Risk of Medication Errors With Infusion Pumps: Study of 1,004 Events From 132 Hospitals Across Pennsylvania.
The risk of medication errors with infusion pumps is well established, yet a better understanding is needed of the scenarios and factors associated with the errors. Our study explored the frequency of medication errors with infusion pumps, based on events reported to the Pennsylvania Patient Safety...
| Publicado en: | Patient Safety (2689-0143) Vol. 1; no. 2; pp. 60 - 70 |
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| Autores principales: | , |
| Formato: | glossary pictorial research tables/charts Journal Article |
| Publicado: |
Pennsylvania Patient Safety Authority
Dec2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=158306409&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 158306409 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 26890143 N1OO jtl: Patient Safety (2689-0143) issn: 26890143 maglogo: N pubinfo: dt: Dec2019 vid: 1 iid: 2 pid: 50366 pub: Pennsylvania Patient Safety Authority place: Harrisburg, Pennsylvania artinfo: ui: 158306409 158306409 158306409 10.33940/biomed/2019.12.7 158306409 ppf: 60 ppct: 10 formats: fmt: @attributes: type: P tig: atl: Risk of Medication Errors With Infusion Pumps: Study of 1,004 Events From 132 Hospitals Across Pennsylvania. aug: au: Taylor, Matthew Jones, Rebecca affil: Research specialist at the University of Pittsburgh School of Pharmacy sug: subj: Medication Errors Risk Factors Infusion Pumps Hospitals Pennsylvania Risk Assessment Patient Safety Human Pennsylvania Adverse Drug Event Descriptive Statistics Incident Reports Clinical Competence Decision Making, Clinical ab: The risk of medication errors with infusion pumps is well established, yet a better understanding is needed of the scenarios and factors associated with the errors. Our study explored the frequency of medication errors with infusion pumps, based on events reported to the Pennsylvania Patient Safety Reporting System (PA-PSRS) during calendar year 2018. Our study identified a total of 1,004 events involving a medication error and use of an infusion pump, which occurred at 132 different hospitals in Pennsylvania. Fortunately, a majority of medication errors did not cause patient harm or death; however, we did find that 22% of events involved a high-alert medication. Our study shows that the frequency of events varies widely across the stages of medication process and types of medication error. In a subset of our data, we manually reviewed a free-text narrative field in each event report to better understand the nature of errors. For example, we found that a majority of wrong rate errors led to medication being infused at a faster rate than intended, and user programming was the most common contributing factor. Overall, results from our study can help providers identify areas to target for risk mitigation related to medication errors and the use of infusion pumps. pubtype: Academic Journal doctype: glossary pictorial research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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