RightDose Medication Error References
Medication Error Research
Over 100 research references -
we’ve done a lot of it for you!
It is commonly theorized that the first step in fixing an existing problem is to
recognize the problem. Does that hold true for drug medication errors or are we
victims of
willful blindness? RightDose creator Michael Wallace suggests there have
been thousands of pages of research done on the topic of medication errors and
more specifically in pediatric medication errors due to the complexity of
multiple variables of patient weight and the need to perform math at the point
of care.
Of the thousands research and industry articles related to medications errors,
below are just over 100 research and industry articles which focus across the
hospital and prehospital settings, that concentrate on identifying the problem.
We have assembled them for your review, in hopes that you will take personal
action to not only recognize the problem, but more importantly, take action on
implementing a solution like RightDose or
any of the other commercial solutions available.
It’s time to stop disregarding the preponderance of evidence based research and
take action.
RightDose Research References
A
Closer Look at FDAS Adverse Event Reporting System
Drug
safety professionals estimate that only 10% of adverse events are reported to
the FDA every year, grossly underestimating the number of actual adverse events
associated with a medication.
Resource:
Patient Safety and Quality Healthcare – Citations/References: (0) -- Published:
1/1/2012
Category:
Pediatric Medication Errors [General]
A Review of Education Deficiencies and Ways to Improve the Care of Pediatric
Patients
Of all the
calls EMS providers respond to, only 10% are for pediatric patients.1 For most
responders this is often a relief because pediatric calls are challenging and
stressful. That relief, however, is rooted in a lack of knowledge and inability
to care for this population of patients
Resource:
JEMS.com – Citations/References: (10) -- Published: 4/1/2015
Category:
Pediatric Medication Errors [Prehospital-EMS]
Adverse Drug Events, Adverse Drug Reactions and Medication Errors
Frequently
asked questions regarding Adverse Drug Events, Adverse Drug Reactions nd
Medication Errors
Resource:
VA Center for Medication Safety – Citations/References: (1) -- Published:
11/1/2006
Category:
Patient Safety/Quality
Ambulance Personnel Perceptions of Near Misses and Adverse Events in Pediatric
Patients
Identifies
Emergency Medical Services (EMS) provider perceptions of factors that may affect
the occurrence, identification, reporting, and reduction of near misses and
adverse events in the pediatric EMS patient.
Resource:
Prehospital Emergency Care – Citations/References: (35) -- Published: 10/1/2010
Category:
Pediatric Medication Errors [Prehospital-EMS]
Ambulances Can Be Dangerous Places
Based on
what we know about hospital-based medical error, ambulances may be one of the
more dangerous places to be a patient.
Resource:
Slate Magazine – Citations/References: (0) -- Published: 11/1/2005
Category:
Pediatric Medication Errors [Prehospital-EMS]
An NTSB for Health Care - Learning from Innovation Debate and Innovate or
Capitulate
An
NTSB-type organization for health care could greatly improve healthcare safety
at low cost and great benefit. A "Red Cover Report" for health care could save
lives, save money, and bring value to communities.
Resource:
Journal Of Patient Safety – Citations/References: (85) -- Published: 3/1/2012
Category:
Patient Safety/Quality
Bad Medicine: Preventing drug errors in the prehospital setting
This study
reveals factors all EMS leaders should consider to minimize errors in their
systems. As part of their efforts to avoid medication errors, EMS systems should
review their medication management and administration procedures and protocols,
and seek out the latest findings on medication error research.
Resource:
Journal of the American Medical Association – Citations/References: (5) --
Published: 8/1/2008
Category:
Pediatric Medication Errors [Prehospital-EMS]
Becoming a High Reliability Organization Operational Advice for Hospital Leaders
This
report shares the experiences of hospital leaders who have applied high
reliability concepts to improving quality and patient safety.
Resource:
AHRQ Publication – Citations/References: (0) -- Published: 4/1/2008
Category:
Patient Safety/Quality
Beyond the Basics: Pediatric Assessment and Management
This
article will address some simple, yet effective tactics for pediatric
assessment, along with a few pearls for success in procedural performance.
Resource:
EMSWorld – Citations/References: (20) -- Published: 10/1/2008
Category:
Pediatric Medication Errors [Prehospital-EMS]
Clinician Mindfulness and Patient Safety
There has
been significant progress in understanding, identifying, and addressing errors
at a system level; however, the perfor-mance of individual clinicians remains a
crucial and largely unaddressed element of patient safety.
