Analgesic-related medication errors reported to US Poison Control Centers.

Madhulika Eluri; Henry A. Spiller; Marcel J. Casavant; Thitphalak Chounthirath; Kristen A. Conner; Gary A. Smith

Study

Analgesic-related medication errors reported to US Poison Control Centers.

February 14, 2018

Eluri M, Spiller HA, Casavant MJ, et al. Pain Med. 2018;19(12):2357-2370.

View more articles from the same authors.

This study from the National Poison Data System found analgesic-related adverse drug events increased significantly between 2002 and 2009 and has remained unchanged from 2009 to 2012. The authors highlight the reduction in acetaminophen-related errors among children age 5 and younger as an opportunity to replicate a successful safety strategy.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Antidepressant and antipsychotic medication errors reported to United States poison control centers.

November 28, 2018

Pediatric ADHD medication exposures reported to US poison control centers.

June 6, 2018

Non–health care facility medication errors resulting in serious medical outcomes.

July 26, 2017

Non–health care facility cardiovascular medication errors in the United States.

November 1, 2017

Prescription opioid exposures among children and adolescents in the United States: 2000–2015.

June 14, 2017

Out-of-hospital medication errors among young children in the United States, 2002–2012.

October 29, 2014

Pediatric ADHD medication errors reported to United States poison centers, 2000 to 2021.

September 27, 2023

Unintentional therapeutic errors involving insulin in the ambulatory setting reported to poison centers.

March 16, 2011

Effect of a rapid response system for patients in shock on time to treatment and mortality during 5 years.

November 7, 2007

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

August 31, 2011

Systematic review of safety checklists for use by medical care teams in acute hospital settings—limited evidence of effectiveness.

November 2, 2011

Patient safety from executive hospital management to wards: a qualitative study identifying factors influencing implementation.

August 5, 2020

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

July 1, 2009

Risk-adjusted survival for adults following in-hospital cardiac arrest by day of week and time of day: observational cohort study.

November 2, 2016

Identifying potential predictors of a safe attending physician workload: a survey of hospitalists.

October 30, 2013

The association between transfer of emergency department boarders to inpatient hallways and mortality: a 4-year experience.

May 6, 2009

Is there a role for patients and their relatives in escalating clinical deterioration in hospital? A systematic review.

December 7, 2016

Public reporting of patient safety metrics: ready or not?

December 17, 2014

Prescriber barriers and enablers to minimising potentially inappropriate medications in adults: a systematic review and thematic synthesis.

January 14, 2015

Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.

April 5, 2006

Non-dispensing pharmacists' actions and solutions of drug therapy problems among elderly polypharmacy patients in primary care.

November 6, 2019

Measurement as a performance driver: the case for a national measurement system to improve patient safety.

April 26, 2017

Inadequate health literacy among paid caregivers of seniors.

January 30, 2005

Perceived factors associated with sustained improvement following participation in a multicenter quality improvement collaborative.

June 29, 2016

Measuring safety of healthcare: an exercise in futility?

January 15, 2020

Content analysis of patient complaints.

October 29, 2008

Matt's story: learning from heartbreak.

May 9, 2018

Critical care transition programs and the risk of readmission or death after discharge from an ICU: a systematic review and meta-analysis.

September 25, 2013

Impact of introducing an electronic physiological surveillance system on hospital mortality.

October 15, 2014

Association between ophthalmologist age and unsolicited patient complaints.

January 10, 2018

Are more experienced clinicians better able to tolerate uncertainty and manage risks? A vignette study of doctors in three NHS emergency departments in England.

February 27, 2019

Safety of patients isolated for infection control.

March 27, 2005

The effect of staff nurses' shift length and fatigue on patient safety and nurses' health: from the National Association of Neonatal Nurses.

October 21, 2015

Nursing home safety: does financial performance matter?

May 18, 2011

Impact of attending physician workload on patient care: a survey of hospitalists.

February 6, 2013

Experience of wrong site surgery and surgical marking practices among clinicians in the UK.

November 15, 2006

Health-care professionals' views about safety in maternity services: a qualitative study.

February 11, 2009

Bridging the gap between hospital and primary care: the pharmacist home visit.

April 1, 2015

Patient–pharmacist communication during a post-discharge pharmacist home visit.

