Medication error propagation in intensive care units

Pascale Carayon, Feng Ju, Randi Cartmill, Peter Hoonakker, Tosha B. Wetterneck, Jingshan Li

Research output: Chapter in Book/Report/Conference proceedingConference contribution

4 Scopus citations

Abstract

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.

Original languageEnglish (US)
Title of host publication2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
PublisherHuman Factors an Ergonomics Society Inc.
Pages518-521
Number of pages4
Volume2015-January
ISBN (Electronic)9780945289470
DOIs
StatePublished - 2015
Externally publishedYes
Event59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014 - Los Angeles, United States
Duration: Oct 26 2015Oct 30 2015

Other

Other59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
CountryUnited States
CityLos Angeles
Period10/26/1510/30/15

ASJC Scopus subject areas

  • Human Factors and Ergonomics

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