Journal Article

Infusion medication error reduction by two-person verification: a quality improvement initiative.

Subramanyam R, Mahmoud M, Buck D, et al. Pediatrics. 2016;138.

Infusion pump programming is vulnerable to human error. This commentary describes how an improvement initiative tested a two-person verification strategy. Project leaders employed educational and feedback strategies along with plan-do-study-act cycles. The initiative resulted in reduced errors in pump programming and improvements in safety culture.