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Medication Errors

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Counterfeit Medicines
Counterfeiting: An overview of problems and dangers of problems and dangers
Counteracting Counterfeiting: Strategies for Improving the Integrity of the Medicinal Marketplace in Tanzania
US FDA: Medication Errors
Preventing Medication Errors: Quality Chasm Series
ISMP Medication Error Report Analysis
Bar coding of drugs, biologicals and medical devices Health industry adoption of the bar code for improved patient safety, quality of care and clinical innovation
Errors Associated with Medications Removed from Automated Dispensing Machines Using Override Function
Health Literacy, Medication Errors, and Health Outcomes: Is There a Relationship?
Medication Errors Involving Geriatric Patients
A Modified Outpatient Prescription Form to Reduce Prescription Errors
Altering Meperidine Prescribing Patterns in a University Teaching Hospital
Remote Order Entry and Video Verification: Reducing After-Hours Medication Errors in a Rural Hospital
Discipline-Specific Role in Patient Safety- Nurses: Thirteen Practical Strategies for Preventing Medication Errors
Error Prone Abbreviation Tools from FDA and ISMP
Best Practice Recommendations to Reduce Medication Errors
US FDA: Startegies to Reduce Medication Errors
Case and Commentary: Medication Overdose
Personal Medication Records
Video: Think Twice, Save a Life: The Pharmacy's Role in Medication Safety

Wrong Drug

Goal ImageNational Patient Safety Goal 3D

Strategies to reduce Medication Errors
Medication Error Trends

Look Alike Sound Alike

Goal ImageNational Patient Safety Goal 3C (LASA drugs)

SOL_image Look-Alike, Sound-Alike Medication Names (PDF)

Sentinel Event Alert #19
Look-alike, Sound-alike Drugs Review: Include Look-alike Packaging as an Additional Safety Check
ISMP's List of Confused Drug Names
US FDA:Drug Name Confusion - Preventing Medication Errors

Wrong Route

Wrong route errors

Wrong Dose/Rate

Goal ImageNational Patient Safety Goal 3B (Stdize Conc.)

Goal ImageInternational Patient Safety Goal 3

Sentinel Event Alert #1
Tablet splitting: Do it only if you "half" to, and then do it safely

Specific High-Alert Drugs

Sentinel Event Alert #11
Concentrated electrolytes
SOL_image Control of Concentrated Electrolyte Solutions (PDF)

Sentinel Event Alert #1
Patient Safety Alert
Anticoagulant management
My Guide to Coumadin®/warfarin Therapy
Anticoagulation - Warfarin Clinical Pharmacy Practice Guideline Summary Card
Anticoagulation - Warfarin Clinical Pharmacy Practice Guideline
Reducing Risks for Patients Receiving Warfarin
Anticoagulation Solution Team
Medication Errors associated with Anticoagulent
Vincristine (intrathecal admin.)
U.K. National Guidance on the safe administration of intrathecal chemotherapy
Sentinel Event Alert #34
Medication Alert: Vincristine
Vincristine Safety Bulletin
Preventing Intrathecal Administration of Vincristine
Accidental Intrathecal Administration of IV Vincristine

Drug Interactions

Goal ImageNational Patient Safety Goal 8 (Med, Reconciliation)

Massachusetts Coalition
Massachusetts Coalition: Pharmacist Medication List 09.11.06
Massachusetts Coalition: Provider Medication List 09.07.06
Massachusetts Coalition: Easy Instructions for Patients - Know Your Medications for Better Health
Medication Station: Educate Your Patients About Safe Medication Use
Massachusetts Coalition: Ambulatory Medication Safety
Medication Reconciliation Tools

Personal Medication Records

Massachusetts Coalition: Easy Instructions for Patients - Know Your Medications for Better Health
Massachusetts Coalition: Patient MED LIST
The Med Form
Reducing Ambulatory Medication Errors: Patient Medication Form

Medication Errors in Pediatrics

Prevention of Medication Errors in the Pediatric Setting
Variables Associated With Medication Errors in Pediatric Emergency Medicine
Prioritizing Strategies for Preventing Medication Errors and Adverse Drug Events in Pediatric Inpatients

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