The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

I. S. Sanghera; B. Franklin; S. Dhillon

Study

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

January 10, 2007

Sanghera IS, Franklin B, Dhillon S. Anaesthesia. 2007;62(1):53-61.

View more articles from the same authors.

The investigators interviewed staff members in an intensive care unit to explore factors contributing to medication errors and barriers to reporting these errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

Using the internet to deliver education on drug safety.

November 15, 2006

Improving feedback on junior doctors' prescribing errors: mixed-methods evaluation of a quality improvement project.

April 27, 2016

Appropriateness of use of medicines in elderly inpatients: qualitative study.

August 31, 2005

Catastrophic drug errors involving tranexamic acid administered during spinal anaesthesia.

June 5, 2019

What constitutes a prescribing error in paediatrics?

October 19, 2005

Care homes' use of medicines study: prevalence, causes and potential harm of medication errors in care homes for older people.

October 21, 2009

Surgical safety checklists: do they improve outcomes?

June 20, 2012

Safety of medication use in primary care.

March 4, 2015

May 3, 2023

Cognitive errors detected in anaesthesiology: a literature review and pilot study.

January 25, 2012

An observational study of laterality errors in a sample of clinical records.

April 9, 2008

Speaking the same language? International variations in the safety information accompanying top-selling prescription drugs.

August 28, 2013

Reducing surgical mortality in Scotland by use of the WHO Surgical Safety Checklist.

May 8, 2019

Factors predictive of intravenous fluid administration errors in Australian surgical care wards.

June 22, 2005

SNOMED CT: electronic health record enhances anesthesia patient safety.

November 16, 2005

Improving patient safety in clinical oncology: applying lessons from Normal Accident Theory.

October 21, 2015

January 19, 2011

A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures.

March 4, 2009

High 5s initiative: implementation of medication reconciliation in France a 5 years experimentation.

June 21, 2017

Residual anaesthesia drugs in intravenous lines—a silent threat?

July 17, 2013

Clinical handover incident reporting in one UK general hospital.

October 20, 2010

New solutions to reduce wrong route medication errors.

December 13, 2017

Weekend hospitalization and additional risk of death: an analysis of inpatient data.

February 29, 2012

Patient safety begins with proper planning: a quantitative method to improve hospital design.

November 24, 2010

Effect of therapeutic interchange on medication reconciliation during hospitalization and upon discharge in a geriatric population.

January 17, 2018

Biopsy site selfies—a quality improvement pilot study to assist with correct surgical site identification.

June 24, 2015

Promoting patient safety through prospective risk identification: example from peri-operative care.

March 17, 2010

Do associations between staff and inpatient feedback have the potential for improving patient experience? An analysis of surveys in NHS acute trusts in England.

October 28, 2009

Improving patient safety by identifying side effects from introducing bar coding in medication administration.

October 19, 2005

Handover after pediatric heart surgery: a simple tool improves information exchange.

June 1, 2011

Incidence of potentially avoidable urgent readmissions and their relation to all-cause urgent readmissions.

September 28, 2011

Impact of an inpatient electronic prescribing system on prescribing error causation: a qualitative evaluation in an English hospital.

July 11, 2018

Opioids for chronic noncancer pain: a position paper of the American Academy of Neurology.

October 15, 2014

'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.

November 14, 2007

Emergency department visits for adverse events related to dietary supplements.

November 4, 2015

How do patients want physicians to handle mistakes? A survey of internal medicine patients in an academic setting.

March 6, 2005

Large scale organisational intervention to improve patient safety in four UK hospitals: mixed method evaluation.

February 23, 2011

Development and performance evaluation of the Medicines Optimisation Assessment Tool (MOAT): a prognostic model to target hospital pharmacists' input to prevent medication-related problems.

July 31, 2019

Analysis of pharmacist-identified medication-related problems at two United Kingdom hospitals: a prospective observational study.

March 18, 2020

The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.

July 22, 2020

Cognitive bias and public health policy during the COVID-19 pandemic.

July 22, 2020

Diagnostic error in internal medicine.

July 27, 2005

Using standardised patients in an objective structured clinical examination as a patient safety tool.

