Building a Stronger Safety Net

If you have been in practice for even a short time, you may recall hearing about different types of medication errors that have occurred in your department or facility. In some cases, this same error—unbelievably—repeats itself, even after the organization spends significant time and resources inves...

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Bibliographic Details
Published in:Journal of emergency nursing 2018-05, Vol.44 (3), p.294-295
Main Author: Paparella, Susan F
Format: Article
Language:English
Subjects:
Continuing education
Drug Labeling
Drug Overdose
Emergency medical care
Gastrointestinal Agents - administration & dosage
Gastrointestinal Hemorrhage - drug therapy
Humans
Infusions, Intravenous
Investigations
Medical errors
Medication Errors - prevention & control
Norepinephrine - administration & dosage
Nurse's Role
Nurses
Nursing
Octreotide - administration & dosage
Patient safety
Pharmacy
Safety
United States
Vasoconstrictor Agents - administration & dosage
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Description
Summary:If you have been in practice for even a short time, you may recall hearing about different types of medication errors that have occurred in your department or facility. In some cases, this same error—unbelievably—repeats itself, even after the organization spends significant time and resources investigating and “fixing” the issue at hand. Such repetitive events often leave practitioners, managers, and entire organizations discouraged and wondering what happened, where they went wrong, and what to do next. As illustrated in the following scenario, recalcitrant errors often deserve a reanalysis of the event to understand if an important component was overlooked but—more importantly—a critical assessment and revision of the preventive actions taken.
ISSN:0099-1767
1527-2966
DOI:10.1016/j.jen.2018.01.010