Patient Deaths at Arbour Health Systems Westwood Lodge Hospital and Pembroke Hospital. | AHRQ Patient Safety Network

Patient Deaths at Arbour Health Systems Westwood Lodge Hospital and Pembroke Hospital. | AHRQ Patient Safety Network

• Book/Report
 
• Published February 2018

Patient Deaths at Arbour Health Systems—Westwood Lodge Hospital and Pembroke Hospital.

Disability Law Center. Boston, MA: February 2018.

Patients with mental health concerns are vulnerable to harm from medication errors. This investigation report describes factors that contributed to the deaths of two psychiatric inpatients and identifies weaknesses in monitoring, polypharmacy review, and off-label medication use as primary concerns.

InformationFree full text (PDF)Related news article

Related Resources

PRESS RELEASE/ANNOUNCEMENT

FDA/ISMP Safe Medication Management Fellowship Program.

Food and Drug Administration, Institute for Safe Medication Practices.

LEGISLATION/REGULATION › ORGANIZATIONAL POLICY/GUIDELINES

Pediatric medication safety in the emergency department.

Benjamin L, Frush K, Shaw K, Shook JE, Snow SK; American Academy of Pediatrics; American College of Emergency Physicians; Emergency Nurses Association. Ann Emerg Med. 2018;71:e17-e24.

BOOK/REPORT

Prevalence and Economic Burden of Medication Errors in the NHS England.

Elliott RA, Camacho E, Campbell F, et al. Policy Research Unit in Economic Evaluation of Health and Care Interventions. Sheffield, United Kingdom: University of Sheffield and University of York; 2018.

JOURNAL ARTICLE › REVIEW

Improving medication-related clinical decision support.

Tolley CL, Slight SP, Husband AK, Watson N, Bates DW. Am J Health Syst Pharm. 2018;75:239-246.

JOURNAL ARTICLE › COMMENTARY

Oversedation of a patient with obstructive sleep apnea prior to imaging.

Blay E Jr, Barnard C, Bilimoria KY. JAMA. 2018;319:495-496.

View More