journal Article (243)

•Legislation/Regulation (5)

•Meeting/Conference (1)

•Newspaper/Magazine Article (45)

•Press Release/Announcement (11)

•Special or Theme Issue (2)

•Tools/Toolkit (4)

Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (134)

•Latent Errors (35)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (78)

•Legal and Policy Approaches (21)

•Error Reporting and Analysis (81)

•Communication Improvement (39)

•Human Factors Engineering (89)

•Teamwork (5)

•Specialization of Care (15)

•Logistical Approaches (24)

•Culture of Safety (16)

•Technologic Approaches (89)

•Education and Training (70)

Clinical Areas

•Allied Health Services (1)

•Medicine (213)

•Nursing (89)

•Pharmacy (98)

Target Audience

•Health Care Providers (272)

•Health Care Executives and Administrators (253)

•Non-Health Care Professionals (97)

•Patients (28)

Setting of Care

•Hospitals (201)

•Psychiatric Facilities (2)

•Residential Facilities (12)

•Ambulatory Care (20)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 322

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NEWSPAPER/MAGAZINE ARTICLE

Latest heparin fatality speaks loudly—what have you done to stop the bleeding?

ISMP Medication Safety Alert! April 8, 2010;15:1-3.

STUDY

Parents' medication administration errors: role of dosing instruments and health literacy.

Yin HS, Mendelsohn AL, Wolf MS, et al. Arch Pediatr Adolesc Med. 2010;164:181-186.

STUDY

The role of advice in medication administration errors in the pediatric ambulatory setting.

Lemer C, Bates DW, Yoon C, Keohane C, Fitzmaurice G, Kaushal R. J Patient Saf. 2009;5:168-175.

STUDY

Medication errors in paediatric outpatients.

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

STUDY

classic

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

Errors with concentrated epinephrine in otolaryngology.

Shah RK, Hoy E, Roberson DW, Nielsen D. Laryngoscope. 2008 Nov; 118: 1928-30.

STUDY

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Cardiovascular medication errors in children.

Alexander DC, Bundy DG, Shore AD, Morlock L, Hicks RW, Miller MR. Pediatrics. 2009;124:324-332.

COMMENTARY

Language Barrier

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

STUDY

Medication administration errors in assisted living: scope, characteristics, and the importance of staff training.

Zimmerman S, Love K, Sloane PD, Cohen LW, Reed D, Carder PC; Center for Excellence in Assisted Living-University of North Carolina Collaborative. J Am Geriatr Soc. 2011;59:1060-1068.

NEWSPAPER/MAGAZINE ARTICLE classic

classic

Please don't sleep through this wake-up call.

ISMP Medication Safety Alert! Acute Care Edition. May 2, 2001.

STUDY

Harmful medication errors involving unfractionated and low-molecular-weight heparin in three patient safety reporting programs.

Grissinger MC, Hicks RW, Keroack MA, Marella WM, Vaida A. Jt Comm J Qual Patient Saf. 2010;36:195-202.

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

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

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

Medication errors among adults and children with cancer in the outpatient setting.

Walsh KE, Dodd KS, Seetharaman K, et al. J Clin Oncol. 2009;27:891-896.

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.

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

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

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