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 (45)

•Newspaper/Magazine Article (12)

•Press Release/Announcement (7)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Web Resource (2)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (34)

•Latent Errors (13)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (24)

•Legal and Policy Approaches (7)

•Error Reporting and Analysis (21)

•Communication Improvement (19)

•Human Factors Engineering (24)

•Specialization of Care (3)

•Logistical Approaches (5)

•Culture of Safety (6)

•Technologic Approaches (24)

•Education and Training (15)

Clinical Areas

•Medicine (35)

•Nursing (6)

•Pharmacy (43)

Target Audience

•Health Care Providers (72)

•Health Care Executives and Administrators (49)

•Non-Health Care Professionals (10)

•Patients (9)

Setting of Care

•Hospitals (31)

•Residential Facilities (2)

•Ambulatory Care (9)

•Outpatient Surgery (1)

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COMMENTARY

The 2-Week Itch.

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

COMMENTARY

XL or Smaller?

Kozer E. AHRQ WebM&M [serial online]. June 2003.

COMMENTARY

Caution, Interrupted.

Wears RL. AHRQ WebM&M [serial online]. September 2004.

COMMENTARY

Misread Label.

Franklin BD. AHRQ WebM&M [serial online]. November 2003.

COMMENTARY

Discharge Fumbles.

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

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

COMMENTARY

The Wrong Shot: Error Disclosure.

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

NEWSPAPER/MAGAZINE ARTICLE

State: nurse error caused death.

Wahlberg D. Wisconsin State Journal. July 22, 2006:A1.

COMMENTARY

ISMP medication error report analysis.

Cohen MR, Smetzer JL. Hosp Pharm. 2010:45;352-355.

COMMENTARY

Citrate Mix-Up

Weber RJ. AHRQ WebM&M [serial online]. May 2006.

SPECIAL OR THEME ISSUE

Patient Safety Papers.

Baker GE, ed. Healthc Q. 2006;9:1-140.

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.

COMMENTARY

Look-alike and sound-alike medicines: risks and 'solutions.'

Emmerton LM, Rizk MFS. Int J Clin Pharm. 2012;34:4-8.

PRESS RELEASE/ANNOUNCEMENT

Risk of confusion between non-lipid and lipid formulations of injectable amphotericin.

Rapid Response Report 2. London, UK: National Patient Safety Agency; September 3, 2007.

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. 2009;44:937-938, 945.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2007;42:982-986.

COMMENTARY

Sick and Pregnant

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

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;41:405-406.

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