Resource:
Journal of the American Medical Association – Citations/References: (10) --
Published: 7/2/1905
Category:
Patient Safety/Quality
It’s
difficult, if not impossible, for clinicians to remember all of the highly
detailed information they need when they’re faced with stressful situations.
Resource:
American Journal of Nursing – Citations/References: (15) -- Published: 8/1/2005
Category:
Pediatric Medication Errors [General]
Comparison of Errors Using Two Length-Based Tape Systems for Prehospital Care in
Children
Compares
two LBT systems for dosing errors and time to medication administration in
simulated prehospital scenarios.
Resource:
Prehospital Emergency Care – Citations/References: (0) -- Published: 2/1/2016
Category:
Pediatric Medication Errors [Prehospital-EMS]
Today,
with increasing frequency, human errors in health care are being criminalized.
The results may have far reaching consequences on the practice of medicine,
nursing and EMS.
Resource:
EMS1 – Citations/References: (4) -- Published: 8/1/2007
Category:
Pediatric Medication Errors [Prehospital-EMS]
Disclosure of Harmful Medical Errors in Out-of-Hospital Care
This
review discusses barriers to error disclosure by emergency medical services
providers and recommends tactics to help them communicate with patients.
Resource:
American College of Emergency Physicians – Citations/References: (0) --
Published: 7/4/1905
Category:
Pediatric Medication Errors [Prehospital-EMS]
Do EMS Personnel Identify, Report, and Disclose Medical Errors?
Prehospital providers demonstrate the capacity to identify, report, and, to a
lesser extent, disclose errors in hypothetical scenarios but may not apply these
skills uniformly in their own practices.
Resource:
Prehospital Emergency Care – Citations/References: (0) -- Published: 3/1/2006
Category:
Pediatric Medication Errors [Prehospital-EMS]
A wesite committed to providing information on a range of medications and medical devices that have serious complications.
Resource:
Private web site.
Category:
Patient Safety/Quality
Effect of Drug Concentration Expression on Epinephrine Dosing Errors
The use of
ratios to express drug concentration may be a source of drug administration
error. Patient safety might be improved by expressing drug concentrations
exclusively as mass concentration.
Resource:
Annals of Internal Medicine – Citations/References: (20) -- Published: 6/30/1905
Category:
Pediatric Medication Errors [General]
The LA
Kids program seems to have resulted in a markedreduction in the rate of
epinephrine dosing errors in theprehospital treatment of children in
cardiopulmonaryarrest in LA County.
Resource:
American Academy of Pediatrics – Citations/References: (20) -- Published:
7/1/2007
Category:
Pediatric Medication Errors [Prehospital-EMS]
Emergency Medicine Medication Use, Errors & Interactions
A
comprehensive slide show presentation on medication use and errors.
Resource:
PowerPoint Presentation – Citations/References: (34) -- Published: 10/1/2015
Category:
Pediatric Medication Errors [Hospital-ED]
The
majority of medical errors do not result from individual recklessness. Faulty
systems are usually to blame.
Resource:
StreetWatch – Citations/References: (0) -- Published: 11/1/2010
Category:
Pediatric Medication Errors [Prehospital-EMS]
EMS Medications and the Five Rights of Med Administration
One of the
biggest preventable causes of patient care complications both in and out of a
hospital facility is that of medication errors.Errors are made for a number of
reasons including giving one patient another’s meds, dosing errors, medications
with look-a-like names, and unclear medication orders.
Resource:
Podmedic – Citations/References: (0) -- Published: 12/1/2008
Category:
Pediatric Medication Errors [Prehospital-EMS]
Enhancing
Safe Medication Use for Pediatric Patients in the Emergency Department
Specific
recommendations to improve pediatric patient safety in the emergency department
are provided in this policy statement.
Resource:
Committee on Pediatric Emergency Medicine – Citations/References: (53) --
Published: 12/1/2007
Category:
Pediatric Medication Errors [Hospital-ED]
Ensuring Pediatric Medication Safety
Several
issues must be considered to ensure pediatric medication safety. Dosing and
ordering decisions, as well as compounding and drug delivery methods, are
especially important when providing care to pediatric patients.
Resource:
PPMAG.com – Citations/References: (0) -- Published: 11/1/2012
Category:
Pediatric Medication Errors [General]
Errors in EMS, Patient Safety, Just Culture
PowerPoint
presentation addressing medication error in MES
Resource:
PowerPoint Presentation – Citations/References: (0) -- Published: 8/1/2011
Category:
Pediatric Medication Errors [Prehospital-EMS]
Evaluation of a Web-Based Education Program on Reducing Medication Dosing Error
To
evaluate whether a Web-based education program on proper use of the tape could
reduce medication dosing errors and time to determine dose.
