Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

Eran Kozer; Winnie Seto; Zulfikaral Verjee; Chris Parshuram; Sohail Khattak; Gideon Koren; Anna Jarvis

Study

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

March 6, 2005

Kozer E, Seto W, Verjee Z, et al. BMJ. 2004;329(7478):1321.

View more articles from the same authors.

PubMed citation

Available at

Free full text

Related Resources From the Same Author(s)

Systematic evaluation of errors occurring during the preparation of intravenous medication.

February 13, 2008

Using a preprinted order sheet to reduce prescription errors in a pediatric emergency department: a randomized, controlled trial.

December 21, 2005

Drug formulations that require potentially inaccurate volumes to prepare doses for infants and children.

February 16, 2011

The proportion of errors in medical prescriptions and their executions among hospitalized children before and during accreditation.

September 13, 2017

Comparison of adverse events during procedural sedation between specially trained pediatric residents and pediatric emergency physicians in Israel.

July 30, 2008

Medication prescribing errors in the prehospital setting and in the ED.

September 14, 2011

A "Do No Harm" novel safety checklist and research approach to determine whether to launch an artificial intelligence-based medical technology: introducing the Biological-Psychological, Economic, and Social (BPES) Framework.

July 5, 2023

Discrepant advanced directives and code status orders: a preventable medical error.

October 2, 2019

Prevention of a wrong-location misadministration through the use of an intradepartmental incident learning system.

January 16, 2013

Associations of physicians’ prescribing experience, work hours, and workload with prescription errors.

November 18, 2020

Patients' identification and reporting of unsafe events at six hospitals in Japan.

November 9, 2011

Safety implications of different forms of understaffing among nurses during the COVID-19 pandemic.

July 28, 2021

Complication rates on weekends and weekdays in US hospitals.

May 16, 2007

Patient safety in otolaryngology: a descriptive review.

November 16, 2016

The perianesthesia nurse's role in the prevention of opioid-related sentinel events.

April 3, 2013

Cognitive biases regarding utilization of Emergency Severity Index among emergency nurses.

October 4, 2023

Pediatric radiology malpractice claims—characteristics and comparison to adult radiology claims.

July 12, 2017

Critical Issues in Food Allergy: A National Academies Consensus Report.

September 6, 2017

A piece of my mind. How many have you done?

August 17, 2016

The effect of a program to shorten the decision-to-delivery interval for emergent cesarean section on maternal and neonatal outcome.

May 25, 2016

Pediatric musculoskeletal radiographs: anatomy and fractures prone to diagnostic error among emergency physicians.

August 3, 2022

Medication errors involving patient-controlled analgesia.

March 5, 2008

A systematic review of the effects of resident duty hour restrictions in surgery: impact on resident wellness, training, and patient outcomes.

April 16, 2014

The patient's right to safety—improving the quality of care through litigation against hospitals.

May 17, 2006

The rate and costs attributable to intravenous patient-controlled analgesia errors.

April 29, 2009

Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

October 16, 2013

In-house, overnight physician staffing: a cross-sectional survey of Canadian adult and pediatric intensive care units.

May 3, 2006

The evolving curriculum in quality improvement and patient safety in undergraduate and graduate medical education: a scoping review.

February 15, 2023

Fatigue in radiology: a fertile area for future research.

July 31, 2019

A mediation skills model to manage disclosure of errors and adverse events to patients.

September 21, 2005

Elucidating reasons for resident underutilization of electronic adverse event reporting.

April 29, 2015

Prevention of fall-related injuries in long-term care: a randomized controlled trial of staff education.

November 9, 2005

Developing and evaluating clinical leadership interventions for frontline healthcare providers: a review of the literature.

October 31, 2018

Impact of an electronic health record alert on inappropriate prescribing of high-risk medications to patients with concurrent "do not give" orders.

August 3, 2022

The impact of the use of employee functional flexibility on patient safety.

November 18, 2020

Intensive care medicine in 2050: preventing harm.

May 1, 2019

Safer care at home: use of simulation training to improve standards.

October 19, 2011

Clinicians' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

February 1, 2017

Patients' expectations of the benefits and harms of treatments, screening, and tests: a systematic review.

January 21, 2015

Preparedness for COVID-19: in situ simulation to enhance infection control systems in the intensive care unit.

May 13, 2020

Laboratory safety monitoring of chronic medications in ambulatory care settings.

