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Medication Errors

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Look-Alike, Sound-Alike Drugs

Origin/Sponsor

•Australia and New Zealand (2)

•North America (82)

Resource Types

•Audiovisual (2)

•Book/Report (3)

•Journal Article (53)

•Newspaper/Magazine Article (22)

•Press Release/Announcement (9)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (41)

•Latent Errors (14)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (30)

•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

•Medicine (40)

•Pharmacy (59)

Target Audience

•Health Care Providers (90)

•Health Care Executives and Administrators (53)

•Non-Health Care Professionals (12)

•Patients (15)

Setting of Care

•Hospitals (35)

•Residential Facilities (2)

•Ambulatory Care (15)

•Outpatient Surgery (1)

1 - 20 of 97

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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.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:114-117.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:940-945.

AWARD RECIPIENT

Hospitals win safety award for simple changes.

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2005;40:556-557.

COMMENTARY

ISMP medication error report analysis.

Cohen M. Hosp Pharm. 2006;41:222-224.

COMMENTARY

Look-alike, sound-alike oncology medications.

Schulmeister L. Clin J Oncol Nurs. 2006;10:35-41.

COMMENTARY

Failure to Report

Spath PL. AHRQ WebM&M [serial online]. March 2007.

NEWSPAPER/MAGAZINE ARTICLE

Fatal drug mix-up exposes hospital flaws.

Davies T. Washington Post. September 22, 2006.

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

ISMP medication error report analysis.

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

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

Citrate Mix-Up

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

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2006;41:405-406.

MULTI-USE WEBSITE

National Patient Safety Goals.

Oakbrook Terrace, IL: The Joint Commission; 2011.

COMMENTARY

A Troubling Amine

Flynn EA. AHRQ WebM&M [serial online]. September 2006.

COMMENTARY

XL or Smaller?

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

FACT SHEET/FAQS

Medication safety issue brief. Look-alike, sound-alike drugs.

American Hospital Association, American Society of Health-System Pharmacists, Hospitals and Health Networks. Hosp Health Netw. October 2005;79(10):57-58.

STUDY

Implementing patient safety practices in small ambulatory care settings.

Schauberger CW, Larson P. Jt Comm J Qual Patient Saf. 2006;32:419-425.

NEWSPAPER/MAGAZINE ARTICLE

Clear liquids may place patients at risk.

PA-PSRS Patient Saf Advis. December 2005;2:29-31.

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