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The effect of testing on the reported incidence of medication errors in a medical center.

This study explores the impact of eliminating a yearly medication test on the medication error rate reported on both incident reports and questionnaires and describes nurse-identified strategies that may prevent medication errors. Results indicate that eliminating the annual medication test does not significantly change the overall medication error rate. However, the number of errors involving the administration of a medication to the wrong patient has increased significantly. More medication errors have been reported on the questionnaires than on the incident reports. Four factors have been identified by the nurses as being helpful in preventing medication errors. Several limitations of this study dictate that the results be applied with caution. However, in this setting, the use of an annual medication test as a strategy for reducing medication errors has not been supported.

Educational Measurement↗

Medical errors, drug-related problems, and medication errors: a literature review on quality of care and cost issues.

Medical errors have received a great deal of attention in recent years. The phrase medical errors is an umbrella term for all errors that occur within the health care system, including mishandled surgeries, diagnostic errors, equipment failures, and medication errors. This article is a review and discussion of the literature on the scope of medical errors, with a focus on drug-related problems and medication errors. Cost and quality ideas for addressing these issues are provided.

Health Care Costs↗

Typical medication errors in oncology: analysis and prevention strategies.

Pharmacotherapy in oncology is complex. It has a small therapeutic range, and is susceptible to errors. Medication errors--especially overdosage--often have serious effects while underdosage entails unnoticed impairment of the therapeutic success. Typical medications and procedures susceptible to errors are described: unintentional intrathecal injections, the application of platinum compounds and anthracyclines, confusion of total and single dose, errors of calculation and preparation, or in operation of infusion pumps. Suitable prevention strategies are standardisation, separation of intrathecal and intravenous chemotherapy, and use of specialized software for planning and calculating chemotherapy, as well as non-punitive notification and recording systems for errors and near-errors in treatment.

Antineoplastic Agents↗

Developing a proactive approach to medication error prevention.

Medication administration and the prevention of medication errors have been identified by quality management professionals and consumers alike as an area of healthcare that needs quality improvement. A proactive multi-disciplinary approach taken by nursing and pharmacy at the author's acute care teaching hospital has resulted in a significant improvement in the medication administration process and in reduced medication errors. Improved quality data management resulted in more effective action planning. The reporting format of medication errors was changed based on trends, and severity evaluation was implemented. System problems were more easily identified due to increased information about the medication errors. As a result, staff education and training could be more specific, and thus, more meaningful. Additionally, jointly developed quality management studies provided the foundation for effective improvement strategies and efficient system changes.

Data Collection↗

Medication error prevention: profiling one of pharmacy's foremost advocacy efforts for advice on error prevention.

Medication errors have become a growing concern with the increase in the number of critically ill patients, in the complexity of drug therapy and in the use of more potent, dangerous drugs. The Institute for Safe Medication Practices (ISMP), a nonprofit organization founded three years ago, is in the forefront of medication error prevention efforts. Working with practitioners, regulatory agencies, healthcare institutions, professional organizations and the pharmaceutical industry, both nationally and internationally, ISMP provides timely and accurate medication safety information through its educational programs, site-reviews, and ongoing publications. This article reviews the work of ISMP and offers recommendations for managers to begin error prevention strategies.

Adverse Drug Reaction Reporting Systems↗