April 10, 2019

Disclosure of medical errors: ethical considerations for the development of a facility policy and organizational culture change.

May 11, 2005

Life after death: the aftermath of perioperative catastrophes.

August 6, 2008

People, systems and safety: resilience and excellence in healthcare practice.

April 17, 2019

Trainee autonomy and patient safety.

December 6, 2017

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

The Daily Goals Communication Sheet: a simple and novel tool for improved communication and care.

October 8, 2008

The Emergency Medical Services Safety Attitudes Questionnaire.

February 24, 2010

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

Internally-developed online adverse drug reaction and medication error reporting systems.

June 7, 2006

Adverse drug events in surgical patients: an observational multicentre study.

November 6, 2013

Association of a clinical knowledge support system with improved patient safety, reduced complications and shorter length of stay among Medicare beneficiaries in acute care hospitals in the United States.

July 16, 2008

Comparing the evolution of risk culture in radiation oncology, aviation, and nuclear power.

December 9, 2020

Paramedic intubation errors: isolated events or symptoms of larger problems?

March 15, 2006

Is technology the best medicine? Three practice theoretical perspectives on medication administration technologies in nursing.

June 15, 2016

Using patient safety morbidity and mortality conferences to promote transparency and a culture of safety.

January 13, 2010

The accuracy of trigger tools to detect preventable adverse events in primary care: a systematic review.

March 21, 2018

Team management training using crisis resource management results in perceived benefits by healthcare workers.

October 24, 2007

Post event debriefs: a commitment to learning how to better care for patients and staff.

January 13, 2016

Structural racism--a 60-year-old black woman with breast cancer.

April 10, 2019

Using performance improvement to enhance time-out compliance and prevent wrong-site surgery.

August 11, 2021

Prevalence and patterns of potentially avoidable hospitalizations in the US long-term care setting.

March 2, 2016

High reliability: truly achieving healthcare quality and safety.

April 24, 2013

The day Joy died.

November 8, 2006

The 80-hour duty week: rationale, early attitudes, and future questions.

September 20, 2006

10 derm mistakes you don't want to make.

April 9, 2008

Evidence review conducted for the Agency for Healthcare Research and Quality Safety Program for Improving Surgical Care and Recovery: focus on anesthesiology for colorectal surgery.

May 9, 2018

High-profile investigations into hospital safety problems in England did not prompt patients to switch providers.

March 21, 2012

Eight years of decreased methicillin-resistant Staphylococcus aureus health care–associated infections associated with a Veterans Affairs prevention initiative.

February 22, 2017

Concordance with urgent referral guidelines in patients presenting with any of six ‘alarm’ features of possible cancer: a retrospective cohort study using linked primary care records.

August 10, 2022

Distraction and interruption in anaesthetic practice.

January 23, 2013

Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.

November 25, 2020

My brother's keeper: must a physician disclose another's medical error and potential negligence?

January 2, 2008

Racial and ethnic bias in the diagnosis of alcohol use disorder in veterans.

July 19, 2023

Medication administration errors: understanding the issues.

April 26, 2006

A secondary care nursing perspective on medication administration safety.

September 26, 2007

Delays and errors in cardiopulmonary resuscitation and defibrillation by pediatric residents during simulated cardiopulmonary arrests.

October 14, 2009

Patient safety perceptions of primary care providers after implementation of an electronic medical record system.

September 12, 2012

Tort claims and adverse events in emergency medical services.

May 7, 2008

A paradigm shift to balance safety and quality in pediatric pain management.

March 6, 2013

Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.

March 6, 2005

Ranking hospitals on avoidable death rates derived from retrospective case record review: methodological observations and limitations.

September 2, 2015

An unsuspected MR projectile: a "wooden" chair with metal bracing.

May 3, 2006

Association between surgeon technical skills and patient outcomes.

September 9, 2020

Preventing overdiagnosis: how to stop harming the healthy.

June 27, 2012

Weight estimation for drug dose calculations in the prehospital setting - a systematic review.

September 6, 2023

Teaching but not learning: how medical residency programs handle errors.

October 25, 2006

Preventing catheter-associated bloodstream infections: a survey of policies for insertion and care of central venous catheters from hospitals in the Prevention Epicenter Program.

January 18, 2006

Pharmacist medication assessments in a surgical preadmission clinic.

