How we cut drug errors.

Natasha Nicol; Leanne Huminski

Newspaper/Magazine Article

How we cut drug errors.

September 13, 2006

Nicol N, Huminski L. Modern healthcare. 2006;36(34):38.

View more articles from the same authors.

This article discusses technology-based tools and culture change strategies employed by one hospital to reduce medication errors.

PubMed citation

Related Resources From the Same Author(s)

Infection control hazards and near misses reported by nursing students.

January 5, 2011

The effect of medical emergency teams on patient outcome: a review of the literature.

January 5, 2011

Nurses discuss bedside handover and using written handover sheets.

February 13, 2013

Clinical cognition and biomedical informatics: issues of patient safety.

August 24, 2005

Taking a detour: positive and negative effects of supervisors' interruptions during admission case review discussions.

October 3, 2012

Literature review: do rapid response systems reduce the incidence of major adverse events in the deteriorating ward patient?

November 10, 2010

The causes of their death appear (unto our shame perpetual): why root cause analysis is not the best model for error investigation in mental health services.

May 6, 2015

Traditions of research into interruptions in healthcare: a conceptual review.

January 11, 2017

The impact of a nurse led rapid response system on adverse, major adverse events and activation of the medical emergency team.

March 4, 2015

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

Two sides to every story: the Dual Perspectives Method for examining interruptions in healthcare.

April 19, 2017

Improving patient safety culture in primary care: a systematic review.

September 7, 2016

Effects of patient safety culture interventions on incident reporting in general practice: a cluster randomised trial.

June 17, 2015

Patient safety culture: factors that influence clinician involvement in patient safety behaviours.

January 12, 2011

Journal reporting of medical errors: the wisdom of Solomon, the bravery of Achilles, and the foolishness of Pan.

March 28, 2007

The Irish National Adverse Event Study-2 (INAES-2): longitudinal trends in adverse event rates in the Irish healthcare system.

February 3, 2021

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

The economic burden of patient safety targets in acute care: a systematic review.

November 7, 2012

Decimal numbers and safe interpretation of clinical pathology results.

April 16, 2014

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.

February 15, 2012

Obstacles to research on the effects of interruptions in healthcare.

February 10, 2016

Impact of hospital-acquired conditions on financial liabilities for Medicare patients.

June 8, 2016

Interruptions in the wild: development of a sociotechnical systems model of interruptions in the emergency department through a systematic review.

October 28, 2015

Abdominal pain in the emergency department: missed diagnoses.

November 24, 2021

Development of a self-report instrument to measure patient safety attitudes, skills, and knowledge.

February 11, 2009

Clinical informatics team members' perspectives on health information technology safety after experiential learning and safety process development: qualitative descriptive study.

April 3, 2024

Acute care patients discuss the patient role in patient safety.

April 6, 2011

Tackling communication barriers between long-term care facility and emergency department transfers to improve medication safety in older adults.

September 2, 2015

Identifying potential medication discrepancies during medication reconciliation in the post-acute long-term care setting.

July 17, 2019

Simulation training in obstetrics.

October 11, 2017

Clinical alerts to decrease high-risk medication use in older adults.

August 2, 2017

Distractors in obstetric ultrasound: do sonographers have safety concerns?

October 9, 2019

A pediatric medical emergency team manages a complex child with hypoxia and a worried parent.

March 28, 2007

Reducing iatrogenic risks: ICU–acquired delirium and weakness—crossing the quality chasm.

November 24, 2010

Unfinished nursing care, missed care, and implicitly rationed care: state of the science review.

April 8, 2015

Factors that influence the expected length of operation: results of a prospective study.

January 4, 2012

Interruptions and miscommunications in surgery: an observational study.

May 16, 2012

The impact of hospital-acquired conditions on Medicare program payments.

November 26, 2014

Patient perception of fall risk and fall risk screening scores.

