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 (39)

•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 (27)

•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 (13)

•Education and Training (16)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (48)

•Health Care Executives and Administrators (39)

•Non-Health Care Professionals (9)

•Patients (7)

Setting of Care

•Hospitals (38)

•Residential Facilities (2)

•Ambulatory Care (6)

•Outpatient Surgery (1)

1 - 20 of 59

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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

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

Greene SB, Williams CE, Pierson S, Hansen RA, Carey TS. Qual Saf Health Care. 2010;19:218-222.

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.

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

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.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

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

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

Drug dosing error with drops – severe clinical course of codeine intoxication in twins.

Hermanns-Clausen M, Weinmann W, Auwärter V, et al. Eur J Pediatr. 2009;168:819-824.

COMMENTARY

Opioids, iatrogenic harm and disclosure of medical error.

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

STUDY

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

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.

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.

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

COMMENTARY

ISMP medication error report analysis.

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

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.

MULTI-USE WEBSITE

Collaborating and Acting Responsibly to Ensure Safety (CARES) Alliance.

Covidien.

NEWSPAPER/MAGAZINE ARTICLE

Beware of basal opioid infusions with PCA therapy.

ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.

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