Study Profiles in patient safety: medication errors in the emergency department. Citation Text: Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med. 2004;11(3):289-99. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL March 6, 2005 Croskerry P, Shapiro MJ, Campbell S, et al. Acad Emerg Med. 2004;11(3):289-99. View more articles from the same authors. Through case studies, this article characterizes the types of medication errors that may occur during the course of emergency department care. PubMed citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Croskerry P, Shapiro MJ, Campbell S, et al. Profiles in patient safety: medication errors in the emergency department. Acad Emerg Med. 2004;11(3):289-99. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Patient safety and diagnostic error: tips for your next shift. February 3, 2010 Profiles in patient safety: a "perfect storm" in the emergency department. June 20, 2007 From mindless to mindful practice—cognitive bias and clinical decision making. July 31, 2013 Adaptive expertise in medical decision making. October 17, 2018 The need for cognition and the curse of cognition. October 3, 2018 Narrowing the mindware gap in medicine. July 20, 2022 The importance of cognitive errors in diagnosis and strategies to minimize them. March 6, 2005 Profiles in patient safety: authority gradients in medical error. March 6, 2005 Cognitive debiasing; part 1 and part 2. September 18, 2013 Emotional influences in patient safety. October 20, 2010 Checklists to reduce diagnostic errors. February 9, 2011 Toward a definition of teamwork in emergency medicine. October 22, 2008 Expanding what we know about off-peak mortality in hospitals. May 26, 2010 Preprinted order sets as a safety intervention in pediatric sedation. February 25, 2009 Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018 Innovation in safety, and safety in innovation. January 29, 2014 A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. August 4, 2010 Patient safety education: what was, what is, and what will be? December 18, 2013 Portable advanced medical simulation for new emergency department testing and orientation. May 10, 2006 Benefits of a rapid response system at a community hospital. May 30, 2007 Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. September 20, 2023 Cognitive versus technical debriefing after simulation training. April 12, 2006 An international review of patient safety measures in radiotherapy practice. July 8, 2009 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. August 21, 2019 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020 ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. October 19, 2022 Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014 The effect of nurse staffing patterns on medical errors and nurse burnout. June 25, 2008 Optimizing medication safety in the home. July 15, 2015 Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. July 11, 2007 Abandon the term "second victim." April 10, 2019 Competencies for improving diagnosis: an interprofessional framework for education and training in health care. August 28, 2019 CT for suspected appendicitis in children: an analysis of diagnostic errors. March 1, 2006 Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. November 6, 2013 When staff speak up on safety, do managers listen—and act? August 24, 2011 Confronting unprofessional behaviour in medicine. March 28, 2018 Stressful intensive care unit medical crises: how individual responses impact on team performance. April 1, 2009 A case of mistaken identity: staff input on patient ID errors. April 22, 2009 Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? May 22, 2013 Barriers to the implementation of checklists in the office-based procedural setting. June 4, 2014 Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. January 6, 2016 Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. September 16, 2015 Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. February 15, 2023 The effect of automated alerts on provider ordering behavior in an outpatient setting. September 21, 2005 Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. April 8, 2015 The need for risk profiling in patient safety. September 15, 2010 The quest to eliminate intrathecal vincristine errors: a 40-year journey. March 31, 2010 Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. January 23, 2019 Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. July 9, 2014 Peer support for clinicians: a programmatic approach. July 20, 2016 Misunderstanding of prescription drug warning labels among patients with low literacy. June 7, 2006 The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. May 19, 2021 Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. September 13, 2023 An observational study of changes to long-term medication after admission to an intensive care unit. December 6, 2006 Research designs for studies evaluating the effectiveness of change and improvement strategies. March 6, 2005 Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction. November 17, 2010 SWITCH for safety: perioperative hand-off tools. November 6, 2013 Risks related to patient bed safety. November 14, 2012 Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015 Building a highway to quality health care. September 7, 2016 Developing critical thinking skills for delivering optimal care July 28, 2021 Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. August 23, 2017 Implementing online medication reconciliation at a large academic medical center. September 3, 2008 Errors and analysis of errors. December 17, 2008 Antibiotic prescribing in ambulatory pediatrics in the United States. January 11, 2012 Quantifying discharge medication reconciliation errors at 2 pediatric hospitals. October 27, 2021 Using improvement science methods to increase accuracy of surgical consents. September 17, 2014 Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. March 14, 2012 Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013 Matching identifiers in electronic health records: implications for duplicate records and patient safety. March 13, 2013 Rescue me: saving the vulnerable non-ICU patient population. April 8, 2009 Improving patient safety by identifying latent failures in successful operations. August 1, 2007 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. September 14, 2016 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012 ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009. June 