A comparison of voluntarily reported medication errors in intensive care and general care units.

S L Kane-Gill; J G Kowiatek; R J Weber

Study

A comparison of voluntarily reported medication errors in intensive care and general care units.

March 24, 2010

Kane-Gill SL, Kowiatek JG, Weber RJ. Qual Saf Health Care. 2010;19(1):55-9.

View more articles from the same authors.

The type, severity, and underlying causes of medication errors in intensive care unit patients were significantly different from those in general ward patients, according to this analysis of voluntary error reports from a single hospital.

PubMed citation

Available at

Related Resources From the Same Author(s)

Adverse-drug-event rates for high-cost and high-use drugs in the intensive care unit.

October 11, 2006

Assessing and monitoring override medications in automated dispensing devices.

May 31, 2006

Medication errors resulting from computer entry by nonprescribers.

May 6, 2009

Developing a patient safety surveillance system to identify adverse events in the intensive care unit.

June 16, 2010

Adverse drug event reporting in intensive care units: a survey of current practices.

August 2, 2006

Evaluation of an automated surveillance system using trigger alerts to prevent adverse drug events in the intensive care unit and general ward.

April 1, 2015

Clinical decision support for drug related events: moving towards better prevention.

December 21, 2016

Analysis of risk factors for adverse drug events in critically ill patients.

April 11, 2012

Multiprofessional survey of protocol use in the intensive care unit.

November 14, 2012

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

June 13, 2012

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.

July 31, 2013

The cost of opioid–related adverse drug events.

October 8, 2014

Themed Issue on Innovations in Medication Safety.

August 22, 2018

Trigger alerts associated with laboratory abnormalities on identifying potentially preventable adverse drug events in the intensive care unit and general ward.

August 1, 2018

Impact of a clinical pharmacy admission medication reconciliation program on medication errors in "high-risk" patients.

February 19, 2014

Implementing a bar-code medication administration system.

January 21, 2009

Technological distractions—part 1 and part 2.

February 14, 2018

Developing a medication patient safety program — infrastructure and strategy.

March 7, 2007

Clinical practice guideline: safe medication use in the ICU.

August 30, 2017

Using contemporary leadership skills in medication safety programs.

June 29, 2016

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

July 1, 2009

Detection of adverse drug events using an electronic trigger tool.

October 12, 2016

Evaluation of parenteral nutrition errors in an era of drug shortages.

December 16, 2015

Improving medication administration safety in solid organ transplant patients through barcode-assisted medication administration.

August 14, 2013

From research to practice: factors affecting implementation of prospective targeted injury-detection systems.

June 8, 2011

Designing a strategy to promote safe, innovative off-label use of medications.

August 2, 2006

June 15, 2016

Transforming the medication regimen review process using telemedicine to prevent adverse events.

December 16, 2020

Just what the doctor ordered. Review of the evidence of the impact of computerized physician order entry system on medication errors.

July 11, 2007

Effects of an intervention to reduce hospitalizations from nursing homes: a randomized implementation trial of the INTERACT program.

July 19, 2017

Who’s sorry now?

March 22, 2006

Nurses' perceptions of subspecialization in pediatric cardiac intensive care unit: quality and patient safety implications.

October 21, 2009

Developing a medication patient safety program, part 2: process and implementation.

April 25, 2007

Pharmacist-supported medication review training for general practitioners: feasibility and acceptability.

December 6, 2006

Sleep, sleepiness, fatigue, and performance of 12-hour–shift nurses.

August 3, 2016

Medical professional liability insurance and its relation to medical error and healthcare risk management for the practicing physician.

January 11, 2006

Crushing or splitting medications: unrecognized hazards.

January 25, 2012

Barriers and facilitators to implementing a process to enable parent escalation of care for the deteriorating child in hospital.

August 22, 2018

The impact of implementation of family-initiated escalation of care for the deteriorating patient in hospital: a systematic review.

June 22, 2016

Effect of barcode-assisted medication administration on emergency department medication errors.

October 2, 2013

Impact of patient safety mandates on medical education in the United States.

June 4, 2008

Attitudes toward patient safety standards in US dental schools: a pilot study.