March 15, 2023

The role of human factors in neonatal patient safety

October 9, 2019

A systematic review of falls in hospital for patients with communication disability: highlighting an invisible population.

April 10, 2019

Videos of simulated after action reviews: a training resource to support social and inclusive learning from patient safety events.

September 6, 2023

Diagnostic reliability in teledermatology: a systematic review and a meta-analysis.

August 30, 2023

The Irish National Adverse Events Study (INAES): the frequency and nature of adverse events in Irish hospitals—a retrospective record review study.

February 8, 2017

An innovative collaborative model of care for undiagnosed complex medical conditions.

May 31, 2017

Impact of a pharmacist-administered deprescribing intervention on nursing home residents: a randomized controlled trial.

July 1, 2020

Surgical simulation: a systematic review.

March 8, 2006

Talking about falls: a qualitative exploration of spoken communication of patients' fall risks in hospitals and implications for multifactorial approaches to fall prevention.

November 29, 2023

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review.

June 1, 2016

A patient-initiated voluntary online survey of adverse medical events: the perspective of 696 injured patients and families.

July 1, 2015

Identifying, understanding and overcoming barriers to medication error reporting in hospitals: a focus group study.

April 11, 2012

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.

October 7, 2020

As college students return, a crisis in campus care awaits.

July 29, 2020

Understanding safer practices in health care: a prologue for the role of indicators.

April 3, 2005

Does applying technology throughout the medication use process improve patient safety with antineoplastics?

February 5, 2014

Supporting carers to improve patient safety and maintain their well-being in transitions from mental health hospitals to the community: a prioritisation nominal group technique.

August 16, 2023

Safety of clinical and non-clinical decision makers in telephone triage: a narrative review.

April 1, 2015

Implementation of an emergency department sign-out checklist improves transfer of information at shift change.

September 3, 2014

Types of diagnostic errors in neurological emergencies in the emergency department.

February 25, 2015

Emergency department monitor alarms rarely change clinical management: an observational study.

September 16, 2020

Hospital acquired infections in surgical patients: impact of COVID-19-related infection prevention measures.

April 20, 2022

Multifaceted intervention to improve patient safety incident reporting in intensive care units.

September 13, 2023

Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials.

October 30, 2019

Analysis of intervention employability in pharmacy-related medication safety reports at a tertiary medical center.

March 27, 2024

Human factors and ergonomics and quality improvement science: integrating approaches for safety in healthcare.

April 1, 2015

A medication-based trigger tool to identify adverse events in pediatric anesthesiology.

July 2, 2014

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

A scoping review of real-time automated clinical deterioration alerts and evidence of impacts on hospitalised patient outcomes.

August 3, 2022

Medication errors in overweight and obese pediatric patients: a systematic review.

February 9, 2022

Preventable medication harm across health care settings: a systematic review and meta-analysis.

February 17, 2021

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

March 21, 2018

Transferring aviation practices into clinical medicine for the promotion of high reliability.

July 26, 2017

The effect of a residential care pharmacist on medication administration practices in aged care: a controlled trial.

April 17, 2019

Association of current opioid use with serious adverse events among older adult survivors of breast cancer.

October 14, 2020

Systematic review of the impact of physician implicit racial bias on clinical decision making.

May 5, 2017

Causes of adverse events in home mechanical ventilation: a nursing perspective.

October 12, 2022

Patients' perceptions of importance for self-administered correct site surgery checklist: a multisite study.

June 8, 2022

Delayed or missed diagnosis of cervical spine injuries.

September 6, 2006

Retrospective review of emergency response activations during a 13-year period at a tertiary care children's hospital.

December 22, 2010

Student perceptions of clinical quality and safety.

November 9, 2016

Clinicians' perceptions of opioid error–contributing factors in inpatient palliative care services: a qualitative study.

May 22, 2019

Effect of using a safety checklist on patient complications after surgery: a systematic review and meta-analysis.

August 27, 2014

Association of intraoperative anaesthesia handovers with patient morbidity and mortality: a systematic review and meta-analysis.

