Pediatric medication errors and reduction strategies in the perioperative period.

Review

Pediatric medication errors and reduction strategies in the perioperative period.

November 24, 2021

Bekes JL, Sackash CR, Voss AL, et al. AANA J. 2021;89(4):319-324.

Pediatric medication errors during anesthesia can lead to significant harm and are largely preventable. This review identifies several themes around medication errors including dosing and incorrect medication. Successful error reduction strategies, such as standardized labeling and pre-filled syringes, are also described.

PubMed citation

Free full text

Related Resources From the Same Author(s)

A systematic review of nursing practice workarounds.

October 19, 2022

A safe practice standard for barcode technology.

June 3, 2015

Second victim: a traumatic experience.

June 16, 2021

Preventing Medication Errors: Quality Chasm Series.

July 26, 2006

Child-specific risk factors and patient safety.

May 11, 2005

Risk assessment of the acute stroke diagnostic process using failure modes, effects, and criticality analysis.

March 1, 2023

Perspective: a culture of respect—part 1 and part 2.

June 20, 2012

Crowd-sourced hospital ratings are correlated with patient satisfaction but not surgical safety.

June 9, 2021

Surgical site infection prevention: a review.

February 1, 2023

Safer prescribing and care for the elderly (SPACE): cluster randomised controlled trial in general practice.

December 15, 2021

Predicting self-intercepted medication ordering errors using machine learning.

September 1, 2021

Breast cancer screening and overdiagnosis.

August 11, 2021

Human factors in anaesthesia: a narrative review.

February 15, 2023

Keeping our Promises: Research, Practice, and Policy Issues in Health Care Reliability.

August 16, 2006

Medication use and cognitive impairment among residents of aged care facilities.

June 23, 2021

Nurse sensemaking for responding to patient and family safety concerns.

March 17, 2021

Feasibility of patient-reported diagnostic errors following emergency department discharge: a pilot study.

October 28, 2020

Emergency physician perceptions of electronic health record usability and safety.

May 12, 2021

Association between operative autonomy of surgical residents and patient outcomes.

March 23, 2022

Effect of illness severity and comorbidity on patient safety and adverse events.

November 9, 2011

Leadership style and patient safety: implications for nurse managers.

August 26, 2015

Emergency department discharge prescription interventions by emergency medicine pharmacists.

June 20, 2012

Awareness of human factors in the operating theatres during the COVID-19 pandemic.

January 13, 2021

Patient Safety Innovations

Awareness of human factors in the operating theatres during the COVID-19 pandemic

October 27, 2021

Metric units and the preferred dosing of orally administered liquid medications.

April 15, 2015

Preventable closed claims in the AANA Foundation closed malpractice claims database.

February 12, 2020

Preventing pregnancy-related mental health deaths: insights from 14 US maternal mortality review committees, 2008-17.

October 20, 2021

Usability and accessibility of publicly available patient safety databases.

June 1, 2022

Support methods for healthcare professionals who are second victims: an integrative review.

July 27, 2022

Medication rounds: a tool to promote medication safety for children with medical complexity.

March 8, 2023

Patient voices in hospital safety during the COVID-19 pandemic.

November 2, 2022

Effects of a refined evidence-based toolkit and mentored implementation on medication reconciliation at 18 hospitals: results of the MARQUIS2 study.

May 19, 2021

Nurses' perceptions of simulation-based interprofessional training program for rapid response and code blue events.

September 21, 2011

Knowledge-based information to improve the quality of patient care.

February 25, 2009

Lifetime prevalence and correlates of patient-perceived medical errors experienced in the U.S. ambulatory setting: a population-based study.

November 18, 2020

Development and pilot evaluation of an electronic health record usability and safety self-assessment tool.

August 24, 2022

Technology-based closed-loop tracking for improving communication and follow-up of pathology results.

February 2, 2022

Can positivity promote safety? Psychological capital development combats cynicism and unsafe behavior.

July 10, 2019

ISMP medication error report analysis.

October 29, 2008

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Comparative performance of pediatric weight estimation techniques: a human factor errors analysis.

November 1, 2017

Assessing resident and attending error and adverse events in the emergency department.