April 16, 2008

March 28, 2018

Confusion about epinephrine dosing leading to iatrogenic overdose: a life-threatening problem with a potential solution.

May 12, 2010

Airway carts: a systems-based approach to airway safety.

November 1, 2006

Medication errors: the impact of prescribing and transcribing errors on preventable harm in hospitalised patients.

March 4, 2009

Association of cataract surgical outcomes with late surgeon career stages: a population-based cohort study.

October 24, 2018

Isolation precautions for visitors.

April 29, 2015

Evaluating efforts to optimize TeamSTEPPS implementation in surgical and pediatric intensive care units.

August 10, 2011

Leading article: how can I optimise my role as a leader within the surgical team?

August 31, 2016

Patterns and predictors of medication discrepancies in primary care.

July 29, 2015

Influences on the adoption of patient safety innovation in primary care: a qualitative exploration of staff perspectives.

August 22, 2018

Standardized multidisciplinary protocol improves handover of cardiac surgery patients to the intensive care unit.

June 1, 2011

Quest for the ideal: a redesign of the medication use system.

January 31, 2007

Safety and communication in the operating room: a safety questionnaire after the implementation of a blood-borne pathogen exposure checkpoint in the surgical safety checklist preprocedure time-out.

September 25, 2019

Six steps from head to hand: a simulator based transfer oriented psychological training to improve patient safety.

February 7, 2007

Nurse working conditions and patient safety outcomes.

June 6, 2007

Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses.

January 18, 2012

Cognitive versus technical debriefing after simulation training.

April 12, 2006

Diagnostic accuracy of physician-staffed emergency medical teams: a retrospective observational cohort study of prehospital versus hospital diagnosis in a 10-year interval.

June 26, 2019

Identification and Prevention of Common Adverse Drug Events in the Intensive Care Unit.

June 16, 2010

Family-initiated dialogue about medications during family-centered rounds.

February 11, 2015

Using failure mode and effects analysis to increase patient safety in cancer chemotherapy.

December 22, 2021

Surgical glove perforation and the risk of surgical site infection.

June 24, 2009

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

March 6, 2005

The timing of surgical antimicrobial prophylaxis.

July 2, 2008

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

May 2, 2012

Computerized surveillance of adverse drug events in hospital patients.

March 27, 2005

How can the principles of complexity science be applied to improve the coordination of care for complex pediatric patients?

April 19, 2006

Survey of medication documentation at hospital discharge: implications for patient safety and continuity of care.

April 30, 2008

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.

December 2, 2009

Decreasing paediatric prescribing errors in a district general hospital.

April 23, 2008

Identification of adverse events in ground transport emergency medical services.

September 14, 2011

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

March 6, 2005

Radiologist errors by modality, anatomic region, and pathology for 1.6 million exams: what we have learned.

March 2, 2022

Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality.

March 27, 2005

Evidence-based guidelines for fatigue risk management in EMS: formulating research questions and selecting outcomes.

December 7, 2016

First year with WHO Surgical Safety Checklist in 7148 otorhinolaryngological operations: use and user attitudes.

October 31, 2012

Impact of professional interpreters on outcomes for hospitalized children from migrant and refugee families with limited English proficiency: a systematic review.

September 16, 2020

A review of adverse event reports from emergency departments in the Veterans Health Administration.

March 18, 2020

Attitudes and barriers to incident reporting: a collaborative hospital study.

February 22, 2006

A human factors engineering paradigm for patient safety: designing to support the performance of the healthcare professional.

December 20, 2006

Adverse respiratory events in anesthesia: a closed claims analysis.

March 6, 2005

Crew resource management in the intensive care unit: a prospective 3-year cohort study.

July 1, 2015

The effectiveness of interruptive prescribing alerts in ambulatory CPOE to change prescriber behaviour and improve safety.

May 5, 2021

January 19, 2011

Evidence-based guidelines for fatigue risk management in emergency medical services.

March 14, 2018

Ambulance stretcher adverse events.

June 17, 2009

Medical and nursing staff highly value clinical pharmacists in the emergency department.

December 19, 2007

Relationship between complaints and quality of care in New Zealand: a descriptive analysis of complainants and non-complainants following adverse events.