March 6, 2005

Adverse effects of computers during bedside rounds in a critical care unit.

August 1, 2018

Training in quality and safety: the current landscape.

August 27, 2014

Graduate medical education's new focus on resident engagement in quality and safety: will it transform the culture of teaching hospitals?

August 6, 2014

Surgical complications: disclosing adverse events and medical errors.

January 16, 2013

Are verbal orders a threat to patient safety?

June 10, 2009

The teaching of a structured tool improves the clarity and content of interprofessional clinical communication.

April 29, 2009

Family participation during intensive care unit rounds: goals and expectations of parents and health care providers in a tertiary pediatric intensive care unit.

October 8, 2014

Hospital complications: linking payment reduction to preventability.

May 6, 2009

A patient safety checklist for the cardiac catheterisation laboratory.

January 7, 2015

Microbiological evaluation of two hand hygiene procedures achieved by healthcare workers during routine patient care: a randomized study.

May 4, 2005

How house officers cope with their mistakes.

March 6, 2005

Do house officers learn from their mistakes?

March 6, 2005

Perioperative COVID-19 defense: an evidence-based approach for optimization of infection control and operating room management.

April 22, 2020

Patient involvement in medication safety in hospital: an exploratory study.

July 16, 2014

Methodological variations and their effects on reported medication administration error rates.

February 27, 2013

Failure mode and effects analysis outputs: are they valid?

August 15, 2012

Is failure mode and effect analysis reliable?

May 27, 2009

Failure mode and effects analysis: too little for too much?

April 18, 2012

Analysis of laboratory critical value reporting at a large academic medical center.

May 24, 2006

Preventable anesthesia mishaps: a study of human factors.

March 27, 2005

Why do healthcare professionals fail to escalate as per the early warning system (EWS) protocol? A qualitative evidence synthesis of the barriers and facilitators of escalation.

February 17, 2021

Use of administrative data to find substandard care: validation of the complications screening program.

October 26, 2005

Health Care Failure Mode and Effect Analysis: a useful proactive risk analysis in a pediatric oncology ward.

February 22, 2006

Intensive care unit nurses' perceptions of safety after a highly specific safety intervention.

February 20, 2008

Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution.

June 29, 2005

Identifying safety hazards associated with intravenous vancomycin through the analysis of patient safety event reports.

April 15, 2020

Indication documentation and indication-based prescribing within electronic prescribing systems: a systematic review and narrative synthesis.

April 5, 2023

Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.

February 10, 2021

Point prevalence of surgical checklist use in Europe: relationship with hospital mortality.

February 25, 2015

Innovative patient safety curriculum using iPad game (PASSED) improved patient safety concepts in undergraduate medical students.

September 21, 2016

Wrong-patient blood transfusion error: leveraging technology to overcome human error in intraoperative blood component administration.

January 9, 2019

Medication-prescribing errors in a teaching hospital: a 9-year experience.

March 6, 2005

The secondary use of data to support medication safety in the hospital setting: a systematic review and narrative synthesis.

February 23, 2022

Carers' medication administration errors in the domiciliary setting: a systematic review.

February 8, 2017

Use of strategies from high-reliability organisations to the patient hand-off by resident physicians: practical implications.

August 12, 2009

Otolaryngologists' responses to errors and adverse events.

July 26, 2006

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.

March 24, 2021

Parenteral nutrition errors and potential errors reported over the past 10 years.

March 14, 2018

Pediatric patient safety in the prehospital/emergency department setting.

July 11, 2007

Patient safety climate in hospitals: act locally on variation across units.

June 30, 2010

American College of Endocrinology and American Association of Clinical Endocrinologists position statement on patient safety and medical system errors in diabetes and endocrinology.

December 7, 2005

Situational awareness—what it means for clinicians, its recognition and importance in patient safety.

August 24, 2016

Medication error reporting in nursing homes: identifying targets for patient safety improvement.

February 17, 2010

Sustaining innovations in complex health care environments: a multiple-case study of rapid response teams.

April 15, 2020

Involving users in the design of a system for sharing lessons from adverse incidents in anaesthesia.

