AHRQ Patient Safety Network

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Opiates/Narcotics

Origin/Sponsor

•Europe (4)

•North America (51)

Resource Types

•Audiovisual (1)

•Journal Article (41)

•Legislation/Regulation (1)

•Newspaper/Magazine Article (7)

•Press Release/Announcement (7)

•Web Resource (1)

Error Types

•Epidemiology of Errors and Adverse Events (21)

•Active Errors (25)

•Latent Errors (6)

Approach to Improving Safety

•Quality Improvement Strategies (25)

•Legal and Policy Approaches (4)

•Error Reporting and Analysis (14)

•Communication Improvement (11)

•Human Factors Engineering (15)

•Teamwork (2)

•Specialization of Care (4)

•Logistical Approaches (2)

•Culture of Safety (2)

•Technologic Approaches (13)

•Education and Training (15)

Clinical Areas

•Allied Health Services (1)

Target Audience

•Health Care Providers (47)

•Health Care Executives and Administrators (40)

•Non-Health Care Professionals (10)

•Patients (6)

Setting of Care

•Hospitals (38)

•Residential Facilities (2)

•Ambulatory Care (6)

•Outpatient Surgery (1)

1 - 20 of 58

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NEWSPAPER/MAGAZINE ARTICLE

Misprogramming PCA concentration leads to dosing errors.

ISMP Medication Safety Alert! Acute Care Edition. August 28, 2008;13:1-3.

COMMENTARY

ISMP medication error report analysis.

Smetzer JL, Cohen MR. Hosp Pharm. 2008;43;788-792.

STUDY

A case study on the safety impact of implementing smart patient-controlled analgesic pumps at a tertiary care academic medical center.

Tran M, Ciarkowski S, Wagner D, Stevenson JG. Jt Comm J Qual Patient Saf. 2012;38:112-119.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2008;43:696–698.

COMMENTARY

ISMP medication error report analysis.

Cohen MR. Hosp Pharm. 2009;44:654-657.

STUDY

Thomas AN, Panchagnula U. Anaesthesia. 2008;63:726-733.

STUDY

Identifying causes of adverse events detected by an automated trigger tool through in-depth analysis.

Muething SE, Conway PH, Kloppenborg E, et al. Qual Saf Health Care. 2010;19:435-439.

STUDY

Sustaining and spreading the reduction of adverse drug events in a multicenter collaborative.

Tham E, Calmes HM, Poppy A, et al. Pediatrics. 2011;128:e438-e445.

STUDY

Improvement in the detection of adverse drug events by the use of electronic health and prescription records: an evaluation of two trigger tools.

Nwulu U, Nirantharakumar K, Odesanya R, McDowell SE, Coleman JJ. Eur J Clin Pharmacol. 2013;69:255-259.

NEWSPAPER/MAGAZINE ARTICLE

Beware of basal opioid infusions with PCA therapy.

ISMP Medication Safety Alert! Acute Care Edition. March 12, 2009;14:1-3.

STUDY

The rate and costs attributable to intravenous patient-controlled analgesia errors.

Meissner B, Nelson W, Hicks R, Sikirica V, Gagne J, Schein J. Hosp Pharm. 2009;44:312–324.

STUDY

An intervention to decrease narcotic-related adverse drug events in children's hospitals.

Sharek PJ, McClead RE Jr, Taketomo C, et al. Pediatrics. 2008;122:e861-e866.

STUDY

Are opioid dependence and methadone maintenance treatment (MMT) documented in the medical record? A patient safety issue.

Walley AY, Farrar D, Cheng DM, Alford DP, Samet JH. J Gen Intern Med. 2009;24:1007-1011.

STUDY

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

Paul JE, Bertram B, Antoni K, et al. Anesthesiology. 2010;113:1427-1432.

COMMENTARY

Opioids, iatrogenic harm and disclosure of medical error.

Blinderman CD. J Pain Symptom Manage. 2010;39:309-313.

NEWSPAPER/MAGAZINE ARTICLE

Common cause analysis.

Clapper C, Crea K. Patient Saf Qual Healthc. May/June 2010;7:30-35.

STUDY

A prevalence study of errors in opioid prescribing in a large teaching hospital.

Davies ED, Schneider F, Childs S, et al. Int J Clin Pract. 2011;65:923-929.

PRESS RELEASE/ANNOUNCEMENT

Patient controlled analgesia by proxy.

The Joint Commission. Sentinel Event Alert. December 20, 2004;(33):1-2.

NEWSPAPER/MAGAZINE ARTICLE

Reducing patient harm from opiates.

ISMP Medication Safety Alert! Acute Care Edition. February 22, 2007;12:1-3.

COMMENTARY

Prevention of fatal opioid overdose.

Beletsky L, Rich JD, Walley AY. JAMA. 2012;308:1863-1864.

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