RightDose Medication Error References

Medication Error Research

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

Color Coding to Reduce Errors

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]

Criminalizing Medical Errors

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]

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]

Emergency Medical Services System Changes Reduce Pediatric Epinephrine Dosing Errors in the Prehospital Setting

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]

EMS Errors and Patient Safety

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]

Global Trigger Tool’ Shows That Adverse Events in Hospitals May Be Ten Times Greater Than Previously Measured

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]

Impact of Training and Experience on EMS Providers’ Feelings Toward Pediatric Emergencies in a Rural State

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]

Medication Errors

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

Opportunities for performance improvement in relation to medication administration during pediatric stabilization

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]

Paramedic Performance in Calculating Drug Dosages Following Stressful Scenarios in a Human Patient Simulator

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

Pediatric Medication Errors

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]

Prioritizing Strategies for Preventing Medication Errors and Adverse Drug Events in Pediatric Inpatients

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]

Risk Reduction for Adverse Drug Events Through Sequential Implementation of Patient Safety Initiatives

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]

Technical and Environmental Impact on Medication Error in Paramedic Practice A review of Causes, Consequences and Strategies for Prevention

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]