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- Communication Improvement 4
- Culture of Safety 1
- Education and Training 4
- Error Reporting and Analysis 4
- Human Factors Engineering 5
- Legal and Policy Approaches 8
- Logistical Approaches 3
- Quality Improvement Strategies 6
- Technologic Approaches 10
- Device-related Complications 1
Medication Errors/Preventable Adverse Drug Events
- Dispensing Errors
- Medication Errors/Preventable Adverse Drug Events
- Family Members and Caregivers 1
- Health Care Executives and Administrators 11
Health Care Providers
- Nurses 3
- Pharmacists 11
- Non-Health Care Professionals 6
- Patients 13
Search results for "Dispensing Errors"
- Newspaper/Magazine Article
- Dispensing Errors
Getting the wrong person's medicine at the pharmacy: easy steps consumers can take to help eliminate these errors.
ISMP Safe Medicine. July/August 2015;13:1-3.
Dispensing errors in the community setting are a frequent source of concern. This newsletter article describes how correctly completed medication orders can inadvertently be given to the wrong patient in the community pharmacy setting and reviews steps patients can take to avoid receiving the incorrect medication.
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.
ISMP Medication Safety Alert! Acute Care Edition. September 6, 2012;17:1-4.
This newsletter article discusses results from a survey of community pharmacists on how time guarantees affect their practice.
LaGrone K. WPTV.com. April 30, 2012.
This news piece discusses pharmacy medication dispensing errors and describes how patients can help prevent them.
ISMP Medication Safety Alert! Acute Care Edition. September 22, 2011;16:1-3.
This newsletter article reveals system failures that contribute to continued drug name confusion, even after authorities have been notified of the problem.
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.
ISMP Medication Safety Alert! Acute Care Edition. February 12, 2009;14:1-4.
This article shares insights and recommendations regarding using the ISMP guidelines for automated dispensing cabinets.
ISMP Medication Safety Alert! Acute Care Edition. September 11, 2008;13:1-3.
This article discusses a medication error associated with a new smart pump system and describes strategies to prevent errors when well-established processes are changed.
Vonfremd M, Ibanga I. ABC News.com. July 10, 2008.
Several infants in a neonatal unit at a Texas hospital received overdoses of heparin. Authorities are investigating whether the error contributed to the deaths of two infants.
ISMP Medication Safety Alert! Acute Care Edition. July 3, 2008;13:1-3.
This article reports on the potentially fatal error of administering epidural medications intravenously and provides guidelines to safeguard against such epidural–IV route mix-ups.
ISMP Medication Safety Alert! Acute Care Edition. January 17, 2008;13:1-2.
This article reports the results of a survey on use of automated dispensing cabinets (ADCs) in hospitals and offers recommendations for their safe use.
ISMP Medication Safety Alert! Acute Care Edition. May 18, 2006;11:1-2.
This alert presents the risks involved with tablet splitting and outlines several recommendations for providers to increase safety.
ISMP Medication Safety Alert! Acute Care Edition. August 25, 2005;10:1-3.
The Institute for Safe Medication Practices (ISMP) reports on a 2005 field test that indicates many pharmacy computer systems are unable to detect potential errors. The results show no improvement in such systems since the last field test in 1999.
ISMP Medication Safety Alert! Acute Care Edition. June 30, 2005;10.
This alert cautions against the use of automated medication-refill kiosks.
ISMP Medication Safety Alert! Acute Care Edition. September 7, 2017;22:1-4.
Workflow processes for compounded sterile preparation can affect patient safety. Discussing how pharmacies have increasingly implemented workflow management systems to automate compounded sterile solution processes, this newsletter article reviews challenges associated with these systems and recommends strategies to reduce risks.
Webb J. Drug Topics. March 10, 2015.
Pharmacies can serve as gatekeepers to ensure patients receive the correct medications. A 10-year study of claims data found that the majority of claims were related to wrong dose and wrong drug dispensing errors. This news article discusses injuries that resulted from the errors and provides recommendations to augment safety, including the design and use of order review and quality control systems to reduce the risk of human error in pharmacy services.
McKinnon C. WBZ-TV. February 13, 2015.
Tavernise S. New York Times. January 15, 2015.
This newspaper article discusses an investigation into how a saline solution that had been manufactured specifically for training purposes was inadvertently distributed and used for actual care and led to patient harm and death.
ISMP Medication Safety Alert! Acute Care Edition. July 17, 2014;19:1-4.
To illustrate hazards associated with dispensing more than one dose of certain medications, this newsletter article describes an incident involving an accidental overdose of self-administered oral chemotherapy which resulted in a patient's death. Recommendations to reduce the potential for errors include ensuring labels conform to FDA labeling practices, dispensing only single doses, and providing medication counseling and written instructions for patients.
Carson SL, Gaunt MJ. PA-PSRS Patient Saf Advis. 2012;9:82-88.
This article discusses data on loading dose errors and provides strategies to reduce risks of such adverse drug events.