June 13, 2007

Achieving the National Quality Forum's "Never Events": prevention of wrong site, wrong procedure, and wrong patient operations.

April 25, 2007

Radiology errors: are we learning from our mistakes?

October 7, 2009

The impact of perioperative catastrophes on anesthesiologists: results of a national survey.

March 29, 2012

Nursing home administrators' opinions of the resident safety culture in nursing homes.

February 7, 2007

Use of a safety climate questionnaire in UK health care: factor structure, reliability and usability.

November 22, 2006

Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.

August 14, 2013

A multicomponent fall prevention strategy reduces falls at an academic medical center.

September 6, 2017

Outcomes after out-of-hospital endotracheal intubation errors.

February 18, 2009

The epidemiology of malpractice claims in primary care: a systematic review.

July 31, 2013

The disruptive orthopaedic surgeon: implications for patient safety and malpractice liability.

November 23, 2011

In situ simulation: detection of safety threats and teamwork training in a high risk emergency department.

June 5, 2013

The association between nurse staffing and omissions in nursing care: a systematic review.

July 11, 2018

Physician knowledge, attitudes, and behavior related to reporting adverse drug events.

March 27, 2005

Related Resources

2024 National Impact Assessment of the Centers for Medicare & Medicaid Services (CMS) Quality Measures Report.

March 20, 2024

Family conferences to facilitate deprescribing in older outpatients with frailty and with polypharmacy: the COFRAIL cluster randomized trial.

May 10, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Preventable harm because of outpatient medication errors among children with leukemia and lymphoma: a multisite longitudinal assessment.

February 15, 2023

Self-reported gaps in care coordination and preventable adverse outcomes among older adults receiving home health care.

January 18, 2023

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

US emergency department visits for acute harms from over-the-counter cough and cold medications, 2017-2019.

December 15, 2021

A systematic review on pediatric medication errors by parents or caregivers at home.

August 11, 2021

Adverse drug event-related admissions to a pediatric emergency unit.

April 14, 2021

There's no place like home--integrating a pharmacist into the hospital-in-home model.

March 17, 2021

Patient safety. Factors for and perceived consequences of nursing errors by nursing staff in home care services.

March 3, 2021

What safety events are reported for ambulatory care? Analysis of incident reports from a patient safety organization.

October 21, 2020

Advancing Patient Safety: Reviews From the Agency for Healthcare Research and Quality's Making Healthcare Safer III Report.

September 2, 2020

Care Compare.

July 1, 2020

Zero harm in health care.

March 18, 2020

February 26, 2020

Implementation of a discharge education program to improve transitions of care for patients at high risk of medication errors.

February 19, 2020

Hospitalisation for medication misadventures among older adults with and without dementia: a 5-year retrospective study.

September 4, 2019

Intravenous infusion administration: a comparative study of practices and errors between the United States and England and their implications for patient safety.

July 10, 2019

Using a spare medication vial to store multiple medications: a potentially fatal in-home medication error.

March 6, 2019

Medicine Safety: Take Care.

February 27, 2019

Association of adverse effects of medical treatment with mortality in the United States: a secondary analysis of the Global Burden of Diseases, Injuries, and Risk Factors study.

January 30, 2019

Adverse drug events and medication problems in "Hospital at Home" patients.

October 10, 2018

Information management goals and process failures during home visits for middle-aged and older adults receiving skilled home healthcare services after hospital discharge: a multisite, qualitative study.

September 19, 2018

The scope of drug-related problems in the home care setting.

July 25, 2018

Safer healthcare at home: detecting, correcting and learning from incidents involving infusion devices.

April 18, 2018

Improving medication-related clinical decision support.

March 7, 2018

Adverse events in patients in home healthcare: a retrospective record review using trigger tool methodology.

February 21, 2018

Medication errors resulting in harm: using chargemaster data to determine association with cost of hospitalization and length of stay.

January 10, 2018

WebM&M Cases

Palliative Care: Comfort vs. Harm

November 1, 2017

See More About The Topic

Home Care

Health Care Providers

Medicine

Medication Safety

Medication Errors/Preventable Adverse Drug Events

Analgesic-related medication errors reported to US Poison Control Centers.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Analgesic-related medication errors reported to US Poison Control Centers.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site