Narrow Results Clear All
- Communication Improvement 30
- Culture of Safety 4
- Education and Training 18
- Error Reporting and Analysis 21
- Human Factors Engineering 15
- Legal and Policy Approaches 14
- Logistical Approaches 8
- Quality Improvement Strategies 32
- Specialization of Care 4
- Teamwork 2
- Clinical Information Systems 12
- Device-related Complications 3
- Discontinuities, Gaps, and Hand-Off Problems 7
- Drug shortages 3
- Medical Complications 1
- Medication Errors/Preventable Adverse Drug Events 59
- Psychological and Social Complications 1
- Second victims 1
- Health Care Executives and Administrators 37
Health Care Providers
- Nurses 23
- Physicians 29
- Non-Health Care Professionals 17
- Patients 16
Search results for "Pharmacists"
- Newspaper/Magazine Article
Lefeber J. Patient Saf Qual Healthc. January/February 2014;11:26-28,30-31.
This article reveals the experience of a critical access hospital that used medication reconciliation to expand electronic health record adoption efforts. The author describes challenges hospital leaders faced and makes recommendations for organizations to consider when implementing a medication reconciliation program.
Edillo PN. Pharm Purch Prod. April 2011;8:26.
This article describes the impact of medication shortages on health systems and discusses how to manage them.
Beyzarov E. Drug Topics / Health-System Edition. September 18, 2006.
This article discusses the contamination and sterility issues inherent in the process of compounding drugs.
Sipkoff M. Drug Topics (Health-System Edition). August 21, 2006.
This article discusses a decimal error that resulted in a tenfold overdose of an analgesic and how this common drug administration error could easily be eliminated.
Ostrom CM. Seattle Times. June 22, 2006:B1.
This article reports on a Washington state law that prevents pharmacists from accepting prescriptions that are handwritten unless they are very clearly printed.
Dowhower Karpa K. Drug Topics [serial online]. April 17, 2006.
This article discusses the drawbacks and value of computerized drug-interaction alerts and how customizability could make drug-interaction software more useful.
Cassell DK. Drug Topics: Health-System Edition. March 20, 2006.
This article shares strategies to minimize insulin medication errors, including educating about dangerous abbreviations, developing strict formularies, and using independent double checks.
Young D. Am J Health Syst Pharm. 2005;62:2450-2451.
This news piece highlights a medication-use safety residency program at Johns Hopkins Hospital.
Wynn P. Drug Topics Supplements. August 8, 2005.
This article reports on problems with look-alike and sound-alike names for generic medications and describes how they contribute to medication mix-ups.
DukeMed News [serial online]. January 8, 2005.
Description of a successful model from Duke University (SD), where hospital pharmacists play an integral role in patient care. They provide counseling for patients, support for medical teams to ensure safe prescribing practices, and participation in daily patient rounds.
ISMP Medication Safety Alert! Acute Care Edition. October 19, 2017;22:1-3.
Blank C. Drug Topics. October 13, 2017.
ISMP Medication Safety Alert! Acute Care Edition. June 15, 2017;22:1-4.
Compounding pharmacies prepare medicines for patients that aren't available as commercial products. Reviewing a case involving a pediatric patient who died after receiving a compounded oral liquid suspension that contained the wrong medication, this newsletter article discusses weaknesses in compounding processes that contributed to the incident. Recommendations for pharmacies to reduce opportunities for error include independent double-checks and designated areas for compounding activities.
Straka M, Gaunt MJ, Grissinger M. PA-PSRS Patient Saf Advis. June 2017;14:55-63.
According to this analysis of more than 1000 reports of errors occurring in community pharmacies, more than half reached the patient. Common error types included wrong drug and wrong dose incidents. Counseling patients on their medications at the point of sale can improve the reliability of outpatient pharmacy practice.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2016;21:1-3.
Reporting the results of a survey on "as directed" instructions for medications and summarizing cases of misunderstandings resulting from the practice, this newsletter article recommends that physicians should provide explicit directions regarding medication administration steps to patients to ensure medications are used safely and pharmacists are able to provide appropriate patient counseling if required.
ISMP Medication Safety Alert! Acute Care Edition. June 16, 2016;21:1-6.
Neuromuscular blockers can result in serious harm if administered incorrectly. This newsletter article reports the types of errors associated with the use of these high-alert medications, such as look-alike and sound-alike problems that lead to the wrong drug being administered. Recommended strategies to reduce risks include use of standardized prescribing and smart pump technologies.
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.
ISMP Medication Safety Alert! Acute Care Edition. January 15, 2015;20:1-4.
ISMP Canada. SafeMedicationUse Newsletter. December 2, 2014;5:1-2.
This newsletter article describes an incident involving a patient who noticed that the tablets in her prescription refill had a different marking than usual, alerting her that she might have received an incorrect medication which was confirmed by the pharmacist. Tips for patients to avoid medication errors include being familiar with how their medicines look and checking prescriptions before leaving the pharmacy. Practitioners can help prevent these errors by counting and labeling prescriptions one at a time and performing patient consultations.
Wild D. Pharmacy Practice News. September 2014.
Highlighting how hospital compliance rates with Joint Commission medication–related standards have remained mostly unchanged from 2012 to 2013, this article provides information about the most problematic areas identified—medication storage, drug orders, pharmacist review, labeling, and medication reconciliation—along with ways to address them.