Resource:
Pediatric Emergency Care – Citations/References: (21) -- Published: 1/1/2006
Category:
Pediatric Medication Errors [General]
Fatal Mistakes
in Prehospital Medicine
Addresses
the multiple factors that cause in in prehiospitial care
Resource:
EMSWorld – Citations/References: (13) -- Published: 10/1/2012
Category:
Pediatric Medication Errors [Prehospital-EMS]
First, Do no Harm - Reducing Pediatric Medication Errors
Of all the
ways that pediatric patients can be harmed during treatment, medication errors
are the most common and the most preventable.
Resource:
American Journal of Nursing – Citations/References: (8) -- Published: 5/1/2005
Category:
Pediatric Medication Errors [General]
Despite
numerous studies over the past three decades, one fundamental patient safety
question remains controversial: what proportion of hospitalized patients are
harmed by medical care?
Resource:
Health Affairs – Citations/References: (45) -- Published: 4/1/2011
Category:
Patient Safety/Quality
Guidelines for Preventing Medication Errors in Pediatrics
This
document makes
recommendations for the
prevention of medication errors
in pediatric patients,
incorporating the suggestions of health-care professionals involved in the daily
treatmentof this patient population.
Resource:
PPAG/ResearchGate – Citations/References: (42) -- Published: 1/1/2001
Category:
Pediatric Medication Errors [General]
Identifying Incidents of Suboptimal Care During Paediatric Emergencies
The aim of
this study was to identify suboptimal care during standardised
simulatedscenarios and to identify the potential causation factors.
Resource:
www.elsevier.com/locate/resuscitation – Citations/References: (34) -- Published:
12/1/2013
Category:
Pediatric Medication Errors [Hospital-ED]
Impact of a Pediatric
Antibiotic Standard Dosing Table on Dosing Errors
The goal
of this study was to compare the rate of dosing errors for antibiotic orders in
pediatric patients before and after the implementation of an antibiotic standard
dosing table with precalculated dosage for different weight ranges at a tertiary
care hospital.
Resource:
Journal of Pediatric Pharmacology and Therapeutics – Citations/References: (22)
-- Published: 9/1/2013
Category:
Pediatric Medication Errors [General]
Impact of Emerging Technologies on Medication Errors and Adverse Drug Events
A
literature review revealed a paucity ofcontrolled, generalizable studies
confirm-ing the benefits of technologies intendedto reduce medication errors and
ADEs.
Resource:
American Journal of Health-System Pharmacy – Citations/References: (229) --
Published: 8/1/2003
Category:
Pediatric Medication Errors [General]
Determines
which factors of training and education influence emergency medical technicians’
(EMTs) feelings toward pediatric emergencies in a rural state.
Resource:
Pediatric Emergency Care – Citations/References: (13) -- Published: 1/1/2005
Category:
Pediatric Medication Errors [Prehospital-EMS]
Incidence and Nature of
Dosing Errors in Pediatric Medications
This is
systematic literature review using several databases which was conducted to
investigate the incidence and nature of dosing errors in children; 16 studies
were found to be relevant.
Resource:
DrugSafety – Citations/References: (46) -- Published: 1/1/2004
Category:
Pediatric Medication Errors [General]
Incidence of Adverse Events and Medical Error in Pediatrics
This
article discusses differences between error and harm, methods used to measure
harm, and available evidence that identifies the incidence of adverse events in
pediatric inpatients and outpatients.
Resource:
Pediatric Clinics of North America – Citations/References: (67) -- Published:
12/1/2006
Category:
Pediatric Medication Errors [General]
Interventions to Reduce Pediatric Medication Errors: A Systematic Review
Medication
errors cause appreciable morbidity and mortality in children. The objective was
to determine the effectiveness of interventions to reduce pediatric medication
errors, identify gaps in the literature, and perform meta-analyses on comparable
studies.
Resource:
American Academy of Pediatrics – Citations/References: (94) -- Published:
7/1/2014
Category:
Pediatric Medication Errors [General]
Lack
of standard dosing methods contributes to IV errors
Lack of
standardization makes selection of the proper dosing method difficult, and
errors are common.
Resource:
Institute for Safe Medicaion Practices – Citations/References: (2) -- Published:
8/1/2007
Category:
Patient Safety/Quality
Large Errors in the Dosing of Medications for Children
Dosing
errors are among the most common types of medication errors. Errors by a factor
of 10 (the administration of a dose 10 times or 1/10 as high as appropriate) are
of particular concern.
