AHRQ Patient Safety Network

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Administration Errors

Origin/Sponsor

•Africa (1)

•Asia (11)

•Australia and New Zealand (13)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (229)

•Legislation/Regulation (2)

•Meeting/Conference (1)

•Newspaper/Magazine Article (28)

•Press Release/Announcement (8)

•Special or Theme Issue (3)

•Tools/Toolkit (4)

Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (107)

•Latent Errors (28)

•Near Miss (9)

Approach to Improving Safety

•Quality Improvement Strategies (73)

•Legal and Policy Approaches (15)

•Error Reporting and Analysis (77)

•Communication Improvement (31)

•Human Factors Engineering (74)

•Teamwork (2)

•Specialization of Care (12)

•Logistical Approaches (24)

•Culture of Safety (19)

•Technologic Approaches (84)

•Education and Training (60)

Clinical Areas

•Allied Health Services (1)

•Medicine (183)

•Nursing (94)

•Pharmacy (79)

Target Audience

•Health Care Providers (244)

•Health Care Executives and Administrators (238)

•Non-Health Care Professionals (78)

•Patients (14)

Setting of Care

•Hospitals (180)

•Psychiatric Facilities (4)

•Residential Facilities (11)

•Ambulatory Care (18)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 285

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STUDY

Potassium and phosphorus repletion in hospitalized patients: implications for clinical practice and the potential use of healthcare information technology to improve prescribing and patient safety.

Hemstreet BA, Stolpman N, Badesch DB, May SK, McCollum M. Curr Med Res Opin. 2006;22:2449-2455.

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

Adverse drug events caused by serious medication administration errors.

Kale A, Keohane CA, Maviglia S, Gandhi TK, Poon EG. BMJ Qual Saf. 2012;21:933-938.

STUDY

Frequency of pediatric medication administration errors and contributing factors.

Ozkan S, Kocaman G, Ozturk C, Seren S. J Nurs Care Qual. 2011:26;136-143.

STUDY

Medication errors in intravenous drug preparation and administration: a multicentre audit in the UK, Germany and France.

Cousins DH, Sabatier B, Begue D, Schmitt C, Hoppe-Tichy T. Qual Saf Health Care. 2005;14:190-195.

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

Errors in the administration of intravenous medication in Brazilian hospitals.

Anselmi ML, Peduzzi M, Dos Santos CB. J Clin Nurs. 2007;16:1839-1847.

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

It's All in the Syringe

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

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.

STUDY

Antiretroviral medication errors among hospitalized patients with HIV infection.

Rastegar DA, Knight AM, Monolakis JS. Clin Infect Dis. 2006;43:933-38.

STUDY

Learning mechanisms to limit medication administration errors.

Drach-Zahavy A, Pud D. J Adv Nurs. 2010;66:794-805.

STUDY

Drug administration errors and their determinants in pediatric in-patients.

Prot S, Fontan JE, Alberti C, et al. Int J Qual Health Care. 2005;17:381-389.

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.

REVIEW

Double checking the administration of medicines: what is the evidence? A systematic review.

Alsulami Z, Conroy S, Choonara I. Arch Dis Child. 2012;97:833-837.

COMMENTARY

Crossed Coverage

Kayser SR. AHRQ WebM&M [serial online]. February 2007.

STUDY

Medication administration errors by nurses: adherence to guidelines.

Kim J, Bates DW. J Clin Nurs. 2013;22:590-598.

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.

STUDY

Application of the IV Medication Harm Index to assess the nature of harm averted by "smart" infusion safety systems.

Williams CK, Maddox RR, Heape E, et al. J Patient Saf. 2006;2:132-139.

STUDY

An overview of intravenous-related medication administration errors as reported to MEDMARX^(R), a national medication error-reporting program.

Hicks RW, Becker SC. J Infus Nurs. 2006;29:20-27.

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