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

•Clinical Guideline (1)

•Journal Article (210)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (25)

•Press Release/Announcement (5)

•Special or Theme Issue (4)

•Tools/Toolkit (2)

Error Types

•Epidemiology of Errors and Adverse Events (90)

•Active Errors (102)

•Latent Errors (25)

•Near Miss (8)

Approach to Improving Safety

•Quality Improvement Strategies (67)

•Legal and Policy Approaches (13)

•Error Reporting and Analysis (65)

•Communication Improvement (27)

•Human Factors Engineering (83)

•Teamwork (3)

•Specialization of Care (8)

•Logistical Approaches (22)

•Culture of Safety (17)

•Technologic Approaches (72)

•Education and Training (54)

Clinical Areas

•Allied Health Services (1)

•Medicine (150)

•Nursing (91)

•Pharmacy (63)

Target Audience

•Health Care Providers (218)

•Health Care Executives and Administrators (225)

•Non-Health Care Professionals (79)

•Patients (10)

Setting of Care

•Hospitals (160)

•Psychiatric Facilities (3)

•Residential Facilities (7)

•Ambulatory Care (15)

•Patient Transport (2)

1 - 20 of 256

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STUDY

An observational study of medication administration errors in old-age psychiatric inpatients.

Haw C, Stubbs J, Dickens G. Int J Qual Health Care. 2007;19:210-216.

STUDY

Evaluation of contextual influences on the medication administration practice of paediatric nurses.

Davis L, Ware R, McCann D, Keogh S, Watson K. J Adv Nurs. 2009;65:1293-1299.

STUDY

The application of Aronson's taxonomy to medication errors in nursing.

Johnson M, Young H. J Nurs Care Qual. 2011;26:128-135.

STUDY

Association of interruptions with an increased risk and severity of medication administration errors.

Westbrook JI, Woods A, Rob MI, Dunsmuir WTM, Day RO. Arch Intern Med. 2010;170:683-690.

SPECIAL OR THEME ISSUE

CMS 30-minute rule for drug administration needs revision.

ISMP Medication Safety Alert! Acute Care Edition. September 9, 2010;15:1-6.

STUDY

Empowering frontline nurses: a structured intervention enables nurses to improve medication administration accuracy.

Kliger J, Blegen MA, Gootee D, O'Neil E. Jt Comm J Qual Patient Saf. 2009;35:604-612.

COMMENTARY

Time to get off this pig's back?: the human factors aspects of the mismatch between device and real-world knowledge in the health care environment.

Nunnally ME, Bitan Y. J Patient Saf. 2006;2:124-131.

STUDY

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

Westbrook JI, Rob MI, Woods A, Parry D. BMJ Qual Saf. 2011;20:1027-1034.

STUDY

Patient self-medication--a change in hospital practice.

Grantham G, McMillan V, Dunn SV, Gassner LA, Woodcock P. J Clin Nurs. 2006;15:962-970.

STUDY

The impact of type of manual medication cart filling method on the frequency of medication administration errors: a prospective before and after study.

Schimmel AM, Becker ML, van den Bout T, Taxis K, van den Bemt PM. Int J Nurs Stud. 2011;48:791-797.

STUDY

Bar code medication administration technology: characterization of high-alert medication triggers and clinician workarounds.

Miller DF, Fortier CR, Garrison KL. Ann Pharmacother. 2011;45:162-168.

STUDY

No interruptions please: impact of a no interruption zone on medication safety in intensive care units.

Anthony K, Wiencek C, Bauer C, Daly B, Anthony MK. Crit Care Nurse. 2010;30:21-29.

STUDY

A secondary care nursing perspective on medication administration safety.

McBride-Henry K, Foureur M. J Adv Nurs. 2007;60:58-66.

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.

COMMENTARY

Failure mode and effect analysis: a technique to prevent chemotherapy errors.

Sheridan-Leos N, Schulmeister L, Hartranft S. Clin J Oncol Nurs. 2006;10:393-398.

STUDY

Medication Administration Time Study (MATS): nursing staff performance of medication administration.

Elganzouri ES, Standish CA, Androwich I. J Nurs Adm. 2009;39:204-210.

STUDY

Nurses' satisfaction with medication administration point-of-care technology.

Hurley AC, Bane A, Fotakis S, et al. J Nurs Adm. 2007;37:343-349.

STUDY

Reducing interruptions to improve medication safety.

Freeman R, McKee S, Lee-Lehner B, Pesenecker J. J Nurs Care Qual. 2013;28:176-185.

STUDY

Nurses' behaviors and visual scanning patterns may reduce patient identification errors.

Marquard JL, Henneman PL, He Z, Jo J, Fisher DL, Henneman EA. J Exp Psychol Appl. 2011;17:247-256.

STUDY

Nurse interruptions pre- and post-implementation of a point-of-care medication administration system.

Stamp KD, Willis DG. J Nurs Care Qual. 2010;25:231-239.

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