Identifying medication errors in surgical prescription charts.

Joan Simons

Study

Identifying medication errors in surgical prescription charts.

July 21, 2010

Simons J. Paediatr Nurs. 2010;22(5):20-4.

View more articles from the same authors.

This study used manual chart review to estimate the incidence of prescribing errors in post-surgical pediatric patients.

PubMed citation

Related Resources From the Same Author(s)

Positioning continuing education: boundaries and intersections between the domains continuing education, knowledge translation, patient safety and quality improvement.

April 3, 2013

Quality improvement, patient safety, and continuing education: a qualitative study of the current boundaries and opportunities for collaboration between these domains.

April 15, 2015

Instrument count sheets and set reviews as patient safety tools.

January 11, 2017

Learning from mistakes and near mistakes: using root cause analysis as a risk management tool.

April 22, 2015

Comparing errors in ED computer-assisted vs conventional pediatric drug dosing and administration.

August 4, 2010

Wound-care teams for preventing and treating pressure ulcers.

October 21, 2015

Some unintended consequences of information technology in health care: the nature of patient care information system-related errors.

March 6, 2005

The 2018 Gosport Independent Panel report into deaths at the National Health Service's Gosport War Memorial Hospital. Does the culture of the medical profession influence health outcomes?

June 12, 2019

The threat within: mitigating the risk of medical error.

March 25, 2020

Human reliability analysis: a critique and review for managers.

July 13, 2011

Understanding the peer, manager, and system influence on patient safety.

February 10, 2021

Reducing adverse events in blood transfusion.

October 5, 2005

Medication Errors in the Context of Hematopoietic Stem Cell Transplantation: A Systematic Review.

October 23, 2019

Effects of extended work shifts and shift work on patient safety, productivity, and employee health.

February 10, 2010

Perceived causes of prescribing errors by junior doctors in hospital inpatients: a study from the PROTECT programme.

December 19, 2012

Multicompartment compliance aids in the community: the prevalence of potentially inappropriate medications.

March 1, 2017

The evolving role of medical scribe: variation and implications for organizational effectiveness and safety.

March 1, 2017

Sentinel events, serious reportable events, and root cause analysis.

March 25, 2015

Evaluating a new rapid response team: NP-led versus intensivist-led comparisons.

February 29, 2012

Good people who try their best can have problems: recognition of human factors and how to minimise error.

January 27, 2016

Putting knowledge into practice: does information on adverse drug interactions influence people's dosing behaviour?

February 22, 2017

Patient safety and professional discourses: implications for interprofessionalism.

May 14, 2014

Do micropauses prevent surgeon's fatigue and loss of accuracy associated with prolonged surgery? An experimental prospective study.

August 22, 2012

The effects of patient handoff characteristics on subsequent care: a systematic review and areas for future research.

November 7, 2012

"Water cooler" learning: knowledge sharing at the clinical "backstage" and its contribution to patient safety.

September 1, 2010

The host hospital 24-hour underreferral rate: an automated measure of call-center safety.

July 18, 2007

Elder abuse and neglect: an overlooked patient safety issue. A focus group study of nursing home leaders' perceptions of elder abuse and neglect.

April 1, 2020

Orders on file but no labs drawn: investigation of machine and human errors caused by an interface idiosyncrasy.

March 22, 2017

Using Lean to improve medication administration safety: in search of the "perfect dose."

May 1, 2013

Medication discrepancies in integrated electronic health records.

December 12, 2012

Physician autonomy and informed decision making: finding the balance for patient safety and quality.

January 14, 2009

The need for systems integration in health care.

March 9, 2011

An ethnography of parents' perceptions of patient safety in the neonatal intensive care unit.

January 8, 2020

Systematic literature review on the effectiveness and safety of paediatric hospital-at-home care as a substitute for hospital care.

May 17, 2023

Using Lean "automation with a human touch" to improve medication safety: a step closer to the "perfect dose."

July 30, 2014

Implementation of a custom alert to prevent medication-timing errors associated with computerized prescriber order entry.

September 16, 2015

Human patient simulation: teaching students to provide safe care.

September 26, 2007

What is the scale of prescribing errors committed by junior doctors? A systematic review.

January 14, 2009

Adverse events associated with procedural sedation and analgesia in a pediatric emergency department: a comparison of common parenteral drugs.

June 22, 2005

Computerized physician order entry in US hospitals: results of a 2002 survey.

