U.S. Department of Health and Human Services
Agency for Healthcare Research and Quality: Advancing Excellence in Health Care
Sign up for a Free Account
Chicago, IL: American Society for Healthcare Risk Management; 2014.
These guides cover medication safety principles, common causes for errors, and strategies to manage risks, such as medication reconciliation, population-specific efforts, and technological interventions.
Why 'Universal Precautions' are needed for medication lists.
Shane R. BMJ Qual Saf. 2016;25:731-732.
Warning! Severe burns and permanent scarring after glacial acetic acid (≥99.5%) mistakenly applied topically.
National Alert Network for Serious Medication Errors. Bethesda, MD: American Society of Health-System Pharmacists and Institute for Safe Medication Practices; January 23, 2013.
Medication discrepancies in integrated electronic health records.
Linsky A, Simon SR. BMJ Qual Saf. 2013;22:103-109.
Office-based anesthesia: new frontiers, better outcomes, and emphasis on safety.
Desai MS. Curr Opin Anaesthesiol. 2008;21:699-703.
Fixing America's hospitals.
Newsweek. October 16, 2006:44-68, 72.
JCAHO tightens leash on medication reconciliation.
Perry LE. Drug Topics: Health-System Edition. March 20, 2006.
A qualitative analysis of outpatient medication use in community settings: observed safety vulnerabilities and recommendations for improved patient safety.
Lyson HC, Sharma AE, Cherian R, et al. J Patient Saf. 2019 Mar 13; [Epub ahead of print].
Reducing interdisciplinary communication failures through secure text messaging: a quality improvement project.
Hansen JE, Lazow M, Hagedorn PA. Pediatr Qual Saf. 2018;3:e053.
Improving Patient Care Through Safe Health IT.
Philadelphia, PA: Pew Charitable Trusts; December 2017.
Prescription Drug Monitoring Programs: Evidence-based Practices to Optimize Prescriber Use.
Philadelphia, PA: Pew Charitable Trusts and Institute for Behavioral Health, Heller School for Social Policy and Management at Brandeis University; 2016.
Indiana Patient Safety Center.
Indiana Hospital Association.
Access to prescription opioids—Primum Non Nocere: a teachable moment.
Tyler PD, Larochelle MR, Mafi JN. JAMA Inter Med. 2016;176:1251-1252.
At risk care plans: a way to reduce readmissions and adverse events.
Bahle J, Majercik C, Ludwick R, Bukosky H, Frase D. J Nurs Care Qual. 2015;30:200-204.
Predicting potential postdischarge adverse drug events and 30-day unplanned hospital readmissions from medication regimen complexity.
Schoonover H, Corbett CF, Weeks DL, Willson MN, Setter SM. J Patient Saf. 2014;10:186-191.
How patients can improve the accuracy of their medical records.
Dullabh P, Sondheimer N, Katsh E, Evans MA. eGEMs. 2014;2:10.
Physician: 'I almost killed a patient' because of an advance directive.
Betbeze P. HealthLeaders Media. May 2, 2014.
ACOG Committee Opinion #590: preparing for clinical emergencies in obstetrics and gynecology.
ACOG Committee on Patient Safety and Quality Improvement. Obstet Gynecol. 2014;123:722-725.
Standardization in patient safety: the WHO High 5s project.
Leotsakos A, Zheng H, Croteau R, et al. Int J Qual Health Care. 2014;26:109-116.
Communicating doses of pediatric liquid medicines to parents/caregivers: a comparison of written dosing directions on prescriptions with labels applied by dispensed pharmacy.
Shah R, Blustein L, Kuffner E, Davis L. J Pediatr. 2014;164:596-601.
ECRI announces top 10 healthcare technology hazards.
Clark C. HealthLeaders Media. November 5, 2013.
Medication regimen complexity and hospital readmission for an adverse drug event.
Willson MN, Greer CL, Weeks DL. Ann Pharmacother. 2014;48:26-32.
An initiative to improve the management of clinically significant test results in a large health care network.
Roy CL, Rothschild JM, Dighe AS, et al. Jt Comm J Qual Patient Saf. 2013;39:517-527.
Strategic Plan for Preventing and Mitigating Drug Shortages.
Silver Spring, MD: Food and Drug Administration; October 2013.
Miscount incidents: a novel approach to exploring risk factors for unintentionally retained surgical items.
Judson TJ, Howell MD, Guglielmi C, Canacari E, Sands K. Jt Comm J Qual Patient Saf. 2013;39:468-474.
Medication reconciliation: comparing a customized medication history form to a standard medication form in a specialty clinic (CAMPII 2).
Ryan GJ, Caudle J, Rhee MK, et al. J Patient Saf. 2013;9:160-168.
PSNET: Patient Safety Network
PSNet is produced for the Agency for Healthcare Research and Quality by a team of editors at the University of California, San Francisco with guidance from a prominent Technical Expert/Advisory Panel. The AHRQ PSNet site was designed and implemented by Silverchair.
Agency for Healthcare Research and Quality
5600 Fishers Lane
Rockville, MD 20857
Telephone: (301) 427-1364