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 (53)

•Newspaper/Magazine Article (19)

•Press Release/Announcement (8)

•Special or Theme Issue (1)

•Tools/Toolkit (3)

•Web Resource (3)

Error Types

•Epidemiology of Errors and Adverse Events (8)

•Active Errors (39)

•Latent Errors (14)

•Near Miss (2)

Approach to Improving Safety

•Quality Improvement Strategies (29)

•Legal and Policy Approaches (10)

•Error Reporting and Analysis (25)

•Communication Improvement (25)

•Human Factors Engineering (30)

•Specialization of Care (3)

•Logistical Approaches (6)

•Culture of Safety (6)

•Technologic Approaches (28)

•Education and Training (19)

Clinical Areas

•Medicine (40)

•Nursing (6)

•Pharmacy (56)

Target Audience

•Health Care Providers (86)

•Health Care Executives and Administrators (51)

•Non-Health Care Professionals (12)

•Patients (12)

Setting of Care

•Hospitals (33)

•Residential Facilities (2)

•Ambulatory Care (15)

•Outpatient Surgery (1)

1 - 20 of 93

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COMMENTARY

ISMP medication error report analysis.

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

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. 2010;45:282-287.

COMMENTARY

ISMP medication error report analysis.

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

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

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

ISMP medication error report analysis.

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

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

Keeping patients safe from iatrogenic methadone overdoses.

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

COMMENTARY

ISMP medication error report analysis.

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

COMMENTARY

2009 National Patient Safety Goals.

Saufl NM. J Perianesth Nurs. 2009;24:114-118.

COMMENTARY

Failure to Report

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

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 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

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

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

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

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