AHRQ Patient Safety Network

The Collection > Opiates/Narcotics

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Opiates/Narcotics

Origin/Sponsor

•Europe (4)

•North America (52)

Resource Types

•Audiovisual (2)

•Journal Article (40)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (8)

•Press Release/Announcement (8)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (20)

•Active Errors (26)

•Latent Errors (6)

Approach to Improving Safety

•Quality Improvement Strategies (27)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (14)

•Communication Improvement (12)

•Human Factors Engineering (16)

•Teamwork (2)

•Specialization of Care (4)

•Logistical Approaches (2)

•Culture of Safety (2)

•Technologic Approaches (15)

•Education and Training (16)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (49)

•Health Care Executives and Administrators (40)

•Non-Health Care Professionals (10)

•Patients (7)

Setting of Care

•Hospitals (39)

•Residential Facilities (1)

•Ambulatory Care (6)

•Outpatient Surgery (1)

1 - 20 of 60

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STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Patterns in nursing home medication errors: disproportionality analysis as a novel method to identify quality improvement opportunities.

Hansen RA, Cornell PY, Ryan PB, Williams CE, Pierson S, Greene SB. Pharmacoepidemiol Drug Saf. 2010;19:1087-1094.

STUDY

Medical errors in orthopaedics. Results of an AAOS member survey.

Wong DA, Herndon JH, Canale ST, et al. J Bone Joint Surg Am. 2009;91:547-557.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

COMMENTARY

ISMP medication error report analysis.

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

STUDY

Assessing controlled substance prescribing errors in a pediatric teaching hospital: an analysis of the safety of analgesic prescription practice in the transition from the hospital to home.

Lee BH, Lehmann CU, Jackson EV, et al. J Pain. 2009;10:160-166.

STUDY

Risk of adverse drug events in neonates treated with opioids and the effect of a bar-code–assisted medication administration system.

Morriss FH, Jr, Abramowitz PW, Nelson SP, Milavetz G, Michael SL, Gordon SN. Am J Health Syst Pharm. 2011;68:57-62.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

STUDY

Quality improvement project to reduce perioperative opioid oversedation events in a paediatric hospital.

Vermaire D, Caruso MC, Lesko A, et al. BMJ Qual Saf. 2011;20:895-902.

COMMENTARY

Opioids, iatrogenic harm and disclosure of medical error.

Blinderman CD. J Pain Symptom Manage. 2010;39:309-313.

STUDY

Medication errors involving patient-controlled analgesia.

Hicks RW, Heath WM, Sikirica V, Nelson W, Schein JR. Jt Comm J Qual Patient Saf. 2008;34:734-742.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

STUDY

Personalised performance feedback reduces narcotic prescription errors in a NICU.

Sullivan KM, Suh S, Monk H, Chuo J. BMJ Qual Saf. 2013;22:256-262.

COMMENTARY

A serious threat to patient safety: the unintended misuse of FentaNYL patches.

Paparella SF. J Emerg Nurs. 2013;39:245-247.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

Medication errors involving patient-controlled analgesia.

Hicks RW, Sikirica V, Nelson W, Schein JR, Cousins DD. Am J Health Syst Pharm. 2008;65:429-440.

COMMENTARY

Miscalculated Risk

Strassels SA. AHRQ WebM&M [serial online]. August 2006.

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