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 an Ergonomics Society Inc.
Pages	518-521
Number of pages	4
Volume	2015-January
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 2014 - Los Angeles, United States Duration: Oct 26 2015 → Oct 30 2015

Other

Other	59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014
Country	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

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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. Vol. 2015-January Human Factors an Ergonomics Society Inc., 2015. p. 518-521.

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. vol. 2015-January, Human Factors an Ergonomics Society Inc., pp. 518-521, 59th International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2014, Los Angeles, United States, 10/26/15. https://doi.org/10.1177/1541931215591111

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