13, 2012 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. September 20, 2017 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. July 23, 2014 ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008. May 20, 2009 ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. June 4, 2008 Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. May 29, 2019 Simulation-based education to ensure provider competency within the healthcare system. December 13, 2017 The objective impact of clinical peer review on hospital quality and safety. February 16, 2011 An assessment of the impact of just culture on quality and safety in US hospitals. May 9, 2018 An organizational learning framework for patient safety. April 13, 2016 In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. November 28, 2018 A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. November 27, 2013 Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. November 11, 2009 A public health approach to patient safety reporting systems is urgently needed. June 8, 2011 Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 10, 2013 A chemotherapy incident reporting and improvement system. March 6, 2005 Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. April 14, 2021 Zebra in the intensive care unit: a metacognitive reflection on misdiagnosis. October 31, 2012 Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. March 17, 2021 When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? June 6, 2007 Sharing lessons learned to prevent adverse events in anesthesiology nationwide. August 21, 2019 Medication errors in community pharmacies: evaluation of a standardized safety program. March 15, 2023 We know what they did wrong, but not why: the case for 'frame-based' feedback. May 29, 2013 View More Related Resources Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. August 23, 2023 Improving emergency medicine clinician awareness of prehospital-administered medications. August 9, 2023 WebM&M Cases Failure to adhere to dietary restrictions leading to complications and poor follow-up. July 31, 2023 Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023 Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022 Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. November 2, 2022 Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021 Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. July 21, 2021 WebM&M Cases Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities May 26, 2021 ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations. February 12, 2021 WebM&M Cases Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? April 29, 2020 Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. February 27, 2019 Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. February 6, 2019 Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018 Provider interruptions and patient perceptions of care: an observational study in the emergency department. November 7, 2018 Emergency department checklist: an innovation to improve safety in emergency care. October 31, 2018 Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. May 2, 2018 Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. May 2, 2018 Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018 Near-miss medication errors provide a wake-up call. February 7, 2018 The potential of collective intelligence in emergency medicine. May 24, 2017 Safety of the Manchester Triage System to detect critically ill children at the emergency department. August 17, 2016 The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. June 1, 2016 Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. December 16, 2015 Emergency department visits for adverse events related to dietary supplements. November 4, 2015 Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015 Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. January 28, 2015 Debriefing in the emergency department after clinical events: a practical guide. December 17, 2014 Resident to resident handoffs in the emergency department: an observational study. October 22, 2014 Implementation of an emergency department sign-out checklist improves transfer of information at shift change. September 3, 2014 View More See More About The Topic Emergency Departments Physicians Nurses Emergency Medicine Medication Errors/Preventable Adverse Drug Events View More
Improving diagnosis by improving education: a policy brief on education in healthcare professions. September 12, 2018
A comparative resident site visit project: a novel approach for implementing programmatic change in the duty hours era. August 4, 2010
Portable advanced medical simulation for new emergency department testing and orientation. May 10, 2006
Towards diagnostic excellence on academic ward teams: building a conceptual model of team dynamics in the diagnostic process. September 20, 2023
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2018. August 21, 2019
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing-2019. September 30, 2020
ASHP National Survey of Pharmacy Practice in Hospital Settings: clinical services and workforce-2021. October 19, 2022
Application of surgical safety standards to robotic surgery: five principles of ethics for nonmaleficence. April 2, 2014
Residents feel unprepared and unsupervised as leaders of cardiac arrest teams in teaching hospitals: a survey of internal medicine residents. July 11, 2007
Competencies for improving diagnosis: an interprofessional framework for education and training in health care. August 28, 2019
Current surgical instrument labeling techniques may increase the risk of unintentionally retained foreign objects: a hypothesis. November 6, 2013
Stressful intensive care unit medical crises: how individual responses impact on team performance. April 1, 2009
Duty-hour limits and patient care and resident outcomes: can high-quality studies offer insight into complex relationships? May 22, 2013
Could it be done safely? Pharmacists views on safety and clinical outcomes from the introduction of an advanced role for technicians. January 6, 2016
Graduating pediatrics residents' reports on the impact of fatigue over the past decade of duty hour changes. September 16, 2015
Involving patients and carers in patient safety in primary care: a qualitative study of a co-designed patient safety guide. February 15, 2023
The effect of automated alerts on provider ordering behavior in an outpatient setting. September 21, 2005
