The PSNet Collection: All Content

The AHRQ PSNet Collection comprises an extensive selection of resources relevant to the patient safety community. These resources come in a variety of formats, including literature, research, tools, and Web sites. Resources are identified using the National Library of Medicine’s Medline database, various news and content aggregators, and the expertise of the AHRQ PSNet editorial and technical teams.

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Strategies to reduce patient harm from infusion-associated medication errors: a scoping review.

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Wolf ZR. J Infus Nurs. 2018;36:58-65.

Administration errors involving infusion medications can be harmful. This review highlights strategies to improve infusion safety such as standardization, use of smart pump systems, and cognitive aids. The author summarizes elements of infusion practices that create opportunities for error, including lack of staff knowledge and patient complexity.

Medication errors involving the intravenous administration route: characteristics of voluntarily reported medication errors.

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Wolf ZR. J Infus Nurs. 2016;39:235-48.

Errors in administration of intravenous medications have potential to cause severe patient harm. This study analyzed medication administration errors voluntarily reported to the Institute for Safe Medication Practices. The investigator found that the most frequent error was excessive dosing and most errors were multifactorial, consistent with prior studies.

Nursing student medication errors involving tubing and catheters: a descriptive study.

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Wolf ZR, Hicks RW, Altmiller G, et al. Nurse Educ Today. 2009;29.

This study describes characteristics associated with various tubing- and catheter-related errors, and advocates for educational opportunities to teach prevention strategies.

Characteristics of medication errors made by students during the administration phase: a descriptive study.

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Wolf ZR, Hicks RW, Serembus JF. J Prof Nurs. 2006;22:39-51.

The authors analyzed reports of drug administration errors by nursing students. They found that omission errors were most common and that student inexperience and distraction were contributing factors.

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