AHRQ Patient Safety Network

The Collection > Opiates/Narcotics

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Opiates/Narcotics

Origin/Sponsor

•Europe (3)

•North America (49)

Resource Types

•Audiovisual (1)

•Journal Article (39)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (7)

•Press Release/Announcement (7)

•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 (24)

•Legal and Policy Approaches (3)

•Error Reporting and Analysis (14)

•Communication Improvement (10)

•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 (46)

•Health Care Executives and Administrators (39)

•Non-Health Care Professionals (10)

•Patients (5)

Setting of Care

•Hospitals (37)

•Residential Facilities (2)

•Ambulatory Care (5)

1 - 20 of 56

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STUDY

An intervention to decrease narcotic-related adverse drug events in children's hospitals.

Sharek PJ, McClead RE Jr, Taketomo C, et al. Pediatrics. 2008;122:e861-e866.

NEWSPAPER/MAGAZINE ARTICLE

Proper positioning of pharmacy label on Hospira PCA vials will avoid interference with scanning.

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

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

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

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

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.

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

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

A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.

Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

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.

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.

NEWSPAPER/MAGAZINE ARTICLE

Beware of basal opioid infusions with PCA therapy.

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

PRESS RELEASE/ANNOUNCEMENT

Important information for the safe use of Tussionex Pennkinetic Extended-Release Suspension.

FDA Public Health Advisory [US Food and Drug Administration Web site]. March 11, 2008.

NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

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

COMMENTARY

Miscalculated Risk

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

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.

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