February 15, 2006

The introduction of a surgical safety checklist in a tertiary referral obstetric centre.

July 27, 2011

Attitudes of clinicians and patient safety culture before and after the ARRIVE trial.

May 24, 2023

An epistemology of patient safety research: a framework for study design and interpretation.

June 18, 2008

Critical care teamwork in the future: the role of TeamSTEPPS in the COVID-19 pandemic and implications for the future.

March 15, 2023

Using co-design to develop a collective leadership intervention for healthcare teams to improve safety culture.

September 12, 2018

Standardization of compounded oral liquids for pediatric patients in Michigan.

August 31, 2016

Can you read this drug label?

August 3, 2011

A patient safety toolkit for family practices.

April 25, 2018

How to Make Your Hospital Stay Safer and Cheaper: A Checklist.

November 7, 2012

Human factors engineering: a tool for medical device evaluation in hospital procurement decision-making.

June 8, 2005

Related Resources

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Identification of patient safety threats in a post-intensive care clinic.

May 31, 2023

Increased mortality and costs associated with adverse events in intensive care unit patients.

April 6, 2022

Problems in care and avoidability of death after discharge from intensive care: a multi-centre retrospective case record review study.

February 10, 2021

Wrong drug and wrong dose dispensing errors identified in pharmacist professional liability claims.

November 4, 2020

Medication histories in critically ill patients completed by pharmacy personnel.

August 7, 2019

WebM&M Cases

Diuretics and Electrolyte Abnormalities

July 2, 2019

New persistent opioid use after postoperative intensive care in US veterans.

June 19, 2019

Evaluation of medication errors at the transition of care from an ICU to non-ICU location.

March 27, 2019

Exploring the human factors of prescribing errors in paediatric intensive care units.

March 27, 2019

Prospective evaluation of medication-related clinical decision support over-rides in the intensive care unit.

February 28, 2018

Identifying high-alert medications in a university hospital by applying data from the medication error reporting system.

August 16, 2017

Factors associated with post-intensive care unit adverse events: a clinical validation study.

October 29, 2014

Reducing medication errors in critical care: a multimodal approach.

October 1, 2014

Nighttime cross-coverage is associated with decreased intensive care unit mortality. A single-center study.

September 3, 2014

Failure events in transition of care for surgical patients.

March 5, 2014

Are autopsy findings still relevant to the management of critically ill patients in the modern era?

February 5, 2014

Eliminating central line-associated bloodstream infections: a national patient safety imperative.

January 15, 2014

Impact of contact isolation for multidrug-resistant organisms on the occurrence of medical errors and adverse events.

October 23, 2013

Is hand hygiene before putting on nonsterile gloves in the intensive care unit a waste of health care worker time? A randomized controlled trial.

September 4, 2013

Improving adverse drug event detection in critically ill patients through screening intensive care unit transfer summaries.

July 31, 2013

A clinical case of electronic health record drug alert fatigue: consequences for patient outcome.

June 12, 2013

Adverse drug events in a paediatric intensive care unit: a prospective cohort.

March 6, 2013

ICU admittance by a rapid response team versus conventional admittance, characteristics, and outcome.

February 6, 2013

Speaking up and sharing information improves trainee neonatal resuscitations.

December 12, 2012

Interventions to reduce medication errors in adult intensive care: a systematic review.

September 26, 2012

Adverse events are common on the intensive care unit: results from a structured record review.

June 20, 2012

Medication errors during medical emergencies in a large, tertiary care, academic medical center.

June 13, 2012

Exploring error in team-based acute care scenarios: an observational study from the United Kingdom.

June 6, 2012

Overview of adverse events related to invasive procedures in the intensive care unit.

May 30, 2012

See More About The Topic

Intensive Care Units

Health Care Providers

Risk Managers

Quality and Safety Professionals

Critical Care

A comparison of voluntarily reported medication errors in intensive care and general care units.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

A comparison of voluntarily reported medication errors in intensive care and general care units.

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

Submit Your Case

Continue as a Guest

Continue Logged In

Submit Your Case

Continue as a Guest

Already have a PSNet

Account?

New Users

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