Unfinished nursing care, missed care, and implicitly rationed care: state of the science review. April 8, 2015
Barriers to self-reporting patient safety incidents by paramedics: a mixed methods study. January 23, 2019
Interventions to reduce the consequences of stress in physicians: a review and meta-analysis. July 9, 2014
The mindful path to nursing accuracy: a quasi-experimental study on minimizing medication administration errors. May 19, 2021
Assessing the utility of ChatGPT throughout the entire clinical workflow: development and usability study. September 13, 2023
An observational study of changes to long-term medication after admission to an intensive care unit. December 6, 2006
Research designs for studies evaluating the effectiveness of change and improvement strategies. March 6, 2005
Underreporting of patient safety incidents reduces health care's ability to quantify and accurately measure harm reduction. November 17, 2010
Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015
Anesthesia adverse events voluntarily reported in the Veterans Health Administration and lessons learned. August 23, 2017
Surgical checklists: a detailed review of their emergence, development, and relevance to neurosurgical practice. March 14, 2012
Medication-related emergency department visits and hospital admissions in pediatric patients: a qualitative systematic review. October 16, 2013
Matching identifiers in electronic health records: implications for duplicate records and patient safety. March 13, 2013
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2017. October 31, 2018
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2015. September 14, 2016
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2014. August 12, 2015
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2010. June 6, 2012
ASHP national survey of pharmacy practice in hospital settings: monitoring and patient education—2009. June 13, 2012
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2011. May 9, 2012
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2016. September 20, 2017
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2013. July 23, 2014
ASHP national survey of pharmacy practice in hospital settings: dispensing and administration—2008. May 20, 2009
ASHP national survey of pharmacy practice in hospital settings: prescribing and transcribing—2007. June 4, 2008
Patient safety and quality outcomes for ED patients admitted to alternative care area inpatient beds. May 29, 2019
Simulation-based education to ensure provider competency within the healthcare system. December 13, 2017
In pursuit of quality and safety: an 8-year study of clinical peer review best practices in US hospitals. November 28, 2018
A longitudinal study of clinical peer review's impact on quality and safety in US hospitals. November 27, 2013
Integrating ethics and patient safety: the role of clinical ethics consultants in quality improvement. November 11, 2009
Developing and implementing a standardized process for Global Trigger Tool application across a large health system. July 10, 2013
Nurse's Achilles Heel: using big data to determine workload factors that impact near misses. April 14, 2021
Enabling sustained communication with patients for safe and effective management of oral chemotherapy: a longitudinal ethnography. March 17, 2021
When should a multicampus hospital be considered a single entity for public reporting on patient safety issues? June 6, 2007
Medication errors in community pharmacies: evaluation of a standardized safety program. March 15, 2023
Clinicians' insights on emergency department boarding: an explanatory mixed methods study evaluating patient care and clinician well-being. August 23, 2023
Improving emergency medicine clinician awareness of prehospital-administered medications. August 9, 2023
WebM&M Cases Failure to adhere to dietary restrictions leading to complications and poor follow-up. July 31, 2023
Interorganizational health information exchange-related patient safety incidents: a descriptive register-based qualitative study. May 24, 2023
Interprofessional clinical event debriefing-does it make a difference? Attitudes of emergency department care providers to INFO clinical event debriefings. December 7, 2022
Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks. November 2, 2022
Identifying safe care processes when GPs work in or alongside emergency departments: a realist evaluation. December 15, 2021
Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility. July 21, 2021
WebM&M Cases Norepinephrine Dosing Error Associated with Multiple Health System Vulnerabilities May 26, 2021
WebM&M Cases Delayed Management of Necrotizing Soft Tissue Infection – Who does the Patient Belong To? April 29, 2020
Comparing the outcomes of reporting and trigger tool methods to capture adverse events in the emergency department. February 27, 2019
Formative evaluation of the video reflexive ethnography method, as applied to the physician–nurse dyad. February 6, 2019
Developing standardized "receiver-driven" handoffs between referring providers and the emergency department: results of a multidisciplinary needs assessment. December 5, 2018
Provider interruptions and patient perceptions of care: an observational study in the emergency department. November 7, 2018
Effect of systematic physician cross-checking on reducing adverse events in the emergency department: the CHARMED cluster randomized trial. May 2, 2018
Opioid prescribing and adverse events in opioid-naive patients treated by emergency physicians versus family physicians: a population-based cohort study. May 2, 2018
Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients. March 7, 2018
Safety of the Manchester Triage System to detect critically ill children at the emergency department. August 17, 2016
The Ask Me to Explain campaign: a 90-day intervention to promote patient and family involvement in care in a pediatric emergency department. June 1, 2016
Situation, background, assessment, and recommendation–guided huddles improve communication and teamwork in the emergency department. December 16, 2015
Medication-related emergency department visits in pediatrics: a prospective observational study. February 25, 2015
Pediatric crisis resource management training improves emergency medicine trainees' perceived ability to manage emergencies and ability to identify teamwork errors. January 28, 2015
Implementation of an emergency department sign-out checklist improves transfer of information at shift change. September 3, 2014