Learning from error: identifying contributory causes of medication errors in an Australian hospital.
Approach to Improving Safety
Setting of Care
- Epidemiology of Errors and Adverse Events
- Noncognitive Errors ("Slips & Lapses")
- Cognitive Errors ("Mistakes")
Interviews with clinicians who committed medication errors helped to identify contributing factors, which included understaffing and lack of access to prescribing information at the point of care.