Preventing Medication Errors: Quality Chasm Series.
Committee on Identifying and Preventing Medication Errors, Aspden P, Wolcott J, Bootman JL, Cronenwett LR, eds. Washington, DC: The National Academies Press; 2007.
The Centers for Medicare and Medicaid Services sponsored this study with the Institute of Medicine with the aim of developing a national agenda for reducing medication errors based on estimates of incidences of such errors and evidence of the efficacy of various prevention strategies. The study focused on the safe, effective and appropriate use of medications in the major components of the medication use system, addressing the use of prescription drugs, OTC drugs, and complemtary and alternative medications in a wide range of care settings – hospital, long-term, and community. The study identified enourmous gaps in the knowledge base and suggests strategies to address these gaps.