AHRQ Patient Safety Network

Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency.

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

This study categorized more than 12,000 medication-related incidents in an intensive care unit and found that the greatest number resulted during administration. Morphine was the most common medication involved.

PubMed citation

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Interpreting adverse drug reaction (ADR) reports as hospital patient safety incidents.

Davies EC, Green CF, Mottram DR, Pirmohamed M. Br J Clin Pharmacol. 2010;70:102-108.

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

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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.

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Resource Type

Study

Setting of Care

Intensive Care Units

Target Audience

Health Care Providers

Health Care Executives and Administrators

Clinical Area

Critical Care

General Internal Medicine

Hospital Medicine

Hospital Pharmacy

Safety Target

Ordering/Prescribing Errors

Administration Errors

Opiates/Narcotics

Error Types

Epidemiology of Errors and Adverse Events

Approach to Improving Safety

Error Reporting

Origin/Sponsor

United Kingdom