Resource:
New England Jouranl Of Medicine – Citations/References: (4) -- Published:
4/1/2002
Category:
Pediatric Medication Errors [Hospital-ED]
Medical Error Reporting in EMS
EMS
providers at all levels are also responsible for reporting medical errors which
occur during the care of a patient to their employer and medical control
authority
Resource:
JEMS.com – Citations/References: (0) -- Published: 1/1/2012
Category:
Pediatric Medication Errors [Prehospital-EMS]
Medication and Other Errors in
EMS
Happily,
errors do not happen every day and not all errors result in harm to the patient;
but then you also have to wonder how many errors are made that we never catch?
The most important thing to remember is that most errors are preventable..
Resource:
remsaeducation.com – Citations/References: (0) -- Published: 7/1/2009
Category:
Pediatric Medication Errors [Prehospital-EMS]
Medication Calculation Skills of Practicing Paramedics
Assesses
the medication calculation skills among a group of practicing paramedics, the
types of computations they find most difficult, and the relationship between
drug calculation skills and various demographic characteristics.
Resource:
Prehospital Emergency Care – Citations/References: (0) -- Published: 10/1/2000
Category:
Pediatric Medication Errors [Prehospital-EMS]
Medication Dosing Error in
Pediatric Patients Treated by Emergency Medical Services
Medications delivered in the prehospital care of children were frequently
administered outside of the proper dose range when compared with patient weights
recorded in the prehospital medical record. EMS systems should develop
strategies to reduce pediatric medication dosing errors.
Resource:
Prehospital Emergency Care – Citations/References: (41) -- Published: 3/1/2012
Category:
Pediatric Medication Errors [Prehospital-EMS]
ADEs
affect nearly 5% of hospitalized patients, making them one of the most common
types of inpatient errors; ambulatory patients may experience ADEs at even
higher rates. Transitions in care are also a well-documented source of
preventable harm related to medications.
Resource:
Patient Safety Network – Citations/References: (0) -- Published: 3/1/2015
Category:
Pediatric Medication Errors [General]
Medication Errors Affecting Pediatric Patients
From
January 2013 through October 2014, 4,065 medication errors involving pediatric
patients took place in a general acute care hospitals not specializing in
pediatrics.
Resource:
PA Patient Safety Advisory – Citations/References: (29) -- Published: 9/1/2015
Category:
Pediatric Medication Errors [Hospital-ED]
Medication Errors Among Acutely Ill and Injured Children Treated in Rural
Emergency Departments
We found a
high incidence of medication errors and physician-related medication errors
among the acutely ill and injured children presenting to rural EDs in northern
California.
Resource:
Amercan College of Emergency Physcians – Citations/References: (29) --
Published: 7/25/1900
Category:
Pediatric Medication Errors [Hospital-ED]
Medication Errors and Adverse Drug Events in Pediatric Inpatients
This
prospective cohort study aimed to describe the epidemiology of medication errors
by determining prevalence rates, comparing them to existing rates in adult
hospitals, and analyzing the major error types captured.
Resource:
Journal of the American Medical Association – Citations/References: (31) --
Published: 4/1/2001
Category:
Pediatric Medication Errors [Hospital-ED]
Medication Errors in a
Pediatric Emergency Department
Incorrect
recording of patient weights leading to an incorrect medication dose and failure
to note drug allergy are common causes for medication errors in the pediatric
emergency department.
Resource:
Pediatric Emergency Care – Citations/References: (15) -- Published: 6/21/1905
Category:
Pediatric Medication Errors [Hospital-ED]
Medication Errors in Paediatric Care a Systematic Review of Epidemiology
The
authors compiled data from more than 30 individual studies describing the
distribution of error types common in pediatric patients. Errors were noted
across prescribing, dispensing, administering, and documenting activities.
Resource:
Quality & Safety in Health Care – Citations/References: (55) -- Published:
4/1/2007
Category:
Pediatric Medication Errors [General]
Medication Errors
in Pediatric Emergencies
The
highest error rates are to be expected in prehospital emergency medicine. In
this review, we analyze the process of ordering medications and describe the
potential interventions for lowering error rates that have been evaluated to
date.
Resource:
ReseachGate – Citations/References: (77) -- Published: 6/26/1905
Category:
Pediatric Medication Errors [General]
Medication Errors in Pediatric Inpatients: Prevalence and Results of a
Prevention Program
This study
examined medication error rates before and after implementation of interventions
targeted toward an improved safety culture. Investigators demonstrated a modest
but significant reduction in error prevalence.
