Oxytocin as a high-alert medication: implications for perinatal patient safety.

Kathleen Rice Simpson; Eric Knox

Study

Oxytocin as a high-alert medication: implications for perinatal patient safety.

January 21, 2009

Simpson KR, Knox E. MCN Am J Matern Child Nurs. 2009;34(1):8-15; quiz 16-7.

View more articles from the same authors.

High-alert medications receive this designation when they involve a high risk of causing patient harm if improperly administered. This study discusses the types and frequency of errors with oxytocin, a high-alert medication used often in obstetrics.

PubMed citation

Available at

Related Resources From the Same Author(s)

Perinatal high reliability.

February 2, 2011

A comprehensive perinatal patient safety program to reduce preventable adverse outcomes and costs of liability claims.

October 28, 2009

Nurse-physician communication during labor and birth: implications for patient safety.

August 2, 2006

Michigan Health & Hospital Association Keystone Obstetrics: a statewide collaborative for perinatal patient safety in Michigan.

January 30, 2005

Emerging trends in perinatal quality and risk with recommendations for patient safety.

February 14, 2018

Perinatal patient safety and quality.

July 6, 2011

Measuring perinatal patient safety: review of current methods.

May 31, 2006

Patient safety implications of electronic alerts and alarms of maternal–fetal status during labor.

August 31, 2016

Psychometric properties of the perinatal missed care survey and missed care during labor and birth.

January 19, 2022

Linking patient safety climate with missed nursing care in labor and delivery units: findings from the LaborRNs survey.

April 12, 2023

Impact of duty hour regulations on medical students' education: views of key clinical faculty.

July 23, 2008

Time to tackle diagnostic errors. Physicians blame patient 'treadmill' for missed calls.

April 1, 2015

Hospitals slow to adopt patient apology policies.

September 2, 2015

Making checklists work: South Carolina's statewide experiment.

February 3, 2016

Hospitals often ignore policies on using qualified medical interpreters.

September 17, 2014

10 ways to guarantee a lawsuit.

July 27, 2005

The impact of team processes on psychiatric case management.

October 24, 2007

Morbidity and mortality conference in emergency medicine residencies and the culture of safety.

December 9, 2015

Error reporting as a preventive force.

July 13, 2005

Predictors of nursing home nurses' willingness to report medication near-misses.

May 13, 2020

The human factor. To improve patients safety, hospitals urged to adjust for how staff use new technology.

September 10, 2014

Human-based errors involving smart infusion pumps: a catalog of error types and prevention strategies.

September 9, 2020

Smart pumps improve medication safety but increase alert burden in neonatal care

December 4, 2019

Learning from mistakes: factors that influence how students and residents learn from medical errors.

May 24, 2006

The concept of shared mental models in healthcare collaboration.

December 11, 2013

New problems and iatrogenic events among older adults in the first 30 days of post-acute rehabilitation.

November 24, 2021

One hospital's initiatives to encourage safe opioid use.

July 15, 2015

Unanticipated death after discharge home from the emergency department.

July 4, 2007

Bias at warp speed: how AI may contribute to the disparities gap in the time of COVID-19.

September 9, 2020

It’s time to consider national culture when designing team training initiatives in healthcare.

January 27, 2021

Nurses' perceptions of safety culture in long-term care settings.

July 8, 2009

Nursing strategies to safeguard COVID-19 patients from harm in the intensive care unit.

December 8, 2021

A checklist to identify inpatient suicide hazards in Veterans Affairs hospitals.

February 17, 2010

Adverse incidents, patient flow and nursing workforce variables on acute psychiatric wards: the Tompkins Acute Ward Study.

February 28, 2007

Medicaid, hospital financial stress, and the incidence of adverse medical events for children.

March 7, 2012

Medicaid markets and pediatric patient safety in hospitals.

September 26, 2007

Examination of how a survey can spur culture changes using a quality improvement approach: a region-wide approach to determining a patient safety culture.

July 1, 2009

Beyond the clinical team: evaluating the human factors-oriented training of non-clinical professionals working in healthcare contexts.

July 17, 2019

A patient safety checklist for the cardiac catheterisation laboratory.

January 7, 2015

High risk prescribing in primary care patients particularly vulnerable to adverse drug events: cross sectional population database analysis in Scottish general practice.

July 6, 2011

Opioid prescribing and potential overdose errors among children 0 to 36 months old.

