AHRQ Patient Safety Network

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.

This study applied a novel analytic tool to identify rates and patterns of medication error reporting. For example, warfarin was disproportionately co-reported with communication errors just as oxycodone and morphine were with name confusion.

PubMed citation

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

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Medication errors during patient transitions into nursing homes: characteristics and association with patient harm.

Desai R, Williams CE, Greene SB, Pierson S, Hansen RA. Am J Geriatr Pharmacother. 2011;9:413-422.

COMMENTARY

Improving heparin safety: a multidisciplinary invited conference.

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Resource Type

Study

Setting of Care

Residential Facilities

Target Audience

Health Care Providers

Health Care Executives and Administrators

Clinical Area

Geriatrics

Safety Target

Medication Errors/Preventable Adverse Drug Events

Anticoagulants

Opiates/Narcotics

Error Types

Epidemiology of Errors and Adverse Events

Approach to Improving Safety

Benchmarking

Error Reporting

Communication between Providers

Origin/Sponsor

United States of America