AHRQ Patient Safety Network

The Collection > Administration Errors

Narrow By

clear selections

Safety Target
< All

Administration Errors

Origin/Sponsor

•Africa (1)

•Asia (10)

•Australia and New Zealand (13)

•Central and South America (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (233)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newspaper/Magazine Article (42)

•Press Release/Announcement (8)

•Special or Theme Issue (3)

•Tools/Toolkit (4)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (87)

•Active Errors (114)

•Latent Errors (36)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (82)

•Legal and Policy Approaches (21)

•Error Reporting and Analysis (79)

•Communication Improvement (36)

•Human Factors Engineering (86)

•Teamwork (5)

•Specialization of Care (16)

•Logistical Approaches (24)

•Culture of Safety (20)

•Technologic Approaches (89)

•Education and Training (66)

Clinical Areas

•Allied Health Services (1)

•Medicine (192)

•Nursing (98)

•Pharmacy (90)

Target Audience

•Health Care Providers (263)

•Health Care Executives and Administrators (246)

•Non-Health Care Professionals (89)

•Patients (26)

Setting of Care

•Hospitals (188)

•Psychiatric Facilities (4)

•Residential Facilities (11)

•Ambulatory Care (18)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 309

Show ExcerptDon't Show Excerpt

dropdown

COMMENTARY

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

Syed S, Paul JE, Hueftlein M, Kampf M, McLean RF. Can J Anaesth. 2006;53:586-590.

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

NEWSPAPER/MAGAZINE ARTICLE

Clear liquids may place patients at risk.

PA-PSRS Patient Saf Advis. December 2005;2:29-31.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

Schulmeister L. Clin J Oncol Nurs. 2006;10:271-273.

NEWSPAPER/MAGAZINE ARTICLE

Promethazine conundrum: IV can hurt more than IM injection!

ISMP Medication Safety Alert! Acute Care Edition. November 2, 2006;11:1-3.

STUDY

Excess dosing of antiplatelet and antithrombin agents in the treatment of non–ST-segment elevation acute coronary syndromes.

Alexander KP, Chen AY, Roe MT, et al; CRUSADE Investigators. JAMA. 2005;294:3108-3116.

NEWSPAPER/MAGAZINE ARTICLE

Medication administration in anesthesia: time for a paradigm shift.

Stabile M, Webster CS, Merry AF. APSF Newsletter. Fall 2007;22:44-47.

PRESS RELEASE/ANNOUNCEMENT

Mix-up (wrong route of administration) of bladder irrigation with intravenous (IV) infusions.

VA National Center for Patient Safety. Washington, DC: VA Central Office; April 6, 2006. Patient Safety Alert AL06-012.

STUDY

Inadvertent administration of magnesium sulfate through the epidural catheter: report and analysis of a drug error.

Goodman EJ, Haas AJ, Kantor GS. Int J Obstet Anesth. 2006;15:63-67.

STUDY

Evaluation of a Web-based education program on reducing medication dosing error: a multicenter, randomized controlled trial.

Frush K, Hohenhaus S, Luo X, Gerardi M, Wiebe RA. Pediatr Emerg Care. 2006;22:62-70.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing vincristine administration errors.

The Joint Commission. Sentinel Event Alert. July 14, 2005;(34):1-3.

STUDY

Medication errors involving wrong administration technique.

Santell JP, Cousins DD. Jt Comm J Qual Patient Saf. 2005;31:528-532.

COMMENTARY

It's All in the Syringe

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

COMMENTARY

IV medication safety software implementation in a multihospital health system.

Cassano AT. Hosp Pharm. 2006;41:151-156.

STUDY

Use of failure mode and effects analysis in improving the safety of i.v. drug administration.

Adachi W, Lodolce AE. Am J Health Syst Pharm. 2005;62:917-920.

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.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

ISMP Medication Safety Alert! Acute Care Edition. August 14, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

Wahlberg D, Treleven E. Wisconsin State Journal. November 3, 2006:A1.

STUDY

Bar-code technology for medication administration: medication errors and nurse satisfaction.

Fowler SB, Sohler P, Zarillo DF. MedSurg Nursing. 2009;18:103-110.

COMMENTARY

ISMP medication error report analysis.

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

1 2 3 4 5 6 7 8 9 10 11 Next >