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.
This monthly selection of error reports includes examples of confusion regarding medication delivery instructions and sound-alike mistakes involving epinephrine and ephedrine.
This monthly selection of medication error reports describes a case of misidentifying home medications for a hospitalized patient, how character space limitations in medication administration records may cause medication errors, and fatal misuse of a fentanyl patch on a child.
This monthly selection of medication error reports addresses examples of unclear dose preparation instructions, potential insulin storage mix ups, and drug name confusion.
This monthly selection of medication error reports discusses product name confusion, an unsafe process for outdated drug replacement, and smart pump dose administration problems.
This monthly selection of medication error reports includes an error averted because the pharmacist checked the patient's prior prescription data and a dosing error due to consumer confusion about dose measurement.
This monthly report discussed medication reconciliation and community pharmacists, look-alike and sound-alike problems, and automated dispensing cabinet stocking errors.