Actionable Patient Safety Solutions (APSS)

21A Medication Errors

Although medication errors are already cited in Europe as the fifth most common cause of patient death in hospitals (Commission of the European Communities, 2008), the number of adverse drug events is anticipated to grow due to the advent of new medicines, the aging population, and expansion of insurance coverage (CDC, 2010). In the US, adverse drug events constitute one third of all adverse events in hospitals (Department of Health and Human Services, 2014).

Our APSS outline actionable steps healthcare organizations should take to successfully implement and sustain behavior change for high reliability, shared understanding, thorough communication, and meaningful person-centered care across the organization.

Actionable steps include:

  • Executive Summary Checklist
  • Leadership checklist guide to determine whether current evidence-based guidelines are being followed in your organization
  • Performance improvement plan to follow if improvements are necessary
  • Clinical workflow for preoccupation with workflow for areas of improvement
  • How to educate patients and family members about the significance of their role throughout the continuum
  • Guidance on how to measure outcomes

To gain access to a PDF of the APSS for download, please login/register below.

APSS are revised annually and available free of charge on our website for download.


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