May 11, 2005

'If no-one stops me, I'll make the mistake again': changing prescribing behaviours through feedback; a Perceptual Control Theory perspective.

May 10, 2017

Piece of my mind. Stories doctors tell.

July 19, 2017

A systems approach to evaluating ionizing radiation: six focus areas to improve quality, efficiency, and patient safety.

June 24, 2015

Adverse drug event–related emergency department visits associated with complex chronic conditions.

June 11, 2014

Stop the silent misdiagnosis: patients' preferences matter.

November 21, 2012

Major congenital malformations after first-trimester exposure to ACE inhibitors.

June 21, 2006

Obstetrician-gynecologist views of pregnancy-related medication safety.

November 4, 2020

Can the standard configuration of a cardiac monitor lead to medical errors under a stress induction?

July 27, 2022

Danger in discharge summaries: abbreviations create confusion for both author and recipient.

May 31, 2023

Effect of lawsuits on professional well-being and medical error rates among orthopaedic surgeons.

August 30, 2023

Provider interruptions and patient perceptions of care: an observational study in the emergency department.

November 7, 2018

Our other prescription drug problem.

March 14, 2018

'Why is there another person's name on my infusion bag?' Patient safety in chemotherapy care—a review of the literature.

September 12, 2012

Preventing communication errors in telephone medicine.

October 12, 2005

Safe work-hour standards for parents of children with medical complexity.

January 29, 2020

Managing cognitive biases during disaster response: the development of an aide memoire.

May 20, 2020

Office surgery incidents: what seven years of Florida data show us.

March 26, 2008

Identification of warning signs during selection of surgical trainees.

January 16, 2019

Evaluation for occult fractures in injured children.

August 5, 2015

Harm caused by adverse events in primary care: a clinical observational study.

April 15, 2009

Mix of methods is needed to identify adverse events in general practice: a prospective observational study.

July 23, 2008

Conversations on diagnostic uncertainty and its management among pediatric acute care physicians.

April 27, 2022

How can we improve the recognition, reporting and resolution of medical device-related incidents in hospitals? A qualitative study of physicians and registered nurses.

July 8, 2015

Managing the after effects of serious patient safety incidents in the NHS: an online survey study.

October 31, 2012

How to make medication error reporting systems work—factors associated with their successful development and implementation.

April 22, 2015

A systemic methodology for risk management in healthcare sector.

June 29, 2011

Physician burnout and medical errors: exploring the relationship, cost, and solutions received.

August 9, 2023

Association between electronic health record implementations and hospital-acquired conditions in pediatric hospitals.

August 2, 2023

Quality-monitoring program for bar-code–assisted medication administration.

June 17, 2009

Empowering patient safety outreach through interprofessional partnerships: educating our communities.

August 25, 2010

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Measuring team hierarchy during high-stakes clinical decision making: development and validation of a new behavioral observation method.

April 12, 2023

Quality and safety in pediatric anesthesia: how can guidelines, checklists, and initiatives improve the outcome?

May 14, 2014

Learning from accidents—what more do we need to know?

May 12, 2010

Surveillance: a strategy for improving patient safety in acute and critical care units.

April 18, 2012

What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation.

January 17, 2018

Malpractice cases in breast surgery: an assessment of litigation involving surgeons.

December 1, 2021

Managing interruptions to improve diagnostic decision-making: strategies and recommended research agenda.

March 29, 2023

'I guess I'll wait to hear'- communication of blood test results in primary care a qualitative study.

August 3, 2022

Evolving quality improvement support strategies to improve Plan–Do–Study–Act cycle fidelity: a retrospective mixed-methods study.

May 1, 2019

Challenges and opportunities from the Agency for Healthcare Research and Quality (AHRQ) research summit on improving diagnosis: a proceedings review.

June 14, 2017

Closing the safety loop: evaluation of the National Patient Safety Agency's guidance regarding wristband identification of hospital inpatients.

April 29, 2009

Using simulation to identify sources of medical diagnostic error in child physical abuse.

April 27, 2016

Impact of the COVID-19 pandemic on cancer care: a global collaborative study.

November 11, 2020

Automation failures and patient safety.

December 2, 2020

How safe do dying people feel at home? Patients' perception of safety while receiving specialist community palliative care.

December 21, 2022

Systemic causes of in-hospital intravenous medication errors: a systematic review.

