Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety 2
- Education and Training 8
- Error Reporting and Analysis 8
- Human Factors Engineering 4
- Legal and Policy Approaches 2
- Quality Improvement Strategies 4
- Specialization of Care 1
- Technologic Approaches 6
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Identification Errors 1
- Medication Errors/Preventable Adverse Drug Events
- Overtreatment 1
- Psychological and Social Complications 2
- Second victims 1
- Transfusion Complications 1
Search results for "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.
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.
World Alliance for Patient Safety. Geneva, Switzerland: World Health Organization; 2008.
Through a discussion of a vincristine administration error, this booklet and video illustrate how system weaknesses can contribute to failure.
Woodcliff Lake, NJ: Drug Topics; 2007.
This podcast features a panel discussion on prescription drug errors with pharmacy experts, including Michael Cohen.
Food and Drug Administration (FDA) Patient Safety News. Show #61. March 2007.
This video story alerts providers to a possible problem with an asthma inhaler, which could indicate remaining doses incorrectly if the user forcefully twists the cap.
Colvin G. "The Colvin Interview." CNN. February 5, 2007.
This video segment features an interview with two McKesson executives about how health information technology can help prevent medication errors.
Food and Drug Administration (FDA) Patient Safety News. Show #59. January 2007.
This video segment warns about potential dosing errors for an epileptic seizure treatment due to equipment design and provides instructions to minimize user error.
Food and Drug Administration (FDA) Patient Safety News. Show #58. December 2006.
This video story reviews a high-profile medication error and suggests actions to prevent similar incidents from occurring.
BBC News. August 11, 2006.
This story reports findings from the UK Healthcare Commission's assessment of medication error in the National Health Service. The story is accompanied by an audiovisual news report.
Cohen B. "Morning Edition." National Public Radio. August 1, 2005.
This audio segment reports on a new prescription bottle that allows physicians and pharmacists to record verbal instructions, which patients can then retrieve by pushing a button on the bottle.
Audiovisual > Meeting/Conference Proceedings
2005 Annual Patient Safety and Health Information Technology Conference: Making the Health Care System Safer through Implementation and Innovation.
Agency for Healthcare Research and Quality. June 6-10, 2005.
The Agency for Healthcare Research and Quality (AHRQ) hosted the 2005 Annual Patient Safety and Health Information Technology Conference. Transcripts and slide presentations are available from the five-day event.