March 2, 2022

Seven Leadership Leverage Points for Organization-Level Improvement in Health Care. Second edition.

June 1, 2005

Patient Safety Innovations

There is an app for that: mobile technology improves complication reporting and resident perception of their role in patient safety

September 29, 2021

Effect of pharmacist counseling intervention on health care utilization following hospital discharge: a randomized control trial.

June 8, 2016

Electronic health record legal settlements in the US since the 2009 Health Information Technology for Economic and Clinical Health Act.

December 21, 2022

Implementing patient safety and quality improvement in dermatology.

October 4, 2023

Lessons from the Denver medication error/criminal negligence case: look beyond blaming individuals.

March 6, 2005

Just culture: the foundation of staff safety in the perioperative environment.

May 12, 2021

Implementing Optimal Team-Based Care to Reduce Clinician Burnout.

September 19, 2018

Perceptions of working conditions and safety concerns in community pharmacy.

September 8, 2021

Survey of cancer care providers' attitude toward care for older adults with cancer during the COVID-19 pandemic.

November 25, 2020

Delayed access to care and late presentations in children during the COVID-19 pandemic: a snapshot survey of 4075 paediatricians in the UK and Ireland.

July 29, 2020

Emergency medicine physicians' perspectives on diagnostic accuracy in neurology: a qualitative study.

July 6, 2022

Adopting system models for multiple incident analysis: utility and usability.

October 27, 2021

Hospital cultural competency and attributes of patient safety culture: a study of U.S. hospitals.

November 17, 2021

Recommendations for the safe, effective use of adaptive CDS in the US healthcare system: an AMIA position paper.

April 21, 2021

Effect of patient- and medication-related factors on inpatient medication reconciliation errors.

March 7, 2012

Racial bias among emergency providers: strategies to mitigate its adverse effects.

May 26, 2021

Prescribers' perspectives on including reason for use information on prescriptions and medication labels: a qualitative thematic analysis.

March 10, 2021

A partially structured postoperative handoff protocol improves communication in 2 mixed surgical intensive care units: findings from the Handoffs and Transitions in Critical Care (HATRICC) prospective cohort study.

February 6, 2019

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis.

March 31, 2021

Sitters as a patient safety strategy to reduce hospital falls: a systematic review.

February 26, 2020

Assessment of patients' ability to review electronic health record information to identify potential errors: cross-sectional web-based survey.

March 10, 2021

Use and impact of virtual primary care on quality and safety: the public's perspectives during the COVID-19 pandemic.

January 12, 2022

Safety implications of remote assessments for suspected COVID-19: qualitative study in UK primary care.

March 23, 2022

Care coordination strategies and barriers during medication safety incidents: a qualitative, cognitive task analysis.

March 10, 2021

Nurse bias and nursing care disparities related to patient characteristics: a scoping review of the quantitative and qualitative evidence

December 1, 2021

Perspectives on patient and family engagement with reduction in harm: the forgotten voice.

August 15, 2018

Economic impact of medication error: a systematic review.

May 17, 2017

Distraction in the operating room: a narrative review of environmental and self-initiated distractions and their effect on anesthesia providers.

December 16, 2020

Incidence of adverse events and negligence in hospitalized patients. Results of the Harvard Medical Practice Study I.

March 27, 2005

Emergency intubation of children outside of the operating room.

February 26, 2020

Health Informatics, Healthcare Quality and Safety, and Healthcare Simulation: the New Triad to Advance Healthcare Operations

January 22, 2020

Exploring the concept of medication discrepancy within the context of patient safety to improve population health.

December 9, 2009

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

A mixed-methods systematic review of interventions to address incivility in nursing.

July 15, 2020

The impact of internal service quality on preventable adverse events in hospitals.

March 27, 2019

Oxford Professional Practice: Handbook of Patient Safety.

July 27, 2022

Noise: a Flaw in Human Judgement.

August 25, 2021

Procuring Interoperability: Achieving High-Quality, Connected, and Person-Centered Care.

October 24, 2018

Artificial Intelligence in Health Care: The Hope, the Hype, the Promise, the Peril.

December 1, 2019

Advances in Patient Safety: From Research to Implementation.