Resource:
American Academy of Pediatrics – Citations/References: (28) -- Published:
6/30/1905
Category:
Pediatric Medication Errors [Hospital-ED]
Medication Errors in Pediatrics—The Octopus Evading Defeat
This
review examines pediatric medication errors and recommends steps health care
organizations can follow to ensure safe medication administration.
Resource:
Journal of Surgical Oncology – Citations/References: (45) -- Published:
6/26/1905
Category:
Pediatric Medication Errors [General]
Medication Errors in United States Hospitals
This study
evaluated hospital demographics, staffing, pharmacy variables, health care
outcomes measures and medication errors.
Resource:
Pharmacotherapy – Citations/References: (71) -- Published: 9/1/2001
Category:
Pediatric Medication Errors [Hospital-ED]
Medication Mistakes and Demotions
Dicipline
doesn’t seem to do anything to reduce or prevent the next error. In
fact…discipline may make the problem worse. - See more at:
http://theemtspot.com/2011/09/20/medication-mistakes-and-demotions/#sthash.wqoogOTm.dpuf
Resource:
EMI Spot – Citations/References: (0) -- Published: 9/1/2011
Category:
Pediatric Medication Errors [Prehospital-EMS]
New Recommendations for Pediatric Medication Safety
Medications specifically made for adults and given to children put young
patients at greater risk for drug errors.
Resource:
ahcmedia.com – Citations/References: (0) -- Published: 7/1/2008
Category:
Pediatric Medication Errors [General]
New, Evidence-based Estimate of Patient Harms Associated with Hospital Care
Based on
1984 data developed from reviews of medical records of patients treated in New
York hospitals, the Institute of Medicine estimated that up to 98,000 Americans
die each year from medical errors. The basis of this estimate is nearly 3
decades old; herein, an updated estimate is developed from modern studies
published from 2008 to 2011.
Resource:
Journal Of Patient Safety – Citations/References: (43) -- Published: 7/5/1905
Category:
Patient Safety/Quality
To
identify and characterize areas for improvement in the clinical performance of
nurses in relation to medication administration.
Resource:
Quality & Safety in Health Care – Citations/References: (10) -- Published:
5/1/2011
Category:
Patient Safety/Quality
Overtired EMS Providers Prone to Medical Errors
Tells the
story of a medic, after over 30 hours on duty, who got a needle stick on a call
because they were tired and not paying proper attention. I urge you to read the
article and think about your workplace situation.
Resource:
Podmedic – Citations/References: (0) -- Published: 4/1/2015
Category:
Pediatric Medication Errors [Prehospital-EMS]
Paramedic Invents Device to Reduce Pediatric Drug Errors
Frequently
asked questions regarding Adverse Drug Events, Adverse Drug Reactions nd
Medication Errors
Resource:
EMS1 – Citations/References: (0) -- Published: 1/1/2016
Category:
Pediatric Medication Errors [Prehospital-EMS]
Paramedic Pediatric Medication Errors and High Reliability Solutions
To
demonstrate paramedic potential for pediatric medication calculation errors and
a method for improving performance by providing the answers to each possible
equation.
Resource:
UCLA Prehospital Care Research Forum – Citations/References: (0) -- Published:
2/1/2016
Category:
Pediatric Medication Errors [Prehospital-EMS]
The
paramedics obtained lower accuracy scoresin the high-stress condition than in
the low-stress condition. Neitherwork experience nor level of training predicted
the individual differences in the stress-induced performance.
Resource:
Informa HealthCare – Citations/References: (26) -- Published: 6/27/1905
Category:
Pediatric Medication Errors [Prehospital-EMS]
Paramedic Self-Reported Medication Errors
Continuing
quality improvement (CQI) reviews reflect that medication administration errors
occur in the prehospital setting. These include errors involving dose,
medication, route, concentration, and treatment.
Resource:
Prehospital Emergency Care – Citations/References: (19) -- Published: 12/1/2006
Category:
Pediatric Medication Errors [Prehospital-EMS]
Paramedics’ Ability to Perform Drug Calculations
The
objective of this study was to review the literature and determine the ability
of undergraduate and qualified paramedics to perform drug calculations.
Resource:
Western Journal of Emergency Medicine – Citations/References: (30) -- Published:
11/1/2009
Category:
Pediatric Medication Errors [Prehospital-EMS]
Patient Safety in Emergency Medical Services
This
systematic review found that the literature base on patient safety issues in
prehospital care is still quite small, limiting emergency medical services
providers' ability to identify and address systematic problems in care.
