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 (1)

Resource Types

•Journal Article (44)

•Newspaper/Magazine Article (20)

•Press Release/Announcement (6)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (7)

•Active Errors (32)

•Latent Errors (9)

Approach to Improving Safety

•Quality Improvement Strategies (27)

•Legal and Policy Approaches (8)

•Error Reporting and Analysis (20)

•Communication Improvement (19)

•Human Factors Engineering (29)

•Specialization of Care (3)

•Logistical Approaches (5)

•Culture of Safety (4)

•Technologic Approaches (23)

•Education and Training (15)

Clinical Areas

•Medicine (30)

•Nursing (4)

•Pharmacy (51)

Target Audience

•Health Care Providers (75)

•Health Care Executives and Administrators (46)

•Non-Health Care Professionals (7)

•Patients (14)

Setting of Care

•Hospitals (27)

•Residential Facilities (2)

•Ambulatory Care (14)

•Outpatient Surgery (1)

1 - 20 of 81

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NEWSPAPER/MAGAZINE ARTICLE

Buying the wrong medicine overseas.

Chase M. Wall Street Journal. August 16, 2005:D1.

COMMENTARY

ISMP medication error report analysis.

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

NEWSPAPER/MAGAZINE ARTICLE

Look-alike, sound-alike drugs trigger dangers.

Aleccia J. MSNBC.com; May 28, 2010.

AUDIOVISUAL

NJ CVS mixed up cancer meds with kids' fluoride.

Greenblatt M. ABC News. March 3, 2012.

COMMENTARY

ISMP medication error report analysis.

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

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;44:18-21.

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

Sick and Pregnant

El-Ibiary S. AHRQ WebM&M [serial online]. November 2008.

NEWSPAPER/MAGAZINE ARTICLE

Tragic medication errors result in accidental abortions and premature birth—safety advocates say drug mistakes are still too frequent, despite advances.

Patel A. ABCnews.com. August 21, 2009.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2009;44:1062-1065.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:1148-1151.

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:618-621.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:12-13, 36.

AWARD RECIPIENT

Hospitals win safety award for simple changes.

Sipkoff M. Drug Topics (Health-System Edition). January 22, 2007.

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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:288-292.

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.

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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