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Medication safety event reporting: factors that contribute to safety events during times of organizational stress.

Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stress. J Nurs Care Qual. 2024;39(1):51-57. doi:10.1097/ncq.0000000000000720.

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May 24, 2023
Cohen TN, Berdahl CT, Coleman BL, et al. J Nurs Care Qual. 2024;39(1):51-57.
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Institutional error and near-miss reporting helps identify systemic weaknesses and areas for improvement. COVID-19 presented a unique environment to study error reporting during organizationally stressful times. In this study, incident reports of medication errors or near misses during a COVID-19 surge were analyzed. Skill-based (e.g., forgetting to administer a dose) and communication errors were the most common medication safety events.

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Cohen TN, Berdahl CT, Coleman BL, et al. Medication safety event reporting: factors that contribute to safety events during times of organizational stress. J Nurs Care Qual. 2024;39(1):51-57. doi:10.1097/ncq.0000000000000720.