Narrow Results Clear All
- Culture of Safety 1
- Education and Training 1
- Error Reporting and Analysis 1
- Human Factors Engineering 1
- Quality Improvement Strategies 2
- Specialization of Care 1
- Technologic Approaches 1
Search results for "Administration Errors"
- Administration Errors
ISMP Medication Safety Alert! Acute Care Edition. February 21, 2013;18:1-3.
This newsletter piece recommends strategies to ensure the safe transition from using insulin pens to insulin vials in acute care.
Journal Article > Commentary
Samaan KH, Dahlke M, Stover J. Am J Health Syst Pharm. 2011;68:63-68.
This commentary describes how a community hospital implemented a multi-component program to ensure that U-500 insulin was administered safely.
Journal Article > Study
Bates DW. Ann Intern Med. 2002;137:110-116.
This case study shares the experiences of a patient who suffered a medication error in receiving a dose of insulin inadvertently. The author reviews the epidemiology of medication errors and adverse drug events and shares a systems approach to medication errors, the role individuals and the system played in this particular case, and the potential prevention strategies to be considered. Finally, a comment about the institution's response to the event is presented to illustrate the importance of bridging what happens at the bedside with what needs to happen from the executive suite. This article is part of a collection entitled "Quality Grand Rounds," a series published in the Annals of Internal Medicine that explores quality issues and medical errors.