AHRQ Patient Safety Network

The Collection > Administration Errors

Narrow By

clear selections

Safety Target
< All

Administration Errors

Origin/Sponsor

•Asia (1)

•Australia and New Zealand (3)

Resource Types

•Clinical Guideline (1)

•Journal Article (114)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (29)

•Press Release/Announcement (9)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (38)

•Active Errors (56)

•Latent Errors (17)

•Near Miss (7)

Approach to Improving Safety

•Quality Improvement Strategies (52)

•Legal and Policy Approaches (14)

•Error Reporting and Analysis (50)

•Communication Improvement (21)

•Human Factors Engineering (39)

•Teamwork (3)

•Specialization of Care (8)

•Logistical Approaches (9)

•Culture of Safety (11)

•Technologic Approaches (52)

•Education and Training (38)

Clinical Areas

•Allied Health Services (1)

•Medicine (115)

•Nursing (24)

•Pharmacy (53)

Target Audience

•Health Care Providers (140)

•Health Care Executives and Administrators (123)

•Non-Health Care Professionals (46)

•Patients (28)

Setting of Care

•Hospitals (88)

•Psychiatric Facilities (2)

•Residential Facilities (9)

•Ambulatory Care (10)

•Outpatient Surgery (1)

•Patient Transport (2)

1 - 20 of 167

Show ExcerptDon't Show Excerpt

dropdown

STUDY

A national survey of safe practice with epidural analgesia in obstetric units.

Jones R, Swales HA, Lyons GR. Anaesthesia. 2008;63:516-519.

NEWSPAPER/MAGAZINE ARTICLE

Nurse error spotlights drug's danger.

Greene L. St. Petersburg Times. June 15, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

State: nurse error caused death.

Wahlberg D. Wisconsin State Journal. July 22, 2006:A1.

NEWSPAPER/MAGAZINE ARTICLE

Clear liquids may place patients at risk.

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

NEWSPAPER/MAGAZINE ARTICLE

Doctor administered fatal dose of calcium to baby, inquest told.

Morris S. Guardian. February 13, 2007.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

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.

NEWSPAPER/MAGAZINE ARTICLE

IV potassium given epidurally: getting to the "route" of the problem.

ISMP Medication Safety Alert! Acute Care Edition. April 6, 2006;11:1-2.

GRANT RECIPIENT

Improving Patient Safety Through Simulation Research.

Rockville, MD: Agency for Healthcare Research and Quality; June 2008.

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

Normal neurologic and developmental outcome after an accidental intravenous infusion of expressed breast milk in a neonate.

Ryan CA, Mohammad I, Murphy B. Pediatrics. 2006;117:236-238.

STUDY

Oxytocin as a high-alert medication: implications for perinatal patient safety.

Simpson KR, Knox GE. MCN Am J Matern Child Nurs. 2009;34:8-15.

NEWSPAPER/MAGAZINE ARTICLE

Nurse is charged in death of patient.

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

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

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 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

Intralipid medication errors in the neonatal intensive care unit.

Chuo J, Lambert G, Hicks RW. Jt Comm J Qual Patient Saf. 2007;33:104-111.

BOOK/REPORT

Never Events: Framework 2009/10.

National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.

COMMENTARY

Unexplained Apnea under Anesthesia.

Barach P. AHRQ WebM&M [serial online]. February 2003.

COMMENTARY

Applying hierarchical task analysis to medication administration errors.

Lane R, Stanton NA, Harrison D. Appl Ergon. 2006;37:669-679.

1 2 3 4 5 6 7 8 9 Next >