AHRQ Patient Safety Network

The Collection > Look-Alike, Sound-Alike Drugs

PATIENT SAFETY PRIMERS
Medication Errors

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Look-Alike, Sound-Alike Drugs

Origin/Sponsor

•Australia and New Zealand (2)

Resource Types

•Journal Article (50)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (8)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (7)

•Active Errors (38)

•Latent Errors (13)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (28)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (25)

•Communication Improvement (24)

•Human Factors Engineering (30)

•Specialization of Care (3)

•Logistical Approaches (6)

•Culture of Safety (6)

•Technologic Approaches (26)

•Education and Training (18)

Clinical Areas

•Medicine (38)

•Nursing (6)

•Pharmacy (56)

Target Audience

•Health Care Providers (84)

•Health Care Executives and Administrators (49)

•Non-Health Care Professionals (12)

•Patients (12)

Setting of Care

•Hospitals (33)

•Residential Facilities (1)

•Ambulatory Care (14)

•Outpatient Surgery (1)

1 - 20 of 91

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COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:847-853.

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;44:1062-1065.

STUDY

An exploratory study measuring verbal order content and context.

Wakefield DS, Brokel J, Ward MM, Schwichtenberg T, Groath D, Kolb M, Davis JW, Crandall D. Qual Saf Health Care. 2009;18:169-173.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:18-21.

NEWSPAPER/MAGAZINE ARTICLE

Action needed to prevent dangerous heparin-insulin confusion.

ISMP Medication Safety Alert! Acute Care Edition. May 3, 2007;12:1-2.

COMMENTARY

The Wrong Shot: Error Disclosure.

Gallagher TH, Levinson W. AHRQ WebM&M [serial online]. June 2004.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010;45:282-287.

BOOK/REPORT

MEDMARX Data Report: A Report on the Relationship of Drug Names and Medication Errors in Response to the Institute of Medicine's Call to Action (2003-2006 Findings and Trends 2002-2006).

Rockville, MD: United States Pharmacopeia; 2008.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:937-938, 945.

COMMENTARY

The 2-Week Itch.

Cohen MR. AHRQ WebM&M [serial online]. April 2003.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:547-550, 554.

COMMENTARY

Discharge Fumbles.

Forster A. AHRQ WebM&M [serial online]. December 2004.

COMMENTARY

ISMP medication error report analysis.

Cohen MC. Hosp Pharm. 2009;44:374-378.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:643-648.

NEWSPAPER/MAGAZINE ARTICLE

Keeping patients safe from iatrogenic methadone overdoses.

ISMP Medication Safety Alert! Acute Care Edition. February 14, 2008;13:1-3.

NEWSPAPER/MAGAZINE ARTICLE

USP initiatives for the safe use of medical gases.

Zaidi K, Curry PD Jr, Becker SC. Pharmaceutical Technology. November 2, 2005;29:102-103.

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