June 17, 2015

Identification of root causes for emergency diagnostic imaging delays at three Canadian hospitals.

August 9, 2006

Analysis of adverse events in pediatric surgery using criteria validated from the adult population: justifying the need for pediatric-focused outcome measures.

August 11, 2010

The frequency and nature of prescribing problems by general practitioners in training (REVISiT).

June 15, 2022

Implementation of a colour-coded universal protocol safety initiative in Guatemala.

August 8, 2018

Knowledge is power: averting safety-compromising events in the OR.

December 17, 2008

JCAHO's National Patient Safety Goals 2006.

February 15, 2006

Developing a culture of safety in ambulatory care settings.

May 30, 2007

Design and implementation of an automated email notification system for results of tests pending at discharge.

February 29, 2012

The potential for improved teamwork to reduce medical errors in the emergency department.

March 27, 2005

Evaluating the potential severity of look-alike, sound-alike drug substitution errors in children.

March 23, 2016

Effects of shift length on quality of patient care and health provider outcomes: systematic review.

June 10, 2009

Sources and types of discrepancies between electronic medical records and actual outpatient medication use.

September 24, 2008

Understanding the root cause analysis process to increase safety event reporting.

July 5, 2023

Complying with ACGME resident duty hours restrictions: restructuring the 80-hour workweek to enhance education and patient safety at Texas A&M/Scott & White Memorial Hospital.

December 13, 2006

Medication errors in critical care: risk factors, prevention and disclosure.

May 13, 2009

Measuring the cost of hospital adverse patient safety events.

November 10, 2010

Complying with the 2008 national patient safety goals.

March 26, 2008

Significant and sustained reduction in chemotherapy errors through improvement science.

April 5, 2017

Parents' perceptions of medical errors.

June 16, 2010

A patient-centered prescription drug label to promote appropriate medication use and adherence.

January 18, 2017

Teaching patient safety in global health: lessons from the Duke Global Health Patient Safety Fellowship.

April 17, 2019

Medication errors in the home: a multisite study of children with cancer.

May 15, 2013

A systems approach to address the impact of second victim phenomenon.

December 9, 2020

Solving alarm fatigue with smartphone technology.

January 23, 2019

Studying patient safety in health care organizations: accentuate the qualitative.

January 18, 2006

Changing the work environment in ICUs to achieve patient-focused care: the time has come.

November 22, 2006

The Safety Organizing Scale: development and validation of a behavioral measure of safety culture in hospital nursing units.

February 14, 2007

The impact of safety organizing, trusted leadership, and care pathways on reported medication errors in hospital nursing units.

October 10, 2007

The prosecution of RaDonda Vaught: an ethical and legal mistake.

December 21, 2022

Barriers and facilitators to incident reporting in mental healthcare settings: a qualitative study.

November 13, 2019

Fixed-dose combination antihypertensives and risk of medication errors.

October 3, 2018

The high-reliability pediatric intensive care unit.

May 22, 2013

Cultural diversity: what role does it play in patient safety?

August 25, 2010

Patient safety culture in nursing: a dimensional concept analysis.

July 30, 2008

Influence of workplace demands on nurses' perception of patient safety.

June 18, 2008

Communication failures: an insidious contributor to medical mishaps.

April 15, 2005

Hospitals as cultures of entrapment: a re-analysis of the Bristol Royal Infirmary.

April 25, 2007

Clinical clerkship students' perceptions of (un)safe transitions for every patient.

May 14, 2014

The relationship between early emergency team calls and serious adverse events.

January 7, 2009

Improving teamwork in healthcare: current approaches and the path forward.

January 30, 2005

The harms of promoting 'Zero Harm'.

February 19, 2020

Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit.

February 21, 2018

TeamSTEPPS in long-term care- an academic partnership: part 1 and part 2.

January 11, 2017

Re-examining high reliability: actively organising for safety.

May 18, 2016

Post event debriefs: a commitment to learning how to better care for patients and staff.

January 13, 2016

Near misses: paradoxical realities in everyday clinical practice.

February 11, 2009

Unintended consequences: quantifying the benefits, iatrogenic harms and downstream cascade costs of musculoskeletal MRI in UK primary care.

August 11, 2021

SBAR: a shared mental model for improving communication between clinicians.

March 8, 2006

Residents' responses to medical error: coping, learning, and change.