March 4, 2020

Using a learning system approach to improve safety for prone-position ventilation patients.

April 26, 2023

Infusion medication error reduction by two-person verification: a quality improvement initiative.

February 1, 2017

The role of hospital managers in quality and patient safety: a systematic review.

September 17, 2014

A qualitative exploration of patients' attitudes towards the 'Participate Inform Notice Know' (PINK) patient safety video.

April 17, 2013

The use of simulation in healthcare: from systems issues, to team building, to task training, to education and high stakes examinations.

June 13, 2012

Does the implementation of an electronic prescribing system create unintended medication errors? A study of the sociotechnical context through the analysis of reported medication incidents.

July 27, 2011

Body of evidence: do autopsy findings impact medical malpractice claim outcomes?

April 29, 2020

Primary care closed claims experience of Massachusetts malpractice insurers.

October 16, 2013

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

July 17, 2019

Application of a theoretical framework for behavior change to hospital workers' real-time explanations for noncompliance with hand hygiene guidelines.

January 22, 2014

Exploring the role of communications in quality improvement: a case study of the 1000 Lives Campaign in NHS Wales.

May 27, 2015

Prevalence of polypharmacy exposure among hospitalized children in the United States.

September 28, 2011

Related Resources

Using in situ simulation to identify latent safety threats in emergency medicine: a systematic review.

November 8, 2023

WebM&M Cases

Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose.

October 31, 2023

Making a move: using simulation to identify latent safety threats before the care of injured patients in a new physical space.

September 27, 2023

In situ simulation as a quality improvement tool to identify and mitigate latent safety threats for emergency department SARS-CoV-2 airway management: a multi-institutional initiative.

June 28, 2023

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Crisis in the Lakeshore Hospital ER.

March 8, 2023

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

March 8, 2023

In situ simulation as a tool to longitudinally identify and track latent safety threats in a structured quality improvement initiative for SARS-CoV-2 airway management: a single-center study.

February 22, 2023

Implementation and facilitation of post-resuscitation debriefing: a comparative crossover study of two post-resuscitation debriefing frameworks.

November 2, 2022

Improving discharge safety in a pediatric emergency department.

October 26, 2022

Delayed diagnosis of serious paediatric conditions in 13 regional emergency departments.

October 26, 2022

Addressing adultification of black pediatric patients in the emergency department: a framework to decrease disparities.

September 7, 2022

WebM&M Cases

Miscommunication During the Interhospital Transport of a Critically Ill Child

August 31, 2022

Emergency department adverse events detected using the emergency department trigger tool.

August 24, 2022

Decreasing misdiagnoses of urinary tract infections in a pediatric emergency department.

August 10, 2022

How safe are paediatric emergency departments? A national prospective cohort study.

August 3, 2022

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

May 25, 2022

Medication safety in the emergency department: a study of serious medication errors reported by 101 hospitals from 2011 to 2020.

March 30, 2022

Antibiotic prescribing errors in patients discharged from the pediatric emergency department.

March 30, 2022

Where trust flourishes: perceptions of clinicians who trust their organizations and are trusted by their patients.

January 12, 2022

Pediatric transport safety collaborative: adverse events with parental presence during pediatric critical care transport.

November 10, 2021

Trauma Resuscitation Using in situ Simulation Team Training (TRUST) study: latent safety threat evaluation using framework analysis and video review.

September 1, 2021

Adverse drug event-related admissions to a pediatric emergency unit.

April 14, 2021

"Good catch, Kiddo"--enhancing patient safety in the pediatric emergency department through simulation.

December 9, 2020

A qualitative exploration of the impact of a distressed family member on pediatric resuscitation teams.

October 7, 2020

Enhancing departmental preparedness for COVID-19 using rapid-cycle in-situ simulation.

September 16, 2020

Adverse events related to accidental unintentional ingestions from cough and cold medications in children.

August 26, 2020

Going to the COVID-19 Gemba: using observation and high reliability strategies to achieve safety in a time of crisis.

June 10, 2020

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

May 6, 2020

Racial and ethnic differences in emergency department pain management of children with fractures.

April 22, 2020

See More About The Topic

Emergency Departments

Children's Hospitals

Physicians

Nurses

Pediatric Emergency Medicine

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Prospective observational study on the incidence of medication errors during simulated resuscitation in a paediatric emergency department.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

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