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Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices.

Duffy CC, Bass GA, Duncan J, et al. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. J Patient Saf. Epub 2020 Oct 4. doi: 10.1097/pts.0000000000000785

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October 28, 2020
Duffy CC, Bass GA, Duncan JR, et al. J Patient Saf. 2022;18(1):16-25.

Incident reporting systems are central to most patient safety programs, but studies have identified barriers to effective use. This study used clinical vignettes describing a medication error or near miss to explore error awareness and attitudes towards reporting and disclosure among anesthesiologists. Approximately one-third of anesthesiologists recalled having had medication safety training. Perioperative medication error awareness and assessment of potential harm were variable, and the likelihood of patient disclosure and incident reporting was low. Education programs utilizing vignettes should be utilized to raise awareness about error reporting and disclosure behaviors.  

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Duffy CC, Bass GA, Duncan J, et al. Medication errors in anesthesiology: is it time to train by example? Vignettes can assess error awareness, assessment of harm, disclosure, and reporting practices. J Patient Saf. Epub 2020 Oct 4. doi: 10.1097/pts.0000000000000785

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