AHRQ Patient Safety Network

The Collection > Administration Errors

Narrow By

clear selections

Safety Target
< All

Administration Errors

Origin/Sponsor

•Asia (8)

•Australia and New Zealand (10)

•Central and South America (2)

Resource Types

•Clinical Guideline (1)

•Journal Article (213)

•Legislation/Regulation (3)

•Meeting/Conference (1)

•Newspaper/Magazine Article (41)

•Press Release/Announcement (10)

•Special or Theme Issue (3)

•Tools/Toolkit (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (82)

•Active Errors (101)

•Latent Errors (25)

•Near Miss (11)

Approach to Improving Safety

•Quality Improvement Strategies (78)

•Legal and Policy Approaches (18)

•Error Reporting and Analysis (68)

•Communication Improvement (31)

•Human Factors Engineering (72)

•Teamwork (4)

•Specialization of Care (15)

•Logistical Approaches (19)

•Culture of Safety (16)

•Technologic Approaches (81)

•Education and Training (64)

Clinical Areas

•Allied Health Services (1)

•Medicine (177)

•Nursing (92)

•Pharmacy (89)

Target Audience

•Health Care Providers (249)

•Health Care Executives and Administrators (224)

•Non-Health Care Professionals (77)

•Patients (28)

Setting of Care

•Hospitals (165)

•Psychiatric Facilities (4)

•Residential Facilities (9)

•Ambulatory Care (20)

•Outpatient Surgery (2)

•Patient Transport (2)

1 - 20 of 285

Show ExcerptDon't Show Excerpt

dropdown

NEWSPAPER/MAGAZINE ARTICLE

Tablet splitting: Do it only if you "half" to, and then do it safely.

ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.

COMMENTARY

ISMP medication error report analysis.

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

FACT SHEET/FAQS

Oral Dosage Forms that Should Not Be Crushed.

Mitchell JF. Institute for Safe Medication Practices.

AUDIOVISUAL

Talking pill bottle aims to curb medical errors.

Cohen B. "Morning Edition." National Public Radio. August 1, 2005.

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.

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

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

STUDY

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

Oyen LJ, Nishimura RA, Ou NN, Armon JJ, Zhou M. Am Heart Hosp J. 2005;3:75-81.

COMMENTARY

Not again!

Berwick DM. BMJ. 2001;322:247-248.

STUDY

Fatality involving vinblastine overdose as a result of a complex medical error.

Klys M, Konopka T, Scislowski M, Kowalski P. Cancer Chemother Pharmacol. 2007;59:89-95.

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.

COMMENTARY

A Troubling Amine

Flynn EA. AHRQ WebM&M [serial online]. September 2006.

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.

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.

ORGANIZATIONAL POLICY/GUIDELINES

Preventing vincristine administration errors.

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

COMMENTARY

Lethal Cap.

Schillinger D. AHRQ WebM&M [serial online]. March 2004.

STUDY

Effects of technological interventions on the safety of a medication-use system.

Skibinski KA, White BA, Lin LI, Dong Y, Wu W. Am J Health Syst Pharm. 2007;64:90-96.

STUDY

Infant deaths associated with cough and cold medications—two states, 2005.

Centers for Disease Control and Prevention. MMWR Morb Mortal Wkly Rep. 2007;56:1-4.

PRESS RELEASE/ANNOUNCEMENT

McNeil Consumer & Specialty Pharmaceuticals announces nationwide recall of Children's Tylenol Meltaways - 80 Mg, Children's Tylenol Softchews - 80 Mg and Jr. Tylenol Meltaways - 160 Mg [press release].

Fort Washington, PA: McNeil Consumer & Specialty Pharmaceuticals; June 3, 2005.

STUDY

Medication prescribing errors involving the route of administration.

Lesar TS. Hosp Pharm. 2006;41:1053-1066.

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