OBJECTIVE: To systematically review empirical evidence on the prevalence and nature of
medication administration errors (MAEs) in health care settings. DATA SOURCES: Ten …

FMEA is a systematic method of identifying and preventing system, product and process
problems before they occur. It is focused on preventing problems, enhancing safety, and …

Tutorial-at-a-Glance Background Most patient safety reporting systems concentrate on
analyzing adverse events; injury has already occurred before any learning takes place …

Purpose. To review information about adverse drug events (ADEs) and medication errors in
Australia. Data sources. Systematic literature reviews and reports from data collections of the …

Background The necessity for quality and safety improvement initiatives permeates health
care. 1, 2 Quality health care is defined as “the degree to which health services for …

Abstract Failure Mode and Effect Analysis (FMEA) is an effective risk analysis and failure
avoidance approach in the design, process, services, and system. With all its benefits, FMEA …

Incident reporting lies at the heart of many initiatives to improve patient safety. The UK
National Patient Safety Agency (NPSA) 1 has recently launched a national reporting and …

Background: This paper presents Part 1 of a two-part literature review examining medication
safety in the Australian acute care setting. This review was undertaken for the Australian …

The validity and reliability of observational methods for studying medication administration
errors (MAEs) were studied. Between January and June 1998, two pharmacists observed …

The recent biomedical, technological, and normative changes have led healthcare
organizations to the implementation of clinical governance as a way to ensure the best …