March 6, 2005

Requirements for implementing a 'just culture' within healthcare organisations: an integrative review.

June 21, 2023

Association of current opioid use with serious adverse events among older adult survivors of breast cancer.

October 14, 2020

Essential activities for electronic health record safety: a qualitative study.

March 20, 2019

Defining patient safety in hospice: principles to guide measurement and public reporting.

June 27, 2012

Diet order entry by registered dietitians results in a reduction in error rates and time delays compared with other health professionals.

October 24, 2012

Learning from excellence in healthcare: a new approach to incident reporting.

October 19, 2016

A systematic review of the psychological literature on interruption and its patient safety implications.

October 12, 2011

Community Health Systems’ ongoing journey to zero preventable harm.

December 6, 2023

The critical need for nursing education to address the diagnostic process.

February 17, 2021

Teaching about how doctors think: a longitudinal curriculum in cognitive bias and diagnostic error for residents.

September 25, 2013

Lessons from "unexpected increased mortality after implementation of a commercially sold computerized physician order entry system."

August 16, 2006

Establishing a safe container for learning in simulation: the role of the presimulation briefing.

October 8, 2014

Should health care providers be forced to apologise after things go wrong?

January 28, 2015

Improving the quality and safety of patient care in cardiac anesthesia.

December 10, 2014

Missing diagnoses during the COVID-19 pandemic: a year in review.

June 23, 2021

Impact of pharmacist-led admission medication reconciliation on patient outcomes in a large health system.

September 20, 2023

Unpacking the complexity of COVID-19 fatalities: adverse events as contributing factors--a single-center, retrospective analysis of the first two years of the pandemic.

August 16, 2023

Reducing nosocomial transmission of COVID-19: implementation of a COVID-19 triage system.

October 28, 2020

Detecting and assessing suicide ideation during the COVID-19 pandemic.

May 26, 2021

‘Ladder’-based safety culture assessments inversely predict safety outcomes.

February 8, 2023

An exploratory study of knowledge brokering in hospital settings: facilitating knowledge sharing and learning for patient safety?

January 29, 2014

Team communication during patient handover from the operating room: more than facts and figures.

April 24, 2013

Using video recording to identify management errors in pediatric trauma resuscitation.

March 29, 2006

Minimising treatment-associated risks in systemic cancer therapy.

July 2, 2008

Is single room hospital accommodation associated with differences in healthcare-associated infection, falls, pressure ulcers or medication errors? A natural experiment with non-equivalent controls.

February 17, 2016

Errors and electronic prescribing: a controlled laboratory study to examine task complexity and interruption effects.

September 22, 2010

Surgical skill is predicted by the ability to detect errors.

May 25, 2005

The relationship between nursing home staffing and resident safety outcomes: a systematic review of reviews.

December 6, 2023

A call to action: next steps to advance diagnosis education in the health professions.

June 8, 2022

Types of unintended consequences related to computerized provider order entry.

September 20, 2006

The unintended consequences of computerized provider order entry: findings from a mixed methods exploration.

October 15, 2008

Assessing the anticipated consequences of computer-based provider order entry at three community hospitals using an open-ended, semi-structured survey instrument.

July 16, 2008

Computerized provider order entry adoption: implications for clinical workflow.

December 10, 2008

Psychological safety during the test of new work processes in an emergency department.

April 6, 2022

Quality standards for safe medication in nursing homes: development through a multistep approach including a Delphi consensus study.

October 27, 2021

System-based interprofessional simulation-based training program increases awareness and use of rapid response teams.

May 28, 2014

Adoption of order entry with decision support for chronic care by physician organizations.

July 18, 2007

Surgical confusions in ophthalmology.

November 14, 2007

Communicating with patients about medical errors: a review of the literature.

March 6, 2005

Association between language use and ICU transfer and serious adverse events in hospitalized pediatric patients who experience rapid response activation.

August 17, 2022

Standard practices for computerized clinical decision support in community hospitals: a national survey.

July 11, 2012

Undergraduate baccalaureate nursing students' self-reported confidence in learning about patient safety in the classroom and clinical settings: an annual cross-sectional study (2010–2013).

June 17, 2015

Managing and mitigating conflict in healthcare teams: an integrative review.

March 2, 2016

Trends in central line–associated bloodstream infections in a trauma-surgical intensive care unit.

April 6, 2011

Pharmacist-managed inpatient discharge medication reconciliation: a combined onsite and telepharmacy model.

