TY - GEN
T1 - Medication error propagation in intensive care units
AU - Carayon, Pascale
AU - Ju, Feng
AU - Cartmill, Randi
AU - Hoonakker, Peter
AU - Wetterneck, Tosha B.
AU - Li, Jingshan
N1 - Funding Information:
This research was made possible by funding from the Agency for Healthcare Research and Quality (AHRQ). Grant Number: R01 HS15274. Principal Investigator: Pascale Carayon, PhD. This publication was also supported by the Clinical and Translational Science Award (CTSA) program, previously through the National Center for Research Resources (NCRR) grant 1UL1RR025011, and now by the National Center for Advancing Translational Sciences (NCATS), grant 9U54TR000021.
Publisher Copyright:
Copyright 2015 Human Factors and Ergonomics Society.
PY - 2015
Y1 - 2015
N2 - We examined propagation of medication errors at various stages of the medication management process (ordering, transcription, preparation, dispensing, administration and monitoring) in two ICUs of a medical center. We performed a secondary analysis of 1,732 medication events identified in a group of 630 ICU patients. A Markov Chain model showed that errors propagate throughout the medication management process, in particular between the stages of preparation, dispensing and administration.
AB - We examined propagation of medication errors at various stages of the medication management process (ordering, transcription, preparation, dispensing, administration and monitoring) in two ICUs of a medical center. We performed a secondary analysis of 1,732 medication events identified in a group of 630 ICU patients. A Markov Chain model showed that errors propagate throughout the medication management process, in particular between the stages of preparation, dispensing and administration.
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U2 - 10.1177/1541931215591111
DO - 10.1177/1541931215591111
M3 - Conference contribution
AN - SCOPUS:84981747724
T3 - Proceedings of the Human Factors and Ergonomics Society
SP - 518
EP - 521
BT - 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
PB - Human Factors and Ergonomics Society Inc.
T2 - 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
Y2 - 26 October 2015 through 30 October 2015
ER -