November 4, 2020

Reliability and usability of a 7-minute chart review tool to identify pediatric prehospital adverse safety events.

August 1, 2018

Missed serious neurologic conditions in emergency department patients discharged with nonspecific diagnoses of headache or back pain.

October 30, 2019

Patient safety measures in burn care: do national reporting systems accurately reflect quality of burn care?

February 3, 2010

Educator toolkits on second victim syndrome, mindfulness and meditation, and positive psychology: the 2017 Resident Wellness Consensus Summit.

April 4, 2018

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Prevention of pediatric medication errors by hospital pharmacists and the potential benefit of computerized physician order entry.

January 17, 2007

Harm prevalence due to medication errors involving high-alert medications: a systematic review

May 20, 2020

Comparative economic analyses of patient safety improvement strategies in acute care: a systematic review.

May 9, 2012

Safety incident reports associated with blood transfusions.

July 17, 2019

Driven to distraction: a prospective controlled study of a simulated ward round experience to improve patient safety teaching for medical students.

December 10, 2014

Association of clinician diagnostic performance with machine learning–based decision support systems: a systematic review.

April 14, 2021

Effects of a brief team training program on surgical teams' nontechnical skills: an interrupted time-series study.

August 11, 2021

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

Beyond the surgical safety checklist: using intraoperative handoff to facilitate team situation awareness in the OR.

October 25, 2023

Computerised provider order entry and residency education in an academic medical centre.

August 1, 2012

Measuring the teamwork performance of teams in crisis situations: a systematic review of assessment tools and their measurement properties.

October 31, 2018

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Annual Perspective

Ensuring Patient and Workforce Safety Culture in Healthcare

March 27, 2024

Interview

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0

February 28, 2024

Perspective

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training

February 28, 2024

Interview

In Conversation with... Cheryl Jones about Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Addressing Workplace Violence and Creating a Safer Workplace

October 31, 2023

Perspectives on Safety

Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Perspectives on Safety

Interview

In Conversation with... Patricia McGaffigan about Beyond the Pandemic: Creating Total Systems Safety

August 30, 2023

Interview

In Conversation with... Kathleen Sanford and Sue Schuelke about Virtual Nursing

August 30, 2023

Perspectives on Safety

Virtual Nursing: Improving Patient Care and Meeting Workforce Challenges

August 30, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Interview

In Conversation with... Regina Hoffman about Building Capacity for Patient Safety

July 31, 2023

Perspectives on Safety

Building Capacity for Patient Safety

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Interview

In Conversation with... Susan McGrath, PhD and George Blike, MD about Surveillance Monitoring

April 26, 2023

Perspective

Surveillance Monitoring to Improve Patient Safety in Acute Hospital Care Units

April 26, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Perspectives on Safety

Annual Perspective

Impact of System Failures on Healthcare Workers

March 21, 2023

Home medical device safety tops ECRI'S list of healthcare technology.

February 15, 2023

Disrespectful behavior in healthcare: has it improved? Please take our survey!

October 21, 2021

Promoting psychosocial well-being of health care staff during crisis.

June 17, 2020

Zero harm in health care.

March 18, 2020

Usability testing of a mobile app to report medication errors anonymously: mixed-methods approach.

January 16, 2019

Medication errors involving overrides of healthcare technology.

January 20, 2016

Raising the index of suspicion: red flags that represent credible threats to patient safety.

August 8, 2012

MRI safety 10 years later.

December 7, 2011

Contributions from Ergonomics and Human Factors.

November 17, 2010

Safe Patients, Smart Hospitals: How One Doctor's Checklist Can Help Us Change Health Care from the Inside Out.

March 10, 2010

See More About The Topic

Hospitals

Health Care Providers

Health Care Executives and Administrators

Non-Health Care Professionals

Medication Errors/Preventable Adverse Drug Events

How we cut drug errors.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

How we cut drug errors.

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

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