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- Communication Improvement 1
- Culture of Safety 1
- Education and Training
- Human Factors Engineering 1
- Legal and Policy Approaches 1
- Quality Improvement Strategies 1
- Technologic Approaches 1
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 3
- Nonsurgical Procedural Complications 1
Search results for "Medication Safety"
Renal Physicians Association.
This Web site provides toolkits, educational modules, and an annotated bibliography to support quality improvement efforts for nephrology providers, and identifies best practice strategies for avoiding the Five Adverse Patient Safety Events in renal care.
Journal Article > Study
Tsai TT, Maddox TM, Roe MT, et al; National Cardiovascular Data Registry. JAMA. 2009;302:2458-2464.
Patients hospitalized for cardiac problems are vulnerable to experiencing medication errors, as they are commonly prescribed high-risk medications such as anticoagulants and antiplatelet agents. This analysis of more than 22,000 hemodialysis patients undergoing percutaneous coronary interventions (PCI) (for example, angioplasty) found that 22.3% were administered either enoxaparin or eptifibatide, medications that are contraindicated in dialysis patients due to excessive bleeding risk. This risk was borne out in the study, as patients who received the contraindicated medications did in fact have more major bleeding episodes. The high prevalence of serious medication errors in this study argues for education and use of forcing functions to prevent misuse of these medications.
Cases & Commentaries
- Web M&M
Eran Kozer, MD; June 2003
A boy given an overdose of nifedipine rather than its extended-release (XL) form suffers dangerous hypotension.