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 et al.
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

@inproceedings{2d8cb47d9a55443fadf97205dea0027a,

title = "Medication error propagation in intensive care units",

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.",

author = "Pascale Carayon and Feng Ju and Randi Cartmill and Peter Hoonakker and Wetterneck, {Tosha B.} and Jingshan Li",

note = "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",

year = "2015",

doi = "10.1177/1541931215591111",

language = "English (US)",

series = "Proceedings of the Human Factors and Ergonomics Society",

publisher = "Human Factors and Ergonomics Society Inc.",

pages = "518--521",

booktitle = "2015 International Annual Meeting of the Human Factors and Ergonomics Society, HFES 2015",

}

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

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.

UR - http://www.scopus.com/inward/record.url?scp=84981747724&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84981747724&partnerID=8YFLogxK

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 -

Medication error propagation in intensive care units

Abstract

Publication series

Conference

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this