Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.

Peter Gilbar; Carole Chambers; Maria Larizza

Study

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.

February 26, 2014

Gilbar P, Chambers C, Larizza M. J Oncol Pharm Pract. 2015;21(1):10-8.

View more articles from the same authors.

The chemotherapy drug vincristine almost always causes fatal toxicity if it is incorrectly administered intrathecally (via spinal injection) rather than intravenously. This hazard is well publicized, but accidental administration of intrathecal vincristine continues to occur. This survey of oncology pharmacists found that many pharmacies still lack appropriate safeguards to prevent such errors.

PubMed citation

Available at

Related Resources From the Same Author(s)

A medication error prevention survey: five years of results.

January 7, 2009

Oncology medication safety: a 3D status report 2008.

November 5, 2008

Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.

December 3, 2014

Intrathecal chemotherapy: potential for medication error.

December 4, 2013

Using a network organisational architecture to support the development of Learning Healthcare Systems.

February 21, 2018

Association of work environment with missed and rushed care: tasks among care aides in nursing homes.

March 11, 2020

Seeking answers, hearing silence.

August 22, 2018

Professional, structural and organisational interventions in primary care for reducing medication errors.

October 18, 2017

Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study.

June 14, 2017

Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review.

May 16, 2012

Multimorbidity and patient safety incidents in primary care: a systematic review and meta-analysis.

October 14, 2015

Data-driven implementation of alarm reduction interventions in a cardiovascular surgical ICU.

February 8, 2017

Benefits of direct observation in medication administration to detect errors.

January 9, 2008

Elective surgical patients' narratives of hospitalization: the co-construction of safety.

March 5, 2014

The Sorry Works! Coalition: making the case for full disclosure.

June 7, 2006

Disclosing medical errors: prioritising the needs of patients and families.

July 5, 2023

A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.

April 24, 2019

Incoming interns recognize inadequate physical examination as a cause of patient harm.

July 15, 2020

The impact of patient and public involvement on UK NHS health care: a systematic review.

January 30, 2005

Is detection of adverse events affected by record review methodology? An evaluation of the "Harvard Medical Practice Study" method and the "Global Trigger Tool."

May 8, 2013

The effectiveness of electronic differential diagnoses (DDX) generators: a systematic review and meta-analysis.

March 30, 2016

Abandon the term "second victim."

April 10, 2019

How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies.

September 18, 2019

Who killed patient safety?

July 20, 2022

Medication room madness: calming the chaos.

November 4, 2009

Variation in electronic test results management and its implications for patient safety: a multisite investigation.

August 19, 2020

Prevalence and nature of adverse medical device events in hospitalized children.

June 26, 2013

Sentara Norfolk General Hospital: accelerating improvement by focusing on building a culture of safety.

March 6, 2005

Tracking rates of patient safety indicators over time: lessons from the Veterans Administration.

September 6, 2006

Developing a systematic approach to safer medication use during pregnancy: summary of a Centers for Disease Control and Prevention–convened meeting.

November 12, 2014

Potentially inappropriate prescribing in older people with dementia in care homes: a retrospective analysis.

February 15, 2012

SBAR improves communication and safety climate and decreases incident reports due to communication errors in an anaesthetic clinic: a prospective intervention study.

February 12, 2014

Multidisciplinary crisis simulations: the way forward for training surgical teams.

July 18, 2007

Health literacy and quality: focus on chronic illness care and patient safety.

November 18, 2009

Effects of an integrated clinical information system on medication safety in a multi-hospital setting.

October 17, 2007

Nurses' perceptions and demands regarding COVID-19 care delivery in critical care units and hospital emergency services.

December 2, 2020

Higher incidence of adverse events in isolated patients compared with non-isolated patients: a cohort study.

November 18, 2020

Controlled interventions to reduce burnout in physicians: a systematic review and meta-analysis.

December 21, 2016

Implementing situation-background-assessment-recommendation in an anaesthetic clinic and subsequent information retention among receivers: a prospective interventional study of postoperative handovers.

June 1, 2016

Registered nurses' and medical doctors' experiences of patient safety in health information exchange during interorganizational care transitions: a qualitative review.

November 10, 2021

COVID-19 hospital outbreaks: protecting healthcare workers to protect frail patients. An Italian observational cohort study.

February 3, 2021

Burnout in the nursing home health care aide: a systematic review.

August 31, 2016

Assessing quality of older persons' emergency transitions between long-term and acute care settings: a proof-of-concept study.

May 18, 2022

Building and sustaining a systemwide culture of safety.