Resource:
Prehospital Emergency Care – Citations/References: (109) -- Published: 7/4/1905
Category:
Patient Safety/Quality
Patient Safety in EMS-Strategies to Reduce Medication Errors (PPT)
Describe
components of the EMS environment that create risk of medication errors and
specific process points at which these are likely.
Resource:
PowerPoint Presentation – Citations/References: (0) -- Published: 12/1/2012
Category:
Patient Safety/Quality
Patient Safety in the Pediatric Emergency Care Setting
Specific
recommendations to improve
pediatric
patient safety in the emergency department are provided in this policy
statement.
Resource:
Amercan Acedemy of Pediatrics – Citations/References: (53) -- Published:
12/1/2007
Category:
Pediatric Medication Errors [Hospital-ED]
Patient Safety Organization: 5 things EMS Providers Need to Know
PSO is not
an emerging infectious disease or a new RSI drug. PSO stands for Patient Safety
Organization and they will do more to improve the safety of our profession for
providers and patients than any single advance in our profession’s history.
Resource:
EMS1 – Citations/References: (3) -- Published: 9/1/2015
Category:
Patient Safety/Quality
Patient Safety Practices: Leaders Can Turn Barriers into Accelerators
Purpose:
to provide a briefing resource to call trustees and CEOs to action in patient
safety.
Resource:
Journal of Pediatric Safety – Citations/References: (73) -- Published: 3/1/2005
Category:
Patient Safety/Quality
Medication
dosing errors occur in up to 18% of hospitalized children. There are limited
data to describe pediatric medication errors by emergency medical services (EMS)
paramedics.
Resource:
EMSWorld – Citations/References: (0) -- Published: 12/1/2011
Category:
Pediatric Medication Errors [Prehospital-EMS]
Pediatric Medication Errors-Predicting and Preventing Tenfold Disasters
Tenfold
errors in pediatric doses are not uncommon. Because the needed volume of stock
solution is generally small, even a tenfold higher volume may still appear
deceivingly normal.
Resource:
Journal of Clinical Pharmacology – Citations/References: (8) -- Published:
10/1/1994
Category:
Pediatric Medication Errors [General]
Pediatric
Medication Safety and the Media: What Does the Public See?
In the
safety community, it is widely thought that a culture of safety is required to
achieve high levels of safety. However, the press tends to report accidents,
which are negative by their nature. Pediatric cases are often especially tragic.
Relatively few data have been available on the role that the media play in
forming opinions about patient safety and the subsequent impact on the culture
of safety.
Resource:
American Academy of Pediatrics – Citations/References: (8) -- Published:
6/1/2006
Category:
Patient Safety/Quality
Pediatric Nurses’ Medication Error the Self-reporting of Frequency, Types and
Causes
The
results of this investigation showed that, most prevalent type and cause of
medication errors were wrong dose and poor medication knowledge, respectively.
Resource:
International Journal of Pediatrics, – Citations/References: (22) -- Published:
3/1/2016
Category:
Pediatric Medication Errors [Hospital-ED]
Pediatric Patient Safety in Resuscitation Simulations
Proposed
recommendations which can be categorized according to (1) definition of the
pediatric patient, (2) emergency response, (3) equipment, (4) medications, and
(5) education.
Resource:
Pediatric Emergency Care – Citations/References: (7) -- Published: 1/1/2005
Category:
Pediatric Medication Errors [General]
Prehospital Medication Errors (PPT)
An
excelant presention focused on reeseach conducted I Michiagan EMS systems.
Resource:
PowerPoint Presentation – Citations/References: (0) -- Published: 10/1/2013
Category:
Pediatric Medication Errors [Prehospital-EMS]
Preventing Medication Errors in EMS
Medications delivered to children in the prehospital setting by paramedics were
frequently outside the proper range when
Resource:
PowerPoint Presentation – Citations/References: (0) -- Published: 2/1/2009
Category:
Pediatric Medication Errors [Prehospital-EMS]
Preventing Pediatric Medication Errors
Compared
to documented patient weights. EMS systems should develop strategies to reduce
pediatric medication dosing errors.
Resource:
Joint Commission – Citations/References: (15) -- Published: 4/1/2008
Category:
Pediatric Medication Errors [General]
Prevention of Adverse Drug Events in Hospitals
Adverse
drug events (ADEs) comprise the largest single category of adverse events
experienced by hospitalized patients, accounting for about 19 percent of all
injuries.
