Intravenous medication errors

Journal of Intravenous Nursing

Volumn 19, Issue 3 SUPPL., 1996, Pages

  Hunt Jr , Max L ^