AHRQ Patient Safety Network

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Administration Errors

Origin/Sponsor

•Africa (1)

•Asia (10)

•Australia and New Zealand (9)

•Central and South America (4)

Resource Types

•Clinical Guideline (1)

•Journal Article (222)

•Legislation/Regulation (4)

•Newspaper/Magazine Article (34)

•Press Release/Announcement (12)

•Special or Theme Issue (2)

•Tools/Toolkit (3)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (107)

•Active Errors (124)

•Latent Errors (34)

•Near Miss (13)

Approach to Improving Safety

•Quality Improvement Strategies (70)

•Legal and Policy Approaches (19)

•Error Reporting and Analysis (81)

•Communication Improvement (36)

•Human Factors Engineering (79)

•Teamwork (5)

•Specialization of Care (14)

•Logistical Approaches (20)

•Culture of Safety (17)

•Technologic Approaches (81)

•Education and Training (60)

Clinical Areas

•Allied Health Services (1)

•Medicine (198)

•Nursing (66)

•Pharmacy (89)

Target Audience

•Health Care Providers (242)

•Health Care Executives and Administrators (224)

•Non-Health Care Professionals (90)

•Patients (20)

Setting of Care

•Hospitals (184)

•Psychiatric Facilities (3)

•Residential Facilities (11)

•Ambulatory Care (19)

•Outpatient Surgery (2)

•Patient Transport (3)

1 - 20 of 287

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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.

COMMENTARY

To Resuscitate or Not?

Wu AW, Pronovost PJ. AHRQ WebM&M [serial online]. January 2004.

STUDY

The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.

Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.

STUDY

Anticoagulation-associated adverse drug events.

Piazza G, Nguyen TN, Cios D, et al. Am J Med. 2011;124:1136-1142.

STUDY

Medication errors in an intensive care unit.

Bohomol E, Ramos LH, D'Innocenzo M. J Adv Nurs. 2009;65:1259-1267.

NEWSPAPER/MAGAZINE ARTICLE

Events associated with the prescribing, dispensing, and administering of medication loading doses.

Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.

STUDY

Medication administration quality and health information technology: a national study of US hospitals.

Appari A, Carian EK, Johnson ME, Anthony DL. J Am Med Inform Assoc. 2012;19:360-367.

STUDY

Using Lean to improve medication administration safety: in search of the "perfect dose."

Ching JM, Long C, Williams BL, Blackmore CC. Jt Comm J Qual Patient Saf. 2013;39:195-204.

STUDY

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

Ghaleb MA, Barber N, Franklin BD, Wong ICK. Arch Dis Child. 2010;95:113-118.

COMMENTARY

Check the Bags.

Caldwell M, Dracup KA. AHRQ WebM&M [serial online]. September 2003.

STUDY

Effect of bar-code technology on the safety of medication administration.

Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.

REVIEW

Prevalence and nature of medication administration errors in health care settings: a systematic review of direct observational evidence.

Keers RN, Williams SD, Cooke J, Ashcroft DM. Ann Pharmacother. 2013;47:237-256.

STUDY

Effect of bar-code–assisted medication administration on medication administration errors and accuracy in multiple patient care areas.

Helmons PJ, Wargel LN, Daniels CE. Am J Health Syst Pharm. 2009;66:1202-1210.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

NEWSPAPER/MAGAZINE ARTICLE

A clinical reminder about the safe use of insulin vials.

ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.

STUDY

Evaluation of inpatient admissions and potential antimicrobial and analgesic dosing errors in overweight children.

Miller JL, Johnson PN, Harrison DL, Hagemann TM. Ann Pharmacother. 2010;44:35-42.

STUDY

Medication safety initiative in reducing medication errors.

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

REVIEW

Bar code technology and medication administration error.

Young J, Slebodnik M, Sands L. J Patient Saf. 2010;6;115-120.

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.

REVIEW

Methodological variations and their effects on reported medication administration error rates.

McLeod MC, Barber N, Franklin BD. BMJ Qual Saf. 2013;22:278-289.

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