Resource:
uptodate.com – Citations/References: (98) -- Published: 2/1/2015
Category:
Pediatric Medication Errors [Hospital-ED]
Prevention of
Medication Errors in the Pediatric Inpatient Setting
Pediatricians should help hospitals develop effective programs for safely
providing medications, reporting medication errors, and creating an environment
of medication safety for all hospitalized pediatric patients.
Resource:
American Academy of Pediatrics – Citations/References: (53) -- Published:
8/1/2003
Category:
Pediatric Medication Errors [Hospital-ED]
Prevention of Pediatric Drug Calculation Errors by Prehospital Care Providers
Calculating weight-based drug doses for pediatric patients is difficult, with
significant error potential. In the prehospital setting, few safeguards
currently avert pediatric drug administration errors. We sought to determine
whether use of a protocol-specific pediatric code card enables prehospital
careproviders to calculatemore consistently accurate weight-based drug doses,
volumes of administration, and age-appropriate endotracheal tube sizes.
Resource:
Prehospital Emergency Care – Citations/References: (25) -- Published: 12/1/2008
Category:
Pediatric Medication Errors [Prehospital-EMS]
The
objective of this study was to classify the major types of medication errors in
pediatric inpatients and to determine which strategies might most effectively
prevent them.
Resource:
American Academy of Pediatrics – Citations/References: (43) -- Published:
4/1/2003
Category:
Pediatric Medication Errors [Hospital-ED]
Protecting EMS Patient Safety and Quality Information
NAEMT
believes that all EMS agencies should have access to and utilize mechanisms that
encourage and promote the evaluation necessary for continued improvement in the
delivery of emergency patient care.
Resource:
NAEMT Position Statement – Citations/References: (5) -- Published: 2/1/2013
Category:
Patient Safety/Quality
Quality Improvement for Prehospital Providers
A workbook
and Guidance Document for Service Level and Regional Level Quality Improvement
Activities.
Resource:
NY EMS Council – Citations/References: (0) -- Published: 3/1/2007
Category:
Patient Safety/Quality
Recommendations for Creating an EMS Culture of Safety
This is
part one of a two-part article on strategies for creating an EMS culture of
safety, based on the EMS Culture of Safety Project.
Resource:
jems.com – Citations/References: (0) -- Published: 5/1/2013
Category:
Patient Safety/Quality
Researchers Study Medication Dosing Errors & Pediatric Care
This is a
retrospective analysis of medication dosing errors in pediatric patients by EMS
providers over a two-year study period. Data was contributed by eight ambulance
services in the state of Michigan, 163,000 calls 5,547 patients.
Resource:
JEMS.com – Citations/References: (0) -- Published: 3/1/2012
Category:
Pediatric Medication Errors [Prehospital-EMS]
Results of Survey On Pediatric Medication Safety - Part 1 & 2
Hospitalized children are susceptible to medication errors due to difficulty
with weight-based dosing and knowing when patients are experiencing adverse drug
effects. This two-part newsletter reports online survey responses from nearly
1500 clinicians regarding the use of error prevention strategies at the
prescribing, dispensing, and administering phases of pediatric medication
delivery.
Resource:
Institute for Safe Medicaion Practices – Citations/References: (3) -- Published:
6/1/2015
Category:
Pediatric Medication Errors [Hospital-ED]
The
purpose of this study was to reduce the risk of harm to children resulting from
prescribing errors.
Resource:
American Academy of Pediatrics – Citations/References: (30) -- Published:
10/1/2006
Category:
Pediatric Medication Errors [Hospital-ED]
Root Causes of Errors in a
Simulated Prehospital Pediatric Emergency
Simulation, followed immediately by facilitated debriefing, uncovered underlying
causes of active cognitive, procedural, affective, and teamwork errors, latent
errors, and error-producing conditions in EMS pediatric care.
Resource:
Academic Emergency Medicine – Citations/References: (39) -- Published: 10/1/2012
Category:
Pediatric Medication Errors [Prehospital-EMS]
Safe Practices for Better Healthcare–2010 Update
A set of
34 safe practices continues to be a critical part of the NQF effort to promote
patient safety and reduce patient harm.
Resource:
National Quality Forum – Citations/References: (0) -- Published: 4/1/2010
Category:
Patient Safety/Quality
Sentinel Event Alert Pediatric Medication Errors and the Joint Commission
A
comprehensive presentation of medication errors in the hospital setting
Resource:
Joint Commission – Citations/References: (0) -- Published: 11/1/2008
Category:
Pediatric Medication Errors [Hospital-ED]
Simulations Based Assessment of Paramedic Pediatric Resuscitation Skills
Identifies
the most common performance deficiencies in paramedics’ management of three
simulated pediatric emergencies.