April 5, 2006

Medicare's policy not to pay for treating hospital-acquired conditions: the impact.

September 30, 2009

An analysis of major errors and equipment failures in anesthesia management: considerations for prevention and detection.

March 6, 2005

Intraoperative handoffs among anesthesia providers increase the incidence of documentation errors for controlled drugs.

August 9, 2017

Identifying systems failures in the pathway to a catastrophic event: an analysis of national incident report data relating to vinca alkaloids.

April 9, 2014

Improving oversight of the graduate medical education enterprise: one institution's strategies and tools.

May 10, 2006

The incidence and nature of prescribing and medication administration errors in paediatric inpatients.

February 24, 2010

Identification of in-hospital complications from claims data. Is it valid?

March 6, 2005

Negligent care and malpractice claiming behavior in Utah and Colorado.

March 27, 2005

Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience.

July 13, 2011

Routine multidisciplinary review of severe maternal morbidity is associated with a reduction in preventable cases of severe maternal morbidity.

March 30, 2022

US emergency department visits attributed to medication harms, 2017-2019.

October 20, 2021

Educational interventions to reduce prescribing errors.

May 7, 2008

Related Resources

Effects of tall man lettering on the visual behaviour of critical care nurses while identifying syringe drug labels: a randomised in situ simulation.

April 20, 2022

WebM&M Cases

An Inadvertent Bolus of Norepinephrine.

May 26, 2021

ISMP List of Error-Prone Abbreviations, Symbols, and Dose Designations.

February 12, 2021

WebM&M Cases

Think Like a Surgeon

September 25, 2019

What's in a name? Provider perception of injured John Doe patients.

April 3, 2019

WebM&M Cases

One Bronchoscopy, Two Errors

January 1, 2019

Redesigning rounds in the ICU: standardizing key elements improves interdisciplinary communication.

October 3, 2018

WebM&M Cases

An Untimely End Despite End-of-Life Care Planning

August 1, 2018

Reducing medication errors in critical care patients: pharmacist key resources and relationship with medicines optimisation.

May 2, 2018

Effect of a pediatric early warning system on all-cause mortality in hospitalized pediatric patients.

March 7, 2018

Operating room–to-ICU patient handovers: a multidisciplinary human-centered design approach.

August 31, 2016

Safe implementation of standard concentration infusions in paediatric intensive care.

August 24, 2016

Safety of the Manchester Triage System to detect critically ill children at the emergency department.

August 17, 2016

Medication safety in neonatal care: a review of medication errors among neonates.

July 20, 2016

Higher quality of care and patient safety associated with better NICU work environments.

September 2, 2015

An intervention to improve transitions from NICU to ambulatory care: quasi-experimental study.

November 26, 2014

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.

November 19, 2014

Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study.

October 22, 2014

Interventions to reduce medication errors in pediatric intensive care.

August 20, 2014

Codifying knowledge to improve patient safety: a qualitative study of practice-based interventions.

June 25, 2014

Look alike/sound alike drugs: a literature review on causes and solutions.

June 11, 2014

Computerised provider order entry combined with clinical decision support systems to improve medication safety: a narrative review.

April 30, 2014

Improvement of medication event interventions through use of an electronic database.

December 18, 2013

Communicating medication changes to community pharmacy post-discharge: the good, the bad, and the improvements.

September 4, 2013

Potentially inappropriate medications in a large cohort of patients in geriatric units: association with clinical and functional characteristics.

June 19, 2013

Comparison of intensive care unit medication errors reported to the United States' MedMarx and the United Kingdom's National Reporting and Learning System: a cross-sectional study.

May 29, 2013

The effects of computerized provider order entry implementation on communication in intensive care units.

February 20, 2013

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

May 2, 2012

Teamwork and team training in the ICU: where do the similarities with aviation end?

December 21, 2011

Rethinking resident supervision to improve safety: from hierarchical to interprofessional models.

October 26, 2011

See More About The Topic

Health Care Executives and Administrators

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

The attitudes and beliefs of healthcare professionals on the causes and reporting of medication errors in a UK intensive care unit.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site