December 14, 2005

Preventable medication harm across health care settings: a systematic review and meta-analysis.

February 17, 2021

Prevalence, severity, and nature of preventable patient harm across medical care settings: systematic review and meta-analysis.

July 31, 2019

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

September 28, 2011

Communication on safe caregiving between community nurse case managers and family caregivers.

April 7, 2021

Impact of a national multimodal intervention to prevent catheter-related bloodstream infection in the ICU: the Spanish experience.

September 18, 2013

COVID-19: making the right diagnosis.

August 5, 2020

Teaching students to administer medications safely.

April 19, 2017

Continuing education in patient safety: massive open online courses as a new training tool.

October 21, 2015

A multifaceted program for improving quality of care in intensive care units: IATROREF study.

April 18, 2012

A narrative review of strategies to increase patient safety event reporting by residents.

September 30, 2020

Impact of simulation-based closed-loop communication training on medical errors in a pediatric emergency department.

May 6, 2020

Distractions in the anesthesia work environment: impact on patient safety? Report of a meeting sponsored by the Anesthesia Patient Safety Foundation.

June 28, 2017

Patient safety when receiving telephone advice in primary care - a Swedish qualitative interview study.

February 23, 2022

Identification of adverse events at an orthopedics department in Sweden.

July 30, 2008

Intervention study for the reduction of medication errors in elderly trauma patients.

September 2, 2020

Robotic dispensing improves patient safety, inventory management, and staff satisfaction in an outpatient hospital pharmacy.

September 12, 2018

Development of a trigger tool to identify adverse drug events in elderly patients with multimorbidity.

August 30, 2017

Effect of automated unit dose dispensing with barcode scanning on medication administration errors: an uncontrolled before-and-after study.

December 1, 2021

Potential preanalytical and analytical vulnerabilities in the laboratory diagnosis of coronavirus disease 2019 (COVID-19).

April 29, 2020

PSYCH: a mnemonic to help psychiatric residents decrease patient handoff communication errors.

June 29, 2016

Root causes of errors in a simulated prehospital pediatric emergency.

February 29, 2012

Medication errors in an intensive care unit.

May 20, 2009

'More than words' - interpersonal communication, cognitive bias and diagnostic errors.

August 11, 2021

Facilitators and barriers of care transitions - comparing the perspectives of hospital and community healthcare staff.

June 16, 2021

How RNs rescue patients: a qualitative study of RNs' perceived involvement in rapid response teams.

May 12, 2010

Medication errors in a neonatal intensive care unit.

April 16, 2008

Improving medication appropriateness in nursing homes via structured interprofessional medication-review supported by health information technology: a non-randomized controlled study.

February 24, 2021

Delayed flow is a risk to patient safety: a mixed method analysis of emergency department patient flow.

January 20, 2021

A qualitative evaluation of healthcare professionals' perceptions of adverse events focusing on communication and teamwork in maternity care.

March 27, 2019

A quality improvement initiative to reduce safety events among adolescents hospitalized after a suicide attempt.

May 15, 2019

Hospital safety climate and safety behavior: a social exchange perspective.

September 27, 2017

A practical guide to Failure Mode and Effects Analysis in health care: making the most of the team and its meetings.

August 4, 2010

Coping strategies in health care providers as second victims: a systematic review.

August 4, 2021

Cognitive processes involved in blame and blame-like judgments and in forgiveness and forgiveness-like judgments.

May 9, 2007

Disparate perspectives: exploring healthcare professionals' misaligned mental models of older adults' transitions of care between the emergency department and skilled nursing facility.

July 21, 2021

Classifying adverse events in the dental office.

September 6, 2017

Certified registered nurse anesthetist perceptions of factors impacting patient safety.

April 26, 2017

'The ABC of Handover': impact on shift handover in the emergency department.

February 8, 2012

Development and validation of a tool to assess emergency physicians' nontechnical skills.

April 18, 2012

Identifying nontechnical skills associated with safety in the emergency department: a scoping review of the literature.

April 18, 2012

Errors and error-producing conditions during a simulated, prehospital, pediatric cardiopulmonary arrest.

June 11, 2014

Adverse events in hospitalized paediatric patients: a systematic review and a meta-regression analysis.

May 28, 2014

Can patients contribute to enhancing the safety and effectiveness of test-result follow-up? Qualitative outcomes from a health consumer workshop.

June 2, 2021

Errors in the administration of intravenous medication in Brazilian hospitals.

October 10, 2007

Communication patterns in a UK emergency department.

