Erratum to: Influences observed on incidence and reporting of medication errors in anesthesia

Cooper, Lebron; DiGiovanni, Neil; Schultz, Lucy; Taylor, Ashley M.; Nossaman, Bobby D.

doi:10.1007/s12630-012-9774-9

Cited by 3 publications

(5 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These findings support literature from non-OR patient care areas, which shows that direct observation captures more events than self-report. [6][7][8][9] However, direct observation is more resource intensive than self-report and is typically not feasible as an ongoing method of capturing medication errors. Direct observation may be best used sporadically, as an indication of the types of events that are not being self-reported, so that self-reporting forms can be revised to capture relevant missing errors.…”

Section: Discussionmentioning

confidence: 99%

“…[1,5] This workflow often bypasses double checks by pharmacists, second clinicians, and point-of-care barcode scan safety checks that are frequently utilized in other inpatient settings. [1] While we typically rely on self-reporting of MEs in the OR, MEs are frequently underreported in other patient care settings, [6][7][8][9] and it is unclear what types of perioperative MEs are underreported and why.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Medication safety in the perioperative setting: A comparison of methods for detecting medication errors and adverse medication events

et al. 2022

View full text Add to dashboard Cite

The purpose of this study was to evaluate perioperative medication-related incidents (medication errors (MEs) and/or adverse medication events (AMEs)) identified by 2 different reporting methods (self-report and direct observation), and to compare the types and severity of incidents identified by each method. We compared perioperative medication-related incidents identified by direct observation in Nanji et al's 2016 study [1] to those identified by self-report via a facilitated incident reporting system at the same 1046bed tertiary care academic medical center during the same 8-month period. Incidents, including MEs and AMEs were classified by type and severity. In 277 operations involving 3671 medication administrations, 193 MEs and/or AMEs were observed (5.3% incident rate). While none of the observed incidents were self-reported, 10 separate medication-related incidents were self-reported from different (unobserved) operations that occurred during the same time period, which involved a total of 21,576 operations and approximately 280,488 medication administrations (0.004% self-reported incident rate). The distribution of incidents (ME, AME, or both) did not differ by direct observation versus self-report methodology. The types of MEs identified by direct observation differed from those identified by self-report (P = .005). Specifically, the most frequent types of MEs identified by direct observation were labeling errors (N = 37; 24.2%), wrong dose errors (N = 35; 22.9%) and errors of omission (N = 27; 17.6%). The most frequent types of MEs identified by self-report were wrong dose (N = 5; 50%) and wrong medication (N = 4; 40%). The severity of incidents identified by direct observation and self-report differed, with self-reported incidents having a higher average severity (P < .001). The procedure types associated with medication-related incidents did not differ by direct observation versus self-report methodology. Direct observation captured many more perioperative medication-related incidents than self-report. The ME types identified and their severity differed between the 2 methods, with a higher average incident severity in the self-reported data.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Medication safety in the perioperative setting: A comparison of methods for detecting medication errors and adverse medication events

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Medication errors represent a critical patient safety problem, arising from failures in completing required actions or using the wrong plan or action to achieve patient care aims [ 1 ]. These errors can be classified by type, including incorrect dose, substitution, omission, repetition, insertion, and unattended drug use [ 2 ]. In the perioperative setting, the administration of intravenous (IV) medications, or the “medication use process” [ 3 ], presents unique patient safety obstacles.…”

Section: Introductionmentioning

confidence: 99%

“…The errors were further classified as serious (n=99, 64.7%), significant (n=51, 33.3%), and life-threatening (n=3, 2%), with no fatalities attributable to medication errors. In a separate study by Cooper et al [ 2 ], the authors identified 52 medication errors, resulting in no harm in 24 patients, minor harm in 15 patients, and harm in 13 patients.…”

Section: Introductionmentioning

confidence: 99%

Patient Safety of Perioperative Medication Through the Lens of Digital Health and Artificial Intelligence

Ye¹

2023

JMIR Perioper Med

View full text Add to dashboard Cite

Perioperative medication has made significant contributions to enhancing patient safety. Nevertheless, administering medication during this period still poses considerable safety concerns, with many errors being detected only after causing significant physiological disturbances. The intricacy of medication administration in the perioperative setting poses specific challenges to patient safety. To address these challenges, implementing potential strategies and interventions is critical. One such strategy is raising awareness and revising educational curricula regarding drug safety in the operating room. Another crucial strategy is recognizing the importance of redundancy and multiple checks in the operating room as a hallmark of medication safety, which is not a common practice. Digital health technologies and artificial intelligence (AI) also offer the potential to improve perioperative medication safety. Computerized physician order entry systems, electronic medication administration records, and barcode medication administration systems have been proven to reduce medication errors and improve patient safety. By implementing these strategies and interventions, health care professionals can enhance the safety of perioperative medication administration and improve patient outcomes.

show abstract

“…15 Similarly, other studies reported similar rates of MEs in anesthesia, with ME rates occurring from 0.078% to 0.75% per anesthetic. 16,17,18 However, a 2016 retrospective chart review study 5 revealed a more concerning statistic: 5.3% (95% CI 4.5%-6.0%) of observed 3,671 medications administered during 277 anesthetics were associated with an ME, and 33.3% of these errors led to an ADE. 5 The discrepancy between these findings can be partly attributed to the methodologies employed in these studies.…”

Section: Prevalence Of Medication Errors In Anesthesiamentioning

confidence: 99%

Enhancing anesthesia safety: evaluating artificial intelligence and augmented reality in reducing medication errors

Dunn

View full text Add to dashboard Cite

Erratum to: Influences observed on incidence and reporting of medication errors in anesthesia

Cited by 3 publications

References 0 publications

Medication safety in the perioperative setting: A comparison of methods for detecting medication errors and adverse medication events

Medication safety in the perioperative setting: A comparison of methods for detecting medication errors and adverse medication events

Patient Safety of Perioperative Medication Through the Lens of Digital Health and Artificial Intelligence

Enhancing anesthesia safety: evaluating artificial intelligence and augmented reality in reducing medication errors

Contact Info

Product

Resources

About