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Search results for "Medication Errors/Preventable Adverse Drug Events"
- Medication Errors/Preventable Adverse Drug Events
Audiovisual > Audiovisual Presentation
American Society of Health-System Pharmacists and Institute for Safe Medication Practices.
Meyer T. WKYC-TV. May 20, 2015.
Reporting on how production pressures in pharmacies contribute to prescription errors that lead to patient harm, this news video segment features insights from the father of a child who died following a medication error and the pharmacist who lost his license and served a prison sentence due to this incident.
Wu A, Critser G. Minnesota Public Radio; May 2, 2012.
Haythorn R. ABC News. February 7, 2011.
This video news segment reports on a pharmacy error involving similar patient names. A pregnant woman was mistakenly given a chemotherapy medication instead of an antibiotic.
Audiovisual > Image/Poster
Can teaching medical students to investigate medication errors change their attitudes towards patient safety?
Dudas RA, Bundy DG, Miller MR, Barone M. BMJ Qual Saf. 2011;20:319-325.
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.
Luby R. KETV. Omaha, NE. March 31, 2010.
This news piece focuses on a heparin overdose that resulted in the death of a toddler.
Fitzpatrick C. Consumer Updates. Silver Spring, MD: US Food and Drug Administration. September 29, 2009.
This video for consumers shares tips to avoid medication errors through improved communication, medication information review, and dosage measurement.
Fillo KT. Bureau of Health Care Safety and Quality, Department of Public Health. Boston, MA: Commonwealth of Massachusetts; July 2018.
This report compiles patient safety data documented by Massachusetts hospitals. The latest numbers represent a modest decrease in serious reportable events recorded in acute care hospitals, from 1012 the previous year to 922. This presentation also includes events from ambulatory surgery centers. Previous years reports are also available.
Bethesda, MD; Agency for Healthcare Research and Quality. February 25, 2009.
This interview introduces an AHRQ-funded PIPS toolkit to help small and rural hospitals implement medication safety initiatives.
Rusk K. Assignment 7. ABC7news.com. May 26, 2008.
In the context of statewide efforts to prevent medication errors, increase reporting, and share best practices, this news video addresses how hospitals are employing both low- and high-tech solutions to improve patient safety. The story also covers barcoding, the Five Rights, transparency, and efforts to get safety information into patients' hands.
Phend C. MedPage Today. November 26, 2007.
Within the context of a recent high-profile heparin error, this article reports on systems and protocols available to prevent medication errors. Interviews with three patient safety experts are available alongside the article via streaming audio.
MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; February 6, 2007.
This announcement alerts health care providers to the potential for life-threatening errors involving two heparin products and provides recommendations to minimize mistakes.
Food and Drug Administration (FDA) Patient Safety News. Show #60. February 2007.
This video segment shares recommendations for providers about safe prescribing of methadone for pain control, including heightened patient monitoring and encouraging patients to ask questions about how the drug will affect them.
Palca J. National Public Radio. July 28, 2006.
This segment features Donald Berwick, David Bates, and other experts discussing the Institute of Medicine (IOM) report Preventing Medication Errors and how problems highlighted in the report can be fixed.
Knox R. "All Things Considered." National Public Radio. July 20, 2006.
This story discusses findings from the 2006 Institute of Medicine report on medication errors and includes interviews with James Conway and Michael Cohen.
Dembosky A. All Things Considered and KQED. January 23, 2019.
Policy, practice, and communication strategies have been implemented in an effort to stem the opioid crisis and prescribing activities that contribute to misuse. This news article and accompanying webcast discuss an initiative in California that sends letters to prescribers whose patients have died due to opioid overdose. The piece outlines unintended consequences associated with the practice, including clinician reluctance to prescribe opioids for pain. An Annual Perspective discussed the patient safety aspects of the opioid epidemic.
Lantz F. WBUR. August 15, 2017.
Partnerships between physicians and patients can yield important outcomes that support safety improvements. This radio segment reports insights from both the patient and clinician involved in an adverse event and how this incident launched an organization that focuses on support for patients and clinicians that have been affected by medical errors.
Graham LR, Scudder L, Stokowski L. Medscape Multispecialty. October 22, 2015.
Errors in the prescribing process can lead to adverse drug events. This slide set provides information about common problems in prescribing such as selecting the wrong drug in a drop-down menu, formulation mix-ups, alert fatigue, poor quality of data in health information systems, and use of ambiguous abbreviations.
McKinnon C. WBZ-TV. February 13, 2015.