AHRQ Patient Safety Network

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Administration Errors

Origin/Sponsor

•Africa (1)

•Asia (12)

•Australia and New Zealand (15)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (264)

•Legislation/Regulation (4)

•Meeting/Conference (1)

•Newspaper/Magazine Article (43)

•Press Release/Announcement (11)

•Special or Theme Issue (5)

•Tools/Toolkit (4)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (130)

•Latent Errors (35)

•Near Miss (12)

Approach to Improving Safety

•Quality Improvement Strategies (88)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (89)

•Communication Improvement (38)

•Human Factors Engineering (93)

•Teamwork (4)

•Specialization of Care (16)

•Logistical Approaches (26)

•Culture of Safety (20)

•Technologic Approaches (99)

•Education and Training (69)

Clinical Areas

•Allied Health Services (1)

•Medicine (217)

•Nursing (101)

•Pharmacy (96)

Target Audience

•Health Care Providers (284)

•Health Care Executives and Administrators (275)

•Non-Health Care Professionals (102)

•Patients (24)

Setting of Care

•Hospitals (208)

•Psychiatric Facilities (4)

•Residential Facilities (13)

•Ambulatory Care (23)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 342

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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.

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

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

Nursing care quality and adverse events in US hospitals.

Lucero RJ, Lake ET, Aiken LH. J Clin Nurs. 2010;19:2185-2195.

NEWSPAPER/MAGAZINE ARTICLE

Guidelines for timely medication administration: response to the CMS "30-minute rule."

ISMP Medication Safety Alert! Acute Care Edition. January 13, 2011;16:1-4.

NEWSPAPER/MAGAZINE ARTICLE

Design for reliability: barcoded medication administration.

Hayden AC, Lanoue ET, Still CJ. Patient Saf Qual Healthc. July/August 2011;8:12-20.

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

Medication safety initiative in reducing medication errors.

Nguyen EE, Connolly PM, Wong V. J Nurs Care Qual. 2010;25:224-230.

STUDY

Improving patient safety using the sterile cockpit principle during medication administration: a collaborative, unit-based project.

Fore AM, Sculli GL, Albee D, Neily J. J Nurs Manag. 2013;21:106-111.

STUDY

Benefits of direct observation in medication administration to detect errors.

Diaz-Navarlaz T, Pronovost P, Beortegui E, Segui-Gomez M. J Patient Saf. 2007;3:200-207.

COMMENTARY

Implementing a safe and reliable process for medication administration.

Richardson B, Bromirski B, Hayden A. Clin Nurse Spec. 2012;26:169-176.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:730-733.

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.

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.

COMMENTARY

Crossed Coverage

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

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.

REVIEW

Medication administration technologies and patient safety: a mixed-method systematic review.

Wulff K, Cummings GG, Marck P, Yurtseven O. J Adv Nurs. 2011;67:2080-2095.

STUDY

Quantifying nursing workflow in medication administration.

Keohane CA, Bane AD, Featherstone E, et al. J Nurs Admin. 2008;38:19-26.

COMMENTARY

Effective strategies to increase reporting of medication errors in hospitals.

Force MV, Deering L, Hubbe J, et al. J Nurs Adm. 2006;36:34-41.

STUDY

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

Yamamoto L, Kanemori J. Am J Emerg Med. 2010;28:588-592.

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