Review Medication errors in anaesthesia and critical care. Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Save Save to your library Print Share Facebook Twitter Linkedin Copy URL April 3, 2005 Wheeler SJ, Wheeler DW. Anaesthesia. 2005;60(3):257-73. View more articles from the same authors. This article reviews a variety of factors that contribute to medication errors by anethesiologists. The authors discuss how new technologies and lessons from high-risk industries outside of health care may be applied. PubMed citation Available at Save Save to your library Print Share Facebook Twitter Linkedin Copy URL Cite Citation Citation Text: Wheeler SJ, Wheeler DW. Medication errors in anaesthesia and critical care. Anaesthesia. 2005;60(3):257-73. Copy Citation Format: Google ScholarPubMedBibTeXEndNote X3 XMLEndNote 7 XMLEndnote taggedPubMedIdRIS Download Citation Related Resources From the Same Author(s) Factors influencing doctors' ability to calculate drug doses correctly. February 14, 2007 Teamwork on inpatient medical units: assessing attitudes and barriers. May 5, 2010 Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. October 13, 2010 Medication errors and trainees: advice for learners and organizations. October 4, 2017 Incident reporting system does not detect adverse drug events: a problem for quality improvement. March 27, 2005 Errors during the preparation of drug infusions: a randomized controlled trial. August 22, 2012 An exploratory study measuring verbal order content and context. June 10, 2009 Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. January 21, 2015 Quality improvement initiative to reduce serious safety events and improve patient safety culture. August 1, 2012 Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021 A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. March 4, 2009 Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. April 9, 2008 Results of a survey on medical error reporting systems in Korean hospitals. August 31, 2005 Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. March 10, 2010 Validation of a mobile app for reducing errors of administration of medications in an emergency. June 19, 2019 The "To Err Is Human Report" and the patient safety literature. June 14, 2006 The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021 Incidence and preventability of adverse drug events in hospitalized patients. March 6, 2005 The costs of adverse drug events in hospitalized patients. March 27, 2005 Association of household opioid availability and prescription opioid initiation among household members. January 10, 2018 High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 1, 2013 The opioid crisis: origins, trends, policies, and the roles of pharmacists. April 10, 2019 Incidence of adverse drug events and potential adverse drug events: implications for prevention. March 27, 2005 The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. January 16, 2008 The culture of safety: results of an organization-wide survey in 15 California hospitals. March 6, 2005 Measuring psychological safety and local learning to enable high reliability organisational change. November 9, 2022 Are verbal orders a threat to patient safety? June 10, 2009 Adverse-event-reporting practices by US hospitals: results of a national survey. January 7, 2009 The natural history of recovery for the healthcare provider "second victim" after adverse patient events. October 21, 2009 Development and validation of the SURgical PAtient Safety System (SURPASS) checklist. April 22, 2009 Patient falls in the operating room setting: an analysis of reported safety events. May 11, 2022 How house officers cope with their mistakes. March 6, 2005 Do house officers learn from their mistakes? March 6, 2005 ADEs and automation. February 4, 2009 An observational study of changes to long-term medication after admission to an intensive care unit. December 6, 2006 Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. March 27, 2005 Applying modern error theory to the problem of missed injuries in trauma. April 2, 2008 Cognitive bias in clinical medicine. November 7, 2018 Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. April 30, 2008 A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022 A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients. December 6, 2006 Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. March 27, 2005 Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. April 19, 2017 Relationship between medication errors and adverse drug events. March 6, 2005 An observational study of practice during transfer of patients from anaesthetic room to operating theatre. October 25, 2006 What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. December 21, 2005 Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011 Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 27, 2005 Communication in healthcare: a narrative review of the literature and practical recommendations. July 29, 2015 Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. January 20, 2016 Computerized surveillance of adverse drug events in hospital patients. March 27, 2005 Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? November 7, 2007 Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. April 