Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.

James Waterson; Rania Al-Jaber; Tarek Kassab; Abdulrazaq S Al-Jazairi

Study

Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.

November 4, 2020

Waterson J, Al-Jaber R, Kassab T, et al. JMIR Hum Factors. 2020;7(3):e20364.

View more articles from the same authors.

Smart pumps are considered a valuable method to improve medication safety. This study used smart pump medication logs and reporting software to identify cancelled infusions and resolutions of infusions alerts to characterize near-miss infusion pump errors. The study identified a high number of lookalike-soundalike near-miss errors. Analyses indicate that incorrect medication and wrong dose selections account for approximately 22% of all cancelled infusions.

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Twelve-month review of infusion pump near-miss medication and dose selection errors and user-initiated "good save" corrections: retrospective study.

Reducing hospital harm: establishing a command centre to foster situational awareness.

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Reducing hospital harm: establishing a command centre to foster situational awareness.

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