@article{565, keywords = {cross-check, emergency medical services, medication errors, verification}, author = {Paul Misasi and Joseph R. Keebler}, title = {Medication safety in emergency medical services: approaching an evidence-based method of verification to reduce errors.}, abstract = {

Lack of verification is often cited as a root cause of medication errors; however, medication errors occur in spite of conventional verification practices and it appears that human factors engineering (HFE) can inform the design of a more effective method. To this end, an HFE-driven process was designed and implemented in an urban, Midwestern emergency medical service agency. Medication error data were collected over a 54-month period, 27 months before and after implementation. A decrease in the average monthly error rate was realized for all medications administered (49.0%) during the post-intervention time period. The average monthly error rate for fentanyl, a commonly administered analgesic, demonstrated a 71.1% error rate decrease. This study is the first to evaluate the effectiveness of a team-based cross-check process for medication verification to prevent errors in the prehospital setting.

}, year = {2019}, journal = {Ther Adv Drug Saf}, volume = {10}, pages = {2042098618821916}, month = {12/2019}, issn = {2042-0986}, doi = {10.1177/2042098618821916}, language = {eng}, }