May 11, 2005

Are personal health records (PHRs) facilitating patient safety? A scoping review.

June 15, 2022

Providers' and patients' perspectives on diagnostic errors in the acute care setting.

February 15, 2023

Effectiveness and safety of pulse oximetry in remote patient monitoring of patients with COVID-19: a systematic review.

April 20, 2022

Factors influencing patient safety during postoperative handover.

December 14, 2016

Use of personal electronic devices by nurse anesthetists and the effects on patient safety.

May 25, 2016

Implementing, Studying, and Reporting Health System Improvement in the Era of Electronic Health Records.

June 24, 2020

The patient safety battles—put on your armor.

October 4, 2006

Cold debriefings after in-hospital cardiac arrest in an international pediatric resuscitation quality improvement collaborative.

September 2, 2020

National surveillance of emergency department visits for outpatient adverse drug events in children and adolescents.

March 5, 2008

Defining the Role of Social Sciences in Patient Safety.

December 16, 2015

Improving Usability, Safety and Patient Outcomes With Health Information Technology.

February 27, 2019

CLER Report of Findings 2021: Subprotocol for Operative and Procedural Areas.

April 28, 2021

Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation.

November 8, 2023

Changes in error patterns in unanticipated trauma deaths during 20 years: in pursuit of zero preventable deaths.

March 24, 2021

Patient feedback for safety improvement in primary care: results from a feasibility study.

July 29, 2020

The Failure Issue.

April 6, 2011

Call-shift fatigue and use of countermeasures and avoidance strategies by certified registered nurse anesthetists: a national survey.

June 17, 2015

Related Resources

Safety and Human Performance in the Operating Room and Other Extreme Environments.

March 27, 2024

Time for prefilled syringes - everywhere.

March 13, 2024

Handbook of Perioperative and Procedural Patient Safety.

February 7, 2024

WebM&M Cases

Syringe Swap During Regional Block: A Case of Medication Error and Recovery.

January 31, 2024

Research from webAIRS incident reporting system.

November 29, 2023

Technology, Education and Safety

November 15, 2023

Anesthesia workspaces for safe medication practices: design guidelines.

November 15, 2023

Perioperative team-based morbidity and mortality conferences: a systematic review of the literature.

October 11, 2023

Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review.

September 27, 2023

Handling injectable medications in anaesthesia: Guidelines from the Association of Anaesthetists.

August 23, 2023

Guidelines on Human Factors in Critical Situations 2023.

August 9, 2023

The additional cost of perioperative medication errors

July 5, 2023

Impact of fatigue on anaesthesia providers: a scoping review.

June 14, 2023

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review.

June 14, 2023

Use of technology to improve the adherence to surgical safety checklists in the operating room.

May 31, 2023

Impact of the percentage of overlapping surgery on patient outcomes: a retrospective cohort study of 87,000 surgical cases.

May 3, 2023

WebM&M Cases

Endotracheal Tube Fallout in a Patient with Severe Obesity During Eye Surgery.

March 29, 2023

WebM&M Cases

Medication Handling and Compounding Errors in the Operating Room.

March 15, 2023

Compliance with and barriers to implementing the surgical safety checklist: a mixed-methods study.

March 8, 2023

Cognitive biases in surgery: systematic review.

March 1, 2023

Implementing human factors in anaesthesia: guidance for clinicians, departments and hospitals: Guidelines from the Difficult Airway Society and the Association of Anaesthetists.

March 1, 2023

Artificial intelligence, patient safety, and achieving the quintuple aim in anesthesiology.

February 22, 2023

Human factors in anaesthesia: a narrative review.

February 15, 2023

Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review.

December 14, 2022

Technology, Education and Safety.

December 7, 2022

Preventing medication errors in pediatric anesthesia: a systematic scoping review.

November 9, 2022

Quality and Safety.

November 2, 2022

Standardization of pediatric noncardiac operating room to intensive care unit handoffs improves communication and patient care.

October 5, 2022

Eliminating Unintentionally Retained Surgical Items - Special Report.

September 21, 2022

See More About The Topic

Outpatient Surgery

Operating Room

Quality and Safety Professionals

Anesthesiology

Pediatric Surgery