Understanding complexity in a safety critical setting: a systems approach to medication administration.

Erin L Stevens; Adam Hulme; Natassia Goode; Lauren Coventon; Gemma Read; Paul M Salmon

Study

Understanding complexity in a safety critical setting: a systems approach to medication administration.

April 26, 2023

Stevens EL, Hulme A, Goode N, et al. Appl Ergon. 2023;110:104000.

View more articles from the same authors.

Medication administration is a complex process with many opportunities for error. Using the Event Analysis of Systemic Teamwork (EAST) model, researchers identified opportunities to improve medication administration system performance and promote patient safety. The authors discuss the networks involved in medication administration (e.g., task network, social network, information network) and how the complexities involved in each network contribute to medication administration errors.

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