Skip Navigation
Patient Safety Primers icon
PATIENT SAFETY PRIMERS
Medication Errors
Narrow By
Safety Target
< All
Look-Alike, Sound-Alike Drugs
Skip Navigation Links.
Origin/Sponsor
Skip Navigation Links.
•Australia and New Zealand (2)
•Europe (4)
•North America (83)
Resource Types
Skip Navigation Links.
•Audiovisual (2)
•Award (1)
•Book/Report (3)
•Journal Article (54)
•Newspaper/Magazine Article (22)
•Press Release/Announcement (9)
•Special or Theme Issue (1)
•Tools/Toolkit (3)
•Web Resource (3)
Error Types
Skip Navigation Links.
•Epidemiology of Errors and Adverse Events (8)
•Active Errors (41)
•Latent Errors (14)
•Near Miss (2)
Approach to Improving Safety
Skip Navigation Links.
•Quality Improvement Strategies (31)
•Legal and Policy Approaches (10)
•Error Reporting and Analysis (26)
•Communication Improvement (26)
•Human Factors Engineering (31)
•Specialization of Care (3)
•Logistical Approaches (7)
•Culture of Safety (6)
•Technologic Approaches (29)
•Education and Training (19)
Clinical Areas
Skip Navigation Links.
•Medicine (41)
•Nursing (7)
•Pharmacy (60)
Target Audience
Skip Navigation Links.
•Health Care Providers (91)
•Health Care Executives and Administrators (54)
•Non-Health Care Professionals (12)
•Patients (15)
Setting of Care
Skip Navigation Links.
•Hospitals (35)
•Residential Facilities (2)
•Ambulatory Care (15)
•Outpatient Surgery (1)
1 - 20 of 98
FACT SHEET/FAQSclassic
ISMP's List of Confused Drug Names.
Institute for Safe Medication Practices. June 2011.
MULTI-USE WEBSITE
National Patient Safety Goals.
Oakbrook Terrace, IL: The Joint Commission; 2011.
STUDY
Implementing patient safety practices in small ambulatory care settings.
Schauberger CW, Larson P. Jt Comm J Qual Patient Saf. 2006;32:419-425.
MULTI-USE WEBSITE
Drug Error Finder.
United States Pharmacopeia.  
PRESS RELEASE/ANNOUNCEMENT
Kadcyla (ado-trastuzumab emtansine): drug safety communication—potential medication errors resulting from name confusion.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; May 6, 2013.
AUDIOVISUAL
NJ CVS mixed up cancer meds with kids' fluoride.  
Greenblatt M. ABC News. March 3, 2012.
COMMENTARY
Look-alike and sound-alike medicines: risks and 'solutions.'
Emmerton LM, Rizk MFS. Int J Clin Pharm. 2012;34:4-8.
NEWSPAPER/MAGAZINE ARTICLE
Durasal–Durezol mix-up illustrates how dangerous product problems persist long after recognition.
ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.
PRESS RELEASE/ANNOUNCEMENT
Medication errors resulting from confusion between risperidone (Risperdal) and ropinirole (Requip).
MedWatch Safety Alert, FDA Drug Safety Communication. Silver Spring, MD: US Food and Drug Administration; June 13, 2011.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355. 
NEWSPAPER/MAGAZINE ARTICLE
Look-alike, sound-alike drugs trigger dangers.
Aleccia J. MSNBC.com; May 28, 2010.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.
STUDY
Origins of and solutions for neonatal medication-dispensing errors.
Sauberan JB, Dean LM, Fiedelak J, Abraham JA. Am J Health Syst Pharm. 2010;67:49-57.
PRESS RELEASE/ANNOUNCEMENT
Maalox Total Relief and Maalox Liquid Products: Medication Use Errors.
MedWatch Safety Alert. Rockville, MD: US Food and Drug Administration; February 17, 2010.
STUDY
Listen carefully: the risk of error in spoken medication orders.
Lambert BL, Dickey LW, Fisher WM, et al. Soc Sci Med. 2010;70:1599-1608.
COMMENTARY
ISMP medication error report analysis.
Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.
NEWSPAPER/MAGAZINE ARTICLE
Medication mistakes that can kill.
Haiken M. Caring.com. August 17, 2009.
1 2 3 4 5Next >