6, 2011 Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? April 5, 2006 Patient perspectives of patient–provider communication after adverse events. August 10, 2005 Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. February 20, 2008 Compliance with guidelines to prevent surgical site infections: as simple as 1-2-3? July 21, 2010 Systems analysis of adverse drug events. March 27, 2005 A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. August 21, 2013 Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. June 21, 2006 Standards for patient monitoring during general anesthesia at Harvard Medical School. March 6, 2005 The relationships among work stress, strain and self-reported errors in UK community pharmacy. March 19, 2014 A classification system for incidents and accidents in the health-care system. March 6, 2005 Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. April 24, 2019 Tracing the foundations of a conceptual framework for a patient safety ontology. September 22, 2010 Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. March 30, 2011 Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. April 1, 2015 Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. March 3, 2010 Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. April 25, 2007 Organizational costs of preventable medical errors. March 6, 2005 Medication errors and adverse drug events in pediatric inpatients. August 10, 2005 Do medication samples jeopardize patient safety? January 28, 2009 Measuring and managing quality of surgery. Statistical vs incidental approaches. March 6, 2005 Preventable anesthesia mishaps: a study of human factors. March 27, 2005 Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. August 31, 2005 Patient safety begins with proper planning: a quantitative method to improve hospital design. November 24, 2010 Patterns of nurse–physician communication and agreement on the plan of care. June 9, 2010 A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. December 16, 2009 Relationship between patient complaints and surgical complications. February 15, 2006 Weekend hospitalization and additional risk of death: an analysis of inpatient data. February 29, 2012 A preliminary taxonomy of medical errors in family practice. March 6, 2005 Healthcare in a land called PeoplePower: nothing about me without me. March 6, 2005 Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. May 17, 2017 Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. June 11, 2008 Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. April 6, 2016 Physicians, information technology, and health care systems: a journey, not a destination. March 6, 2005 National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011 Variation in caregiver perceptions of teamwork climate in labor and delivery units. July 5, 2006 Wrong site surgery. August 9, 2006 Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013 Anatomy of a patient safety event: a pediatric patient safety taxonomy. December 21, 2005 Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. December 19, 2007 Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. February 10, 2016 The attributes of medical event reporting systems. March 27, 2005 Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. January 19, 2011 Confirmation bias: why psychiatrists stick to wrong preliminary diagnoses. January 18, 2012 Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. October 14, 2015 Policy and the future of adverse event detection using information technology. March 6, 2005 An intervention to decrease patient identification band errors in a children's hospital. May 12, 2010 Association between state medical malpractice environment and postoperative outcomes in the United States. June 21, 2017 View More Related Resources Patient Safety Innovations Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner April 10, 2024 Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. April 10, 2024 Safety and Human Performance in the Operating Room and Other Extreme Environments. March 27, 2024 Taking up the challenge to improve name and role recognition in the operating room. February 7, 2024 Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. November 15, 2023 Building cultures of high reliability: lessons from the high reliability organization paradigm. November 1, 2023 Perioperative team-based morbidity and mortality conferences: a systematic review of the literature. October 11, 2023 Fire safety in the operating room. October 1, 2023 Barriers and facilitators associated with the implementation of surgical safety checklists: a qualitative systematic review. September 27, 2023 Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. August 23, 2023 Guidelines on Human Factors in Critical Situations 2023. August 9, 2023 Anesthesia Patient Safety Podcast. July 12, 2023 Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. June 14, 2023 APSF Stoelting Conference. September 6, 2023 - September 7, 2023 An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. April 5, 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 Cognitive aids in the management of clinical emergencies: a systematic review. January 18, 2023 Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. December 14, 2022 WebM&M Cases Don’t Bite Your Tongue. December 14, 2022 WebM&M Cases Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022 Technology, Education and Safety. December 7, 2022 Safety of anesthetic and perioperative medication practices. November 30, 2022 A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022 Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022 Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022 Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022 Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. August 24, 2022 WebM&M Cases Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room April 27, 2022 Prep, Stop, Block. February 2, 2022 The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. January 26, 2022 View More See More About The Topic Physicians Nurses Anesthesiology Anesthesia Nursing Medication Errors/Preventable Adverse Drug Events
Reducing catheter-associated bloodstream infections in the pediatric intensive care unit: business case for quality improvement. October 13, 2010
Incident reporting system does not detect adverse drug events: a problem for quality improvement. March 27, 2005
Developing and evaluating the success of a family activated medical emergency team: a quality improvement report. January 21, 2015
Quality improvement initiative to reduce serious safety events and improve patient safety culture. August 1, 2012
Disparities after discharge: the association of limited English proficiency and postdischarge patient-reported issues. December 8, 2021
A model for increasing patient safety in the intensive care unit: increasing the implementation rates of proven safety measures. March 4, 2009
Improving transfusion safety: implementation of a comprehensive computerized bar code-based tracking system for detecting and preventing errors. April 9, 2008
Effectiveness of patient safety training in equipping medical students to recognise safety hazards and propose robust interventions. March 10, 2010
Validation of a mobile app for reducing errors of administration of medications in an emergency. June 19, 2019
The nature of reported safety events related to care coordination in the operating room setting in a tertiary academic center. November 17, 2021
Association of household opioid availability and prescription opioid initiation among household members. January 10, 2018
High-reliability emergency response teams in the hospital: improving quality and safety using in situ simulation training. May 1, 2013
Incidence of adverse drug events and potential adverse drug events: implications for prevention. March 27, 2005
The effect of drug concentration expression on epinephrine dosing errors: a randomized trial. January 16, 2008
The culture of safety: results of an organization-wide survey in 15 California hospitals. March 6, 2005
Measuring psychological safety and local learning to enable high reliability organisational change. November 9, 2022
The natural history of recovery for the healthcare provider "second victim" after adverse patient events. October 21, 2009
An observational study of changes to long-term medication after admission to an intensive care unit. December 6, 2006
Effect of computerized physician order entry and a team intervention on prevention of serious medication errors. March 27, 2005
Improving the quality of written prescriptions in a general hospital: the influence of 10 years of serial audits and targeted interventions. April 30, 2008
A retrospective audit of postoperative days alive and out of hospital, including before and after implementation of the WHO surgical safety checklist. February 2, 2022
A randomised controlled trial of the effect of continuous electronic physiological monitoring on the adverse event rate in high risk medical and surgical patients. December 6, 2006
Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. March 27, 2005
Challenging hierarchy in healthcare teams--ways to flatten gradients to improve teamwork and patient care. April 19, 2017
An observational study of practice during transfer of patients from anaesthetic room to operating theatre. October 25, 2006
What is the patient really taking? Discrepancies between surgery and anesthesiology preoperative medication histories. December 21, 2005
Organisational culture: variation across hospitals and connection to patient safety climate. January 5, 2011
Adverse drug events in hospitalized patients: excess length of stay, extra costs, and attributable mortality. March 27, 2005
Communication in healthcare: a narrative review of the literature and practical recommendations. July 29, 2015
Medication safety at the interface: evaluating risks associated with discharge prescriptions from mental health hospitals. January 20, 2016
Patient identification error among prostate needle core biopsy specimens—are we ready for a DNA time-out? November 7, 2007
Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review. April 6, 2011
Simulation based teamwork training for emergency department staff: does it improve clinical team performance when added to an existing didactic teamwork curriculum? April 5, 2006
Effective interventions and implementation strategies to reduce adverse drug events in the Veterans Affairs (VA) system. February 20, 2008
