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 (56)

•Legislation/Regulation (3)

•Newspaper/Magazine Article (12)

•Tools/Toolkit (1)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (21)

•Active Errors (23)

•Latent Errors (4)

•Near Miss (3)

Approach to Improving Safety

•Quality Improvement Strategies (21)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (30)

•Communication Improvement (15)

•Human Factors Engineering (13)

•Teamwork (2)

•Specialization of Care (6)

•Culture of Safety (4)

•Technologic Approaches (17)

•Education and Training (11)

Clinical Areas

•Medicine (67)

•Nursing (5)

•Pharmacy (22)

Target Audience

•Health Care Providers (66)

•Health Care Executives and Administrators (57)

•Non-Health Care Professionals (20)

•Patients (5)

Setting of Care

•Hospitals (34)

•Ambulatory Care (18)

1 - 20 of 77

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BOOK/REPORT

Fluorouracil Incident Root Cause Analysis Report.

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

BOOK/REPORT

Vincristine: Learning from Error Workshop.

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

COMMENTARY

Organizational Change in the Face of Highly Public Errors—I. The Dana-Farber Cancer Institute Experience

Conway JB, Weingart SN. AHRQ WebM&M [serial online]. May 2005.

COMMENTARY

A model of chemotherapy education for novice oncology nurses that supports a culture of safety.

Sheridan-Leos N. Clin J Oncol Nurs. 2007;11:545-551.

ORGANIZATIONAL POLICY/GUIDELINES

Vincristine (and other vinca alkaloids) should only be given intravenously via a minibag.

Information Exchange System Alert. Geneva, Switzerland: World Health Organization; July 18, 2007.

REVIEW

Medication errors in chemotherapy: incidence, types and involvement of patients in prevention. A review of the literature.

Schwappach DLB, Wernli M. Eur J Cancer Care (Engl). 2009;19:285-292.

MEASUREMENT TOOL/INDICATOR

2012 ISMP International Medication Safety Self Assessment for Oncology.

Institute for Safe Medication Practices and Institute for Safe Medication Practices Canada.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:844-847.

NEWSPAPER/MAGAZINE ARTICLE

IV vincristine survey shows safety improvements needed.

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

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.

COMMENTARY

Hospital Admission Due to High-Dose Methotrexate Drug Interaction

Siegel LC, Gandhi TK. AHRQ WebM&M [serial online]. January 2009.

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.

STUDY

Checking it twice: an evaluation of checklists for detecting medication errors at the bedside using a chemotherapy model.

White RE, Trbovich PL, Easty AC, Savage P, Trip K, Hyland S. Qual Saf Health Care. 2010;19:562-567.

COMMENTARY

Fatal consequences of a simple mistake: how can a patient be saved from inadvertent intrathecal vincristine?

Reddy GK, Brown B, Nanda A. Clin Neurol Neurosurg. 2011;113:68-71.

STUDY

Medication errors among adults and children with cancer in the outpatient setting.

Walsh KE, Dodd KS, Seetharaman K, et al. J Clin Oncol. 2009;27:891-896.

STUDY

Chemotherapy patients' perceptions of drug administration safety.

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

BOOK/REPORT

Never Events: Framework 2009/10.

National Patient Safety Agency. London, UK: National Reporting and Learning Service; 2009.

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

Preventing vincristine administration errors: does evidence support minibag infusions?

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

COMMENTARY

The quest to eliminate intrathecal vincristine errors: a 40-year journey.

Noble DJ, Donaldson LJ. Qual Saf Health Care. 2010;19:323-326.

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