Narrow Results Clear All
- Communication Improvement 3
- Culture of Safety 1
- Education and Training 5
- Error Reporting and Analysis 3
- Human Factors Engineering 2
- Legal and Policy Approaches
- Logistical Approaches 2
- Quality Improvement Strategies 1
- Specialization of Care 1
- Clinical Information Systems 3
- Diagnostic Errors 1
- Discontinuities, Gaps, and Hand-Off Problems 2
- Medication Safety 15
- Surgical Complications 1
Search results for "United States of America"
Journal Article > Commentary
Gale R. Health Aff (Millwood). 2018;37:1726-1729.
This commentary summarizes opportunities for community pharmacists to engage in efforts to monitor opioid prescribing, reduce hospital readmissions due to nonadherence, and provide counseling to enhance medication safety. The author explores how changes in policy and reimbursement can facilitate these patient safety roles for pharmacists in the ambulatory environment.
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.
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.
Journal Article > Study
Sharif I, Tse J. Pediatrics. 2010;125:960-965.
Misunderstanding prescription drug labels is a recognized source of errors in ambulatory care. Low health literacy places patients at higher risk, and language barriers may also contribute to preventable medication errors, as illustrated vividly in an AHRQ WebM&M commentary. A prior study found that translated drug labels are available in many pharmacies, but this study found that Spanish-language labels generated by commercial translation systems are disturbingly inaccurate. Half of the labels contained at least one error, and the authors document examples of incomplete or inaccurate translations that could lead to serious patient harm (for example, "once a day" mistranslated as "eleven times per day"). A prior study also found that Spanish-speaking patients may be at higher risk of experiencing errors while hospitalized.
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.
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.
Grant > Government Resource
AHRQ Risk-informed Intervention Development and Implementation of Safe Practices in Ambulatory Care.
Rockville, MD: Agency for Healthcare Research and Quality; October 2008.
This AHRQ grantee announcement lists 13 projects funded to demonstrate effective strategies in identifying and addressing risks and in improving processes in ambulatory care.
Journal Article > Commentary
Steinbrook R. N Engl J Med. 2008;359:115-117.
This perspective discusses the proliferation of electronic vs. paper-based prescriptions, as well as how this new technology can improve efficiency, decrease errors, and potentially reduce costs.
ISMP Medication Safety Alert! Acute Care Edition. February 28, 2008;13:1-2.
This article contextualizes a recent news series on medication errors in community pharmacies, identifies important causes of errors not described in the series, and offers a broader perspective on the factors involved in pharmacy 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.
Woodcliff Lake, NJ: Drug Topics; 2007.
This podcast features a panel discussion on prescription drug errors with pharmacy experts, including Michael Cohen.
Levy S. Drug Topics. July 9, 2007.
This article reports on ways in which chain pharmacies are improving the reliability of medication dispensing, such as better training for pharmacy employees and use of technology.
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.
Fargen J. Boston Herald. April 22, 2007.
This article reports on a decrease in consumer complaints following improvements made by community pharmacies in Massachusetts.
The Medication Errors Panel. Sacramento, CA: California State Senate; March 2007.
This report shares findings from an expert panel convened to study the causes of medication error in the outpatient setting and provide recommendations for reducing errors associated with prescription and over-the-counter medications.