A comprehensive patient safety program can significantly reduce preventable harm, associated costs, and hospital mortality. August 21, 2013
Inter- and intra-rater reliability for classification of medication related events in paediatric inpatients. June 21, 2006
The relationships among work stress, strain and self-reported errors in UK community pharmacy. March 19, 2014
Differential safety between top-ranked cancer hospitals and their affiliates for complex cancer surgery. April 24, 2019
Effectiveness of an information technology intervention to improve prophylactic antibacterial use in the postoperative period. March 30, 2011
Safety of clinical and non-clinical decision makers in telephone triage: a narrative review. April 1, 2015
Sex differences in operating room care giver perceptions of patient safety: a pilot study from the Veterans Health Administration Medical Team Training Program. March 3, 2010
Predicting future staffing needs at teaching hospitals: use of an analytical program with multiple variables. April 25, 2007
Potential role of pharmacogenomics in reducing adverse drug reactions: a systematic review. August 31, 2005
Patient safety begins with proper planning: a quantitative method to improve hospital design. November 24, 2010
A reduction in cardiac arrests and duration of clinical instability after implementation of a paediatric rapid response system. December 16, 2009
Weekend hospitalization and additional risk of death: an analysis of inpatient data. February 29, 2012
Implementation and adaptation of the Re-Engineered Discharge (RED) in five California hospitals: a qualitative research study. May 17, 2017
Mitigation of patient harm from testing errors in family medicine offices: a report from the American Academy of Family Physicians National Research Network. June 11, 2008
Role of parents in the promotion of hand hygiene in the paediatric setting: a systematic literature review. April 6, 2016
Physicians, information technology, and health care systems: a journey, not a destination. March 6, 2005
National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors. June 29, 2011
Making Health Care Safer II: An Updated Critical Analysis of the Evidence for Patient Safety Practices. March 6, 2013
Educational quality improvement report: outcomes from a revised morbidity and mortality format that emphasised patient safety. December 19, 2007
Medication errors with antituberculosis therapy in an inpatient, academic setting: forgotten but not gone. February 10, 2016
Equipment-related incidents in the operating room: an analysis of occurrence, underlying causes and consequences for the clinical process. January 19, 2011
Undermining and bullying in surgical training: a review and recommendations by the Association of Surgeons in Training. October 14, 2015
An intervention to decrease patient identification band errors in a children's hospital. May 12, 2010
Association between state medical malpractice environment and postoperative outcomes in the United States. June 21, 2017
Patient Safety Innovations Risk Mitigation Using the Anesthesia Risk Alert Program: Applying a Proactive Approach With Data Review & Collaborating With a Second Practitioner April 10, 2024
Teamwork matters: team situation awareness to build high-performing healthcare teams, a narrative review. April 10, 2024
Facilitators and barriers to the implementation of surgical safety checklist (SSC): an integrative review. November 15, 2023
Building cultures of high reliability: lessons from the high reliability organization paradigm. November 1, 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
Anaesthesia and patient safety in the socio-technical operating theatre: a narrative review spanning a century. August 23, 2023
Perioperative handoff enhancement opportunities through technology and artificial intelligence: a narrative review. June 14, 2023
An evidence synthesis on perioperative handoffs: a call for balanced sociotechnical solutions. April 5, 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
Factors causing variation in World Health Organization surgical safety checklist effectiveness-a rapid scoping review. December 14, 2022
WebM&M Cases Open wider: Failure to use an interpreter results in fractured teeth and hypoxia during a simple elective operation. December 14, 2022
A multicenter collaborative effort to reduce preventable patient harm due to retained surgical items. November 30, 2022
Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation. October 26, 2022
Crisis recovery in surgery: error management and problem solving in safety-critical situations. September 14, 2022
Helping healthcare teams to debrief effectively: associations of debriefers' actions and participants' reflections during team debriefings. August 24, 2022
Incidence and characteristics of errors detected by a short team briefing in pediatric anesthesia. August 24, 2022
WebM&M Cases Saline Flush Leads to Acute Paralysis of an Awake Patient: Risks of Improper Medication Labeling in an Operating Room April 27, 2022
The effect of medication reconciliation via a patient portal on medication discrepancies: a randomized noninferiority study. January 26, 2022