January 7, 2015

The standardisation of handoffs in a large academic paediatric emergency department using I-PASS.

July 28, 2021

Unrealized potential and residual consequences of electronic prescribing on pharmacy workflow in the outpatient pharmacy.

July 9, 2014

Improving patient safety by repeating (read-back) telephone reports of critical information.

March 6, 2005

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.

April 28, 2021

Trust and medical AI: the challenges we face and the expertise needed to overcome them.

April 21, 2021

Persisting high rates of omissions during anesthesia induction are decreased by utilization of a pre- & post-induction checklist.

February 1, 2023

Necessity for a pathway for "high-alert" patients.

May 23, 2018

Interventions targeted at reducing diagnostic error: systematic review.

September 8, 2021

Beyond the team: understanding interprofessional work in two North American ICUs.

August 19, 2015

There is no such thing as a "nonjudgmental" debriefing: a theory and method for debriefing with good judgment.

April 12, 2006

Use of briefings and debriefings as a tool in improving team work, efficiency, and communication in the operating theatre.

May 11, 2011

Assessing the quality of patient handoffs at care transitions.

January 19, 2011

Junior doctors' reflections on patient safety.

March 21, 2012

Implementing universal suicide risk screening in a pediatric hospital.

August 18, 2021

Infusing fun into quality and safety initiatives.

January 30, 2013

Related Resources

Error traps in pediatric patient blood management in the perioperative period.

September 6, 2023

Just what the doctor ordered: missed ordering of venous thromboembolism chemoprophylaxis is associated with increased VTE events in high-risk general surgery patients.

August 30, 2023

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Am I safe? An interpretative phenomenological analysis of vulnerability as experienced by patients with complications following surgery.

January 18, 2023

Quality and Safety.

November 2, 2022

WebM&M Cases

Fecal Contamination of the Peritoneum from Laparoscopic Trocar Injury: A Routine Operation Goes Wrong.

October 27, 2022

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Trial and error: learning from malpractice claims in childhood surgery.

August 24, 2022

Adverse events in infants less than 6 months of age after ambulatory surgery and diagnostic imaging requiring anesthesia.

August 10, 2022

Pediatric surgical errors: a systematic scoping review.

July 20, 2022

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

Failure to rescue following emergency surgery: a FRAM analysis of the management of the deteriorating patient.

February 2, 2022

WebM&M Cases

Delayed Diagnosis and Treatment of an Occult Hemothorax Following Complicated Central Line Insertion Leads to Cardiac Arrest

January 26, 2022

Opioid prescribing to US children and young adults in 2019.

September 1, 2021

Outcomes from Wake Up Safe, the pediatric anesthesia quality improvement initiative.

February 3, 2021

Implementation of a parent-centered approach to the preinduction checklist in pediatric surgery.

February 3, 2021

Association between paediatric intraoperative anaesthesia handover and adverse postoperative outcomes.

January 20, 2021

Cognitive bias impact on management of postoperative complications, medical error, and standard of care.

November 4, 2020

Race, postoperative complications, and death in apparently healthy children.

August 12, 2020

The use of patient digital facial images to confirm patient identity in a children's hospital's anesthesia information management system.

January 15, 2020

Effect of cognitive aids on adherence to best practice in the treatment of deteriorating surgical patients: a randomized clinical trial in a simulation setting.

January 8, 2020

Before mea culpa, Children’s was confident its air systems weren’t source of infection

December 11, 2019

Preventing patient harm via adverse event review: An APSA survey regarding the role of morbidity and mortality (M&M) conference.

October 23, 2019

Engaging the patient and family in the surgical safety process utilizing SafeStart.

August 28, 2019

Prompting rounding teams to address a daily best practice checklist in a pediatric intensive care unit.

August 14, 2019

Impact of critical event checklists on anaesthetist performance in simulated operating theatre emergencies.

July 31, 2019

Association of coworker reports about unprofessional behavior by surgeons with surgical complications in their patients.

July 10, 2019

Implementing strategies to identify and mitigate adverse safety events: a case study with unplanned extubations.

February 27, 2019

Surgical safety checklists in children's surgery: surgeons' attitudes and review of the literature.

February 6, 2019

See More About The Topic

Operating Room

Children's Hospitals

Health Care Providers

Quality and Safety Professionals

Pediatric Surgery

Identifying medication errors in surgical prescription charts.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Identifying medication errors in surgical prescription charts.

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