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- Perspectives on Safety 1
- Journal Article 1
- Audiovisual 2
- Legislation/Regulation 1
- Newspaper/Magazine Article 13
- Tools/Toolkit 1
- Web Resource 4
- Award 1
- Press Release/Announcement 1
- Communication Improvement 1
- Culture of Safety 1
- Education and Training 4
- Error Reporting and Analysis 5
- Human Factors Engineering 1
- Legal and Policy Approaches
- Logistical Approaches 1
- Quality Improvement Strategies 2
- Technologic Approaches 3
- Discontinuities, Gaps, and Hand-Off Problems 1
- Drug shortages 4
- Medical Complications 2
- Medication Errors/Preventable Adverse Drug Events 15
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Perspectives on Safety > Perspective
with commentary by Rosemary Gibson, MSc, The Patient's Role in Safety, March 2007
Patients have three roles in improving patient safety: helping to ensure their own safety, working with health care organizations to improve safety at the organization and unit level, and advocating as citizens for public reporting and accountability of hospital and health system performance. The following case illustrates how patients can help ensure their own safety.
Journal Article > Commentary
Levien TL. Hosp Pharm. 2006;41:697-709.
The author discusses the potential for medication errors with drugs using international brand names and provides tables of both identical and similar brand names that contain different active ingredients.
Award > Award Recipient
These annual awards recognize states and individual physicians for their use of e-prescribing technology.
Carter M. Seattle Times. March 9, 2007:A1.
This article investigates and reports on the prevalence of medical errors in a county jail system in Washington.
Fargen J. Boston Herald. April 22, 2007.
This article reports on a decrease in consumer complaints following improvements made by community pharmacies in Massachusetts.
Dworkin A. The Oregonian. June 20, 2007:A01.
This article reports on dispensing errors made by Oregon pharmacists and the fines imposed as penalty for those errors.
McCoy K, Brady E. USA Today. February 11, 2008:A1.
This series of investigative articles uncovers the factors involved in pharmacy errors, relates stories of patients harmed by such errors, and includes steps that consumers can take to minimize their risk.
Tools/Toolkit > Fact Sheet/FAQs
FDA Consumer Health Information. Rockville, MD: US Food and Drug Administration; February 20, 2009.
This fact sheet discusses the role of the Food and Drug Administration (FDA) in reducing medication errors and describes examples of such errors for consumers.
Parents sue over babies' heparin overdoses: infants were given too much heparin at Methodist Hospital.
Higgins W. Indianapolis Star. September 13, 2008;News section:A1
Families whose infants died from or were harmed by heparin overdoses are suing the drug manufacturer and the hospital.
Landro L. Wall Street Journal. January 21, 2009:B7.
This newspaper article reports on efforts to increase physicians' use of electronic prescribing and describes benefits such as error reduction and cost savings.
Young A. The Atlanta Journal-Constitution; September 20, 2009:B1.
This newspaper article reports on numerous prescription mistakes in retail pharmacies in Georgia and offers tips for consumers to help prevent errors with their medications.
Legislation/Regulation > Congressional Testimony
Testimony before the Committee on Health, Education, Labor, and Pensions, US Senate. US Government Accountability Office. GAO-12-315T (December 15, 2011) (testimony of Marcia Crosse, PhD).
LaGrone K. WPTV.com. April 30, 2012.
This news piece discusses pharmacy medication dispensing errors and describes how patients can help prevent them.
Vedder T. Problem Solvers. KOMO 4 News. October 1, 2010.
This news piece discusses medication errors that led to adverse events in a Seattle children's hospital.
Stein R. Washington Post. May 2, 2011:A10.
This newspaper article discusses the impact of drug shortages on patient safety.
Szabo L. USA Today. August 15, 2011.
This news article discusses how drug shortages affect patients, hospitals, and pharmacists, and explores reasons for the shortages.
Suares W. FOX 25 KOKH-TV. July 30, 2014.
This video news segment reports how incorrect medications can be dispensed from pharmacies, notes a lack of regulation mandating that pharmacy errors are reported, and offers tips for patients to reduce risks.
Koba M. Fortune. January 6, 2015.
FDA Safety Communication. Silver Spring, MD: US Food and Drug Administration; February 25, 2015.
The practice of using multi-dose insulin pens, meant for single patient use only, among multiple patients has been linked to health care–associated infections. This announcement outlines federal labeling requirements to raise awareness of the risks associated with this practice to prevent misuse of the devices.
Rau J. Washington Post. April 29, 2016.
Transitions in care between inpatient and outpatient settings are an increasing concern for patient safety. Reporting on a fatal medication error that was missed by a patient's pharmacist and home health nurses, this newspaper article discusses various risks associated with hospital-to-home transitions such as insufficient case management and communication.