October 10, 2007

Dissemination of Lean methods to improve Pap testing quality and patient safety.

April 8, 2008

Automated drug dispensing system reduces medication errors in an intensive care setting.

September 29, 2010

Medication reconciliation for patients after their discharge from intensive care unit to the hospital ward.

July 19, 2023

Identifying no-harm incidents in home healthcare: a cohort study using trigger tool methodology.

August 5, 2020

What does safety in mental healthcare transitions mean for service users and other stakeholder groups: an open-ended questionnaire study.

March 3, 2021

Pharmacist-led program to improve transitions from acute care to skilled nursing facility care.

July 8, 2020

Development of a trigger tool to identify adverse events and no-harm incidents that affect patients admitted to home healthcare.

October 18, 2017

Communication in interdisciplinary teams: exploring closed-loop communication during in situ trauma team training.

December 4, 2013

Junior doctors' reflections on patient safety.

March 21, 2012

Work conditions, mental workload and patient care quality: a multisource study in the emergency department.

October 14, 2015

Interdisciplinary and interprofessional communication intervention: how psychological safety fosters communication and increases patient safety.

July 26, 2023

Related Resources

Hospitalization due to adverse drug events in older adults with cancer: a retrospective analysis.

August 2, 2023

STAMP: a 5-year project to reduce paediatric prescribing errors.

April 19, 2023

Effect of a pharmacy-based centralized intravenous admixture service on the prevalence of medication errors: a before-and-after study.

August 10, 2022

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

December 22, 2021

FDA updates vinca alkaloid labeling for preparation in intravenous infusion bags only.

February 3, 2021

A blinded, prospective study of error detection during physician chart rounds in radiation oncology.

October 14, 2020

Oncology pharmacist-led medication reconciliation among cancer patients initiating chemotherapy.

July 29, 2020

Differences between methods of detecting medication errors: a secondary analysis of medication administration errors using incident reports, the Global Trigger Tool method, and observations.

June 24, 2020

Impact of an electronic health record transition on chemotherapy error reporting.

June 17, 2020

Is one-pen, one-patient achievable in the hospital? A quality improvement project to reduce risks of inadvertent insulin pen sharing at a large academic medical center.

January 29, 2020

Pharmaceutical interventions to improve safety of chemotherapy-treated cancer patients: a cross-sectional study.

February 27, 2019

Patient involvement in evaluation of safety in oral antineoplastic treatment: a failure mode and effects analysis in patients and health care professionals.

February 20, 2019

Avoiding chemotherapy prescribing errors: analysis and innovative strategies.

February 13, 2019

Risk factors for adverse events in patients with breast, colorectal, and lung cancer.

May 23, 2018

Intravenous chemotherapy compounding errors in a follow-up pan-Canadian observational study.

May 9, 2018

Chemotherapy medication errors.

April 11, 2018

Instituting vincristine minibag administration: an innovative strategy using simulation to enhance chemotherapy safety.

December 6, 2017

Eliminating vincristine administration events.

November 29, 2017

Implementation of safeguards to improve patient safety in chemotherapy.

September 20, 2017

Preventable and mitigable adverse events in cancer care: measuring risk and harm across the continuum.

September 6, 2017

Interventions to improve oral chemotherapy safety and quality: a systematic review.

June 21, 2017

Just Bag It.

November 30, 2016

Injuries before and after diagnosis of cancer: nationwide register based study.

October 19, 2016

Chemotherapy errors: a call for a standardized approach to measurement and reporting.

June 1, 2016

From a reactive to a proactive safety approach. Analysis of medication errors in chemotherapy using general failure types.

October 28, 2015

SIMMEON-Prep study: SIMulation of Medication Errors in ONcology: prevention of antineoplastic preparation errors.

December 17, 2014

Establishing an international baseline for medication safety in oncology: findings from the 2012 ISMP International Medication Safety Self Assessment for Oncology.

December 3, 2014

Computerized prescriber order entry in the outpatient oncology setting: from evidence to meaningful use.

September 10, 2014

An observational study of how patients are identified before medication administrations in medical and surgical wards.

August 13, 2014

Mitigating errors caused by interruptions during medication verification and administration: interventions in a simulated ambulatory chemotherapy setting.

July 2, 2014

See More About The Topic

Hospitals

Health Care Providers

Quality and Safety Professionals

Safety Scientists

Medical Oncology

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Medication safety and the administration of intravenous vincristine: international survey of oncology pharmacists.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

PSNet Log in

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