Narrow Results Clear All
- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering 1
- Logistical Approaches 1
- Quality Improvement Strategies 1
- Technologic Approaches
- Device-related Complications 1
- Discontinuities, Gaps, and Hand-Off Problems 1
- Interruptions and distractions 1
- Medication Errors/Preventable Adverse Drug Events 3
Search results for ""
Cases & Commentaries
- Web M&M
Tess Pape, PhD, RN, CNOR; February 2006
Bypassing the safeguards of an automated dispensing machine in a skilled nursing facility, a nurse administers medications from a portable medication cart. A non-diabetic patient receives insulin by mistake, which requires his admission to intensive care and delays his chemotherapy for cancer.
Chun D. Gainsville Sun. August 21, 2006.
This article describes a computerized drug ordering and dispensing system at a Florida hospital.
Journal Article > Commentary
Heron C. Br J Nurs. 2017;26:S13-S16.
Journal Article > Study
Errors detected in pediatric oral liquid medication doses prepared in an automated workflow management system.
Bledsoe S, Van Buskirk A, Falconer RJ, Hollon A, Hoebing W, Jokic S. Am J Health Syst Pharm. 2018;75:127-131.
Although medication errors are a common source of preventable harm across health care settings, hospitalized children are at especially increased risk. This study evaluated a pediatric hospital's barcode-assisted medication preparation technology for dispensing oral liquid medications. The technology enhanced safety, averting more than 3000 medication errors over a one-year period.