AHRQ Patient Safety Network

The Collection > Medication Errors/Preventable Adverse Drug Events

PATIENT SAFETY PRIMERS
Medication Errors

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Medication Errors/Preventable Adverse Drug Events

•Ordering/Prescribing Errors (125)

•Transcription Errors (16)

•Dispensing Errors (29)

•Administration Errors (102)

•Monitoring Errors and Failures (6)

Origin/Sponsor

•Africa (2)

•Asia (18)

•Australia and New Zealand (26)

•Central and South America (2)

Resource Types

•Clinical Guideline (2)

•Journal Article (824)

•Legislation/Regulation (7)

•Meeting/Conference (1)

•Newsletter/Journal (1)

•Newspaper/Magazine Article (123)

•Press Release/Announcement (3)

•Special or Theme Issue (10)

•Tools/Toolkit (14)

•Web Resource (8)

•Grant (1)

Error Types

•Epidemiology of Errors and Adverse Events (507)

•Active Errors (236)

•Latent Errors (61)

•Near Miss (28)

Approach to Improving Safety

•Quality Improvement Strategies (218)

•Legal and Policy Approaches (56)

•Error Reporting and Analysis (318)

•Communication Improvement (237)

•Human Factors Engineering (144)

•Teamwork (21)

•Specialization of Care (94)

•Logistical Approaches (67)

•Culture of Safety (64)

•Technologic Approaches (353)

•Education and Training (137)

Clinical Areas

•Allied Health Services (2)

•Medicine (654)

•Nursing (122)

•Pharmacy (385)

Target Audience

•Health Care Providers (751)

•Health Care Executives and Administrators (739)

•Non-Health Care Professionals (311)

•Patients (61)

Setting of Care

•Hospitals (642)

•Psychiatric Facilities (4)

•Residential Facilities (36)

•Ambulatory Care (175)

•Outpatient Surgery (4)

•Patient Transport (9)

1 - 20 of 1033

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STUDY

Impact of a pharmacist-facilitated hospital discharge program: a quasi-experimental study.

Walker PC, Bernstein SJ, Tucker Jones JN, et al. Arch Intern Med. 2009;169:2003-2010.

STUDY

Impact of a pharmacist on medication reconciliation on patient admission to a Veterans Affairs Medical Center.

Strunk LB, Matson AW, Steinke D. Hosp Pharm. 2008;43:643-649.

STUDY

Medication details documented on hospital discharge: cross-sectional observational study of factors associated with medication non-reconciliation.

Grimes TC, Duggan CA, Delaney TP, et al. Br J Clin Pharmacol. 2011;71:449-457.

STUDY

Clinical and safety impact of an inpatient pharmacist-directed anticoagulation service.

Schillig J, Kaatz S, Hudson M, Krol GD, Szandzik EG, Kalus JS. J Hosp Med. 2011;6:322-328.

STUDY

Nurse–pharmacist collaboration on medication reconciliation prevents potential harm.

Feldman LS, Costa LL, Feroli ER Jr, et al. J Hosp Med. 2012;7:396-401.

STUDY

Medication reconciliation for reducing drug-discrepancy adverse events.

Boockvar KS, Carlson Lacorte H, Giambanco V, Fridman B, Siu A. Am J Geriatr Pharmacother. 2006;4:236-243.

STUDY

Results of the Medications At Transitions and Clinical Handoffs (MATCH) study: an analysis of medication reconciliation errors and risk factors at hospital admission.

Gleason KM, McDaniel MR, Feinglass J, et al. J Gen Intern Med. 2010;25:441-447.

STUDY

Assessment of adverse drug events among patients in a tertiary care medical center.

Johnston PE, France DJ, Byrne DW, et al. Am J Health Syst Pharm. 2006;63:2218-2227.

STUDY

Patient risk factors for medical injury: a case–control study.

Marbella AM, Laud PW, Brasel KJ, Layde PM. BMJ Qual Saf. 2011;20:187-193.

STUDY

Medication reconciliation accuracy and patient understanding of intended medication changes on hospital discharge.

Ziaeian B, Araujo KLB, Van Ness PH, Horwitz LI. J Gen Intern Med. 2012;27:1513-1520.

STUDY

Effect of an electronic medication reconciliation application and process redesign on potential adverse drug events: a cluster-randomized trial.

Schnipper JL, Hamann C, Ndumele CD, et al. Arch Intern Med. 2009;169:771-780.

NEWSPAPER/MAGAZINE ARTICLE

Survey results: community liaison programs to decrease hospital readmissions.

ISMP Medication Safey Alert! Acute Care Edition. March 7, 2013;18:1-3.

REVIEW

Hospital-based medication reconciliation practices: a systematic review.

Mueller SK, Sponsler KC, Kripalani S, Schnipper JL. Arch Intern Med. 2012;172:1057-1069.

NEWSPAPER/MAGAZINE ARTICLE

Following the patient journey to improve medicines management and reduce errors.

Crocker C. Nurs Times. 2009 Nov 24;105:12-15.

STUDY

Saving lives by studying deaths: using standardized mortality reviews to improve inpatient safety.

Lau H, Litman KC. Jt Comm J Qual Patient Saf. 2011;37:400-408.

STUDY

Potential risk of medication discrepancies and reconciliation errors at admission and discharge from an inpatient medical service.

Climente-Martí M, García-Mañón ER, Artero-Mora AA, Jiménez-Torres NV. Ann Pharmacother. 2010;44:1747-1754.

STUDY

The effect of medication reconciliation in elderly patients at hospital discharge.

Midlöv P, Bahrani L, Seyfali M, Höglund P, Rickhag E, Eriksson T. Int J Clin Pharm. 2012;34:113-119.

COMMENTARY

The role of housestaff in implementing medication reconciliation on admission at an academic medical center.

Evans AS, Lazar EJ, Tiase VL, et al. Am J Med Qual. 2011;26:39-42.

STUDY

Developing a programme for medication reconciliation at the time of admission into hospital.

Manzorro AG, Zoni AC, Rieiro CR, et al. Int J Clin Pharm. 2011;33:603-609.

STUDY

Effect of admission medication reconciliation on adverse drug events from admission medication changes.

Boockvar KS, Blum S, Kugler A, et al. Arch Intern Med. 2011;171:860-861.

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