Drug Errors and Incidents in a Neonatal Intensive Care Unit

The impact of hospitalwide computerized physician order entry on medical errors in a pediatric hospital

“…If the intensification was indeed bartificiallyQ elevated, we would expect that there may have been a difference between the pre-and post-CPOE period if the intensification effort in reporting was not made. Our ADE data seem to be consistent with observations made by others [7][8][9] so we do not think that the pre-CPOE data were artificially bolstered.…”

Incidence of various medication errors in pediatrics in a tertiary care hospital

“…Nurses reported more errors than any other health care professional, in keeping with previous data [12,14]. The types of error and the drugs involved were also similar to previous studies [12,13]. The importance of checking calculations and of avoiding decimal points where possible has been emphasized [16,17] Virtually all the publications on medication errors identify opportunities for systematic changes to reduce the risk of future errors.…”

“…Such difficulties have been highlighted in previous studies [3]. Leape et al also reported a substantial increase in the reporting of medication incidents after a change to a less punitive system [13]. It should, however, be recognized that voluntary systems may also detect only a fraction of medication errors [15].…”

Tenfold Medication Dose Prescribing Errors

“…The potential for patient harm resulting from errors in prescribing are thought to be greater than that for errors in preparation, dispensing, or administration. 23 The considerable patient risk presented by tenfold errors was supported by the finding in this study that 45% of tenfold total errors were rated as serious or severe compared with approximately 20% of all prescribing errors rated as serious or severe in our program. 25 This increased risk is likely a reflection of the patient population involved, the type of medications, and the size of the dose errors in these cases.…”