Resource:
PREHOSPITAL EMERGENCY CARE – Citations/References: (40) -- Published: 7/1/2009
Category:
Pediatric Medication Errors [General]
Small Size, Big Risk Preventing Neonatal and Pediatric Medication Errors
Medication
errors pose a significant risk to all patient populations. However, neonates,
infants and children are at particularly high risk for adverse outcomes that may
occur after medication errors.
Resource:
Nursing for Womans Health – Citations/References: (12) -- Published: 10/1/2010
Category:
Pediatric Medication Errors [Hospital-ED]
Strategies to Reduce Medication Errors
Medication
administration cross check is a simple and easy to implement process to reduce
medication errors.
Resource:
EMS1 – Citations/References: (0) -- Published: 3/1/2015
Category:
Pediatric Medication Errors [Prehospital-EMS]
Strategy for a National EMS Culture of Safety
Cultural
and operational safety advances have been broadly implemented in many healthcare
settings, as well as aviation and other high-consequence fields. Yet, too often,
the very emergency medical system that people count on for help unintentionally
risks or even causes preventable harm to three related groups: EMS personnel,
patients and members of the community
Resource:
(NHTSA), (HRSA), (EMSC), (ACEP) – Citations/References: (0) -- Published:
10/1/2013
Category:
Patient Safety/Quality
Systematic Review of Medication Errors in Pediatric Patients
All
healthcare professionals have a responsibility in identifying contributing
factors to medication errors and to use that information to further reduce their
occurrence.
Resource:
Annals of Pharmacotherapy – Citations/References: (54) -- Published: 10/1/2006
Category:
Pediatric Medication Errors [General]
Medication
error has been highlighted as a significant issue within the health care
industry and paramedic practice is not immune to this concerning problem. The
patient, their family, the paramedic and the health care system are all affected
by the outcomes of medication error.
Resource:
Australasian Journal of Paramedicine – Citations/References: (23) -- Published:
3/1/2009
Category:
Pediatric Medication Errors [Prehospital-EMS]
Ten
Patient Safety Topics that will Move EMS Forward in 2016
TEN
PATIENT SAFETY topics that will move EMS FORWARD in 2016.
Resource:
ESM Forward – Citations/References: (10) -- Published:
Category:
Patient Safety/Quality
Time to Tackle
the Tough Issues in Patient Safety
Evidence
that medication errors occur commonly in all patient care settings continues to
mount.
Resource:
American Academy of Pediatrics. – Citations/References: (26) -- Published:
5/1/2011
Category:
Patient Safety/Quality
To Err is Human - To Delay is Deadly
Ten years
later, a million lives lost, billions of dollars wasted.
Resource:
safepatientproject.org – Citations/References: (101) -- Published: 5/1/2009
Category:
Patient Safety/Quality
To Err is Human: Building A Safer Health System
The report
that started it all!
Resource:
Institute of Medicine – Citations/References: (0) -- Published: 11/1/1999
Category:
Patient Safety/Quality
Top 10 Things You Need to Know to Reduce Medication Errors
Paramedics
are human, and humans are not perfect. Nonetheless, making a medication error,
regardless of the cause, can be devastating for the patient, the paramedic and
the EMS system. Taking a moment to follow best practices in medication
administration can help reduce your risk of making an error.
Resource:
EMS Referemce – Citations/References: (21) -- Published: 3/1/2015
Category:
Pediatric Medication Errors [Prehospital-EMS]
Tracking Medication Errors: A Systems Approach
Sedgwick
County uses a Just Culture approach to identify & reduce errors.
Resource:
JEMS.com – Citations/References: (0) -- Published: 10/4/2013
Category:
Pediatric Medication Errors [Prehospital-EMS]
Understanding Why EMS Systems Fail
Unfortunately, many "failed" EMS systems are measured by recent events, no
matter how successful they may have been in the past. Finances, changing
political climates, poor leadership, or a significant high-profile event can all
trigger a system to be declared as "failed."
Resource:
JEMS.com – Citations/References: (0) -- Published: 1/1/2015
Category:
Pediatric Medication Errors [Prehospital-EMS]
Variables Associated with
Medication Errors in Pediatric Emergency Medicine
In the
pediatric ED, trainees are more likely to commit prescribing errors, and the
most seriously ill patients are more likely to be subjected to prescribing
errors.
Resource:
American Academy of Pediatrics – Citations/References: (33) -- Published:
10/1/2002
Category:
Pediatric Medication Errors [Hospital-ED]
