AHRQ Patient Safety Network

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Chemotherapeutic Agents

Origin/Sponsor

•Africa (1)

•Asia (2)

•Australia and New Zealand (1)

•Central and South America (2)

Resource Types

•Journal Article (51)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (12)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (24)

•Latent Errors (4)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (21)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (26)

•Communication Improvement (15)

•Human Factors Engineering (13)

•Teamwork (2)

•Specialization of Care (6)

•Culture of Safety (4)

•Technologic Approaches (15)

•Education and Training (12)

Clinical Areas

•Medicine (65)

•Nursing (5)

•Pharmacy (22)

Target Audience

•Health Care Providers (64)

•Health Care Executives and Administrators (54)

•Non-Health Care Professionals (17)

•Patients (4)

Setting of Care

•Hospitals (31)

•Ambulatory Care (18)

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NEWSPAPER/MAGAZINE ARTICLE classic

Doctor’s orders killed cancer patient: Dana-Farber admits drug overdose caused death of Globe columnist, damage to second woman.

Knox RA. The Boston Globe. March 23, 1995; Metro/Region section: 1.

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.

STUDY

Medication errors involving oral chemotherapy.

Weingart SN, Toro J, Spencer J, et al. Cancer. 2010;116:2455-2464.

STUDY

Oncology nurses' perceptions about involving patients in the prevention of chemotherapy administration errors.

Schwappach DLB, Hochreutener MA, Wernli M. Oncol Nurs Forum. 2010;37:E84-E91.

NEWSPAPER/MAGAZINE ARTICLE

IV vincristine survey shows safety improvements needed.

ISMP Medication Safety Alert! Acute Care Edition. February 23, 2006;11:1-2.

NEWSPAPER/MAGAZINE ARTICLE

Eric Cropp weighs in on the error that sent him to prison.

ISMP Medication Safety Alert! Acute Care Edition. December 3, 2009;14:1-3.

BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

Toronto, ON, Canada: Institute for Safe Medication Practices Canada. May 8, 2007.

STUDY

The impact of drug shortages on children with cancer—the example of mechlorethamine.

Metzger ML, Billett A, Link MP. N Engl J Med. 2012;367:2461-2463.

STUDY

Chemotherapy medication errors in a pediatric cancer treatment center: prospective characterization of error types and frequency and development of a quality improvement initiative to lower the error rate.

Watts RG, Parsons K. Pediatr Blood Cancer. 2013 Mar 20; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Fluorouracil error ends tragically, but application of lessons learned will save lives.

ISMP Medication Safety Alert! Acute Care Edition. September 20, 2007;12:1-3.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:811, 815, 902.

COMMENTARY

Preventing vincristine administration errors: does evidence support minibag infusions?

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

BOOK/REPORT

Vincristine: Learning from Error Workshop.

World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.

COMMENTARY

Look-alike, sound-alike oncology medications.

Schulmeister L. Clin J Oncol Nurs. 2006;10:35-41.

STUDY

Medication errors in the home: a multisite study of children with cancer.

Walsh KE, Roblin DW, Weingart SN, et al. Pediatrics. 2013;131:e1405-e1414.

STUDY

Chemotherapy patients' perceptions of drug administration safety.

Schwappach DLB, Wernli M. J Clin Oncol. 2010;28:2896-2901.

NEWSPAPER/MAGAZINE ARTICLE

Scarcity sends the sick scrambling for medication.

Willams B. The Record. March 10, 2012.

COMMENTARY

Chemotherapy error: practical approaches to increasing patient safety.

Harris TJ, Northfelt DW. J Patient Safety. 2005;1:215-219.

STUDY

Chemotherapy safety and severe adverse events in cancer patients: strategies to efficiently avoid chemotherapy errors in in- and outpatient treatment.

Markert A, Thierry V, Kleber M, Behrens M, Engelhardt M. Int J Cancer. 2009;124:722-728.

STUDY

Chemotherapeutic errors in hospitalised cancer patients: attributable damage and extra costs.

Ranchon F, Salles G, Späth HM, et al. BMC Cancer. 2011;11:478.

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