Medication error propagation in intensive care units

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

doi:10.1177/1541931215591111

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 proceeding › Conference 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 language	English (US)
Title of host publication	2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
Publisher	Human Factors and Ergonomics Society Inc.
Pages	518-521
Number of pages	4
ISBN (Electronic)	9780945289470
DOIs	https://doi.org/10.1177/1541931215591111
State	Published - 2015
Externally published	Yes
Event	59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015 - Los Angeles, United States Duration: Oct 26 2015 → Oct 30 2015

Publication series

Name	Proceedings of the Human Factors and Ergonomics Society
Volume	2015-January
ISSN (Print)	1071-1813

Conference

Conference	59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015
Country/Territory	United States
City	Los Angeles
Period	10/26/15 → 10/30/15

ASJC Scopus subject areas

Human Factors and Ergonomics

Access to Document

10.1177/1541931215591111

Cite this

Carayon, P., Ju, F., Cartmill, R., Hoonakker, P., Wetterneck, T. B., & Li, J. (2015). Medication error propagation in intensive care units. In 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015 (pp. 518-521). (Proceedings of the Human Factors and Ergonomics Society; Vol. 2015-January). Human Factors and Ergonomics Society Inc.. https://doi.org/10.1177/1541931215591111

Medication error propagation in intensive care units. / Carayon, Pascale; Ju, Feng; Cartmill, Randi; Hoonakker, Peter; Wetterneck, Tosha B.; Li, Jingshan.

2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015. Human Factors and Ergonomics Society Inc., 2015. p. 518-521 (Proceedings of the Human Factors and Ergonomics Society; Vol. 2015-January).

Research output: Chapter in Book/Report/Conference proceeding › Conference contribution

Carayon, P, Ju, F, Cartmill, R, Hoonakker, P, Wetterneck, TB & Li, J 2015, Medication error propagation in intensive care units. in 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015. Proceedings of the Human Factors and Ergonomics Society, vol. 2015-January, Human Factors and Ergonomics Society Inc., pp. 518-521, 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015, Los Angeles, United States, 10/26/15. https://doi.org/10.1177/1541931215591111

Carayon, Pascale ; Ju, Feng ; Cartmill, Randi ; Hoonakker, Peter ; Wetterneck, Tosha B. ; Li, Jingshan. / Medication error propagation in intensive care units. 2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015. Human Factors and Ergonomics Society Inc., 2015. pp. 518-521 (Proceedings of the Human Factors and Ergonomics Society).

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note = "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.; 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015 ; Conference date: 26-10-2015 Through 30-10-2015",

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Medication error propagation in intensive care units

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