January 11, 2006

Preventing surgical site infections: implementing strategies throughout the perioperative continuum.

July 19, 2023

Triggers for emergency team activation: a multicenter assessment.

April 7, 2010

Timing and interventions of emergency teams during the MERIT study.

December 9, 2009

Impact of SARS-CoV-2 on hospital acquired infection rates in the United States: predictions and early results.

November 25, 2020

Nursing practice with hospitalised older people: safety and harm.

June 5, 2019

Physician Quality Officer: a new model for engaging physicians in quality improvement.

June 24, 2009

Comparative issues in aviation and surgical crew resource management: (1) are we too solution focused?

September 10, 2008

What attributes of patients affect their involvement in safety? A key opinion leaders' perspective.

September 18, 2013

The medical emergency team system and not-for-resuscitation orders: results from the MERIT Study.

November 12, 2008

The design and conduct of Project RedDE: a cluster-randomized trial to reduce diagnostic errors in pediatric primary care.

May 15, 2019

Related Resources

WebM&M Cases

Sleep Deprivation Leads to Medication Error During Spinal Epidural Anesthesia.

August 30, 2023

WebM&M Cases

Misconnection Leading to Arterial Thrombosis

June 28, 2023

WebM&M Cases

Hurried Team Huddle and Poor Communication: Unsafe Practice During Anesthesia for Emergency Cesarean Delivery.

June 28, 2023

Perspective

Maternal Safety and Perinatal Mental Health

March 29, 2023

Interview

In Conversation with Christie Allen about Maternal Safety and Perinatal Mental Health

March 28, 2023

Eliminating racial and ethnic disparities causing mortality and morbidity in pregnant and postpartum patients.

January 25, 2023

Accuracy of spinal anesthesia drug concentrations in mixtures prepared by anesthetists.

January 11, 2023

Patient Safety Innovations

A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries

July 8, 2022

Distinguishing high-performing from low-performing hospitals for severe maternal morbidity: a focus on quality and equity.

July 6, 2022

The effects of leadership curricula with and without implicit bias training on graduate medical education: a multicenter randomized trial.

May 18, 2022

As a nurse faces prison for a deadly error, her colleagues worry: could I be next?

March 30, 2022

Communication regarding adverse neonatal birth events: experiences of parents and clinicians.

December 1, 2021

Each Baby Counts.

April 1, 2021

Maternal and neonatal health care worker well-being and patient safety climate amid the COVID-19 pandemic.

March 31, 2021

Using the ecological systems theory to understand black/white disparities in maternal morbidity and mortality in the United States.

August 26, 2020

Preventing critical failure. Can routinely collected data be repurposed to predict avoidable patient harm? A quantitative descriptive study.

January 29, 2020

Burnout and Resilience and Quality and Safety Programs in Obstetrics and Gynecology.

August 21, 2019

WebM&M Cases

Failure to Rescue the Mother

July 2, 2019

Patient Safety in Obstetrics and Gynecology.

May 29, 2019

In-situ interprofessional perinatal drills: the impact of a structured debrief on maximizing training while sensing patient safety threats.

May 22, 2019

May 15, 2019

Understanding the heterogeneity of labor and delivery units: using design thinking methodology to assess environmental factors that contribute to safety in childbirth.

May 8, 2019

Recommendations from a national panel on quality improvement in obstetrics.

April 24, 2019

A multidisciplinary model for reviewing severe maternal morbidity cases and teaching residents patient safety principles.

April 17, 2019

Second victims need emotional support after adverse events: even in a just safety culture.

April 3, 2019

Why do hundreds of US women die annually in childbirth?

March 27, 2019

How to be a very safe maternity unit: an ethnographic study.

February 20, 2019

Reversing the rise in maternal mortality.

January 16, 2019

Mix-ups between epidural analgesia and IV antibiotics in labor and delivery units continue to cause harm.

October 17, 2018

ISMP's List of High-Alert Medications in Acute Care Settings.

August 23, 2018

See More About The Topic

Labor and Delivery

Health Care Providers

Health Care Executives and Administrators

Obstetrics

Administration Errors

Oxytocin as a high-alert medication: implications for perinatal patient safety.

A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Oxytocin as a high-alert medication: implications for perinatal patient safety.

A Statewide Collaborative to Support Vaginal Birth and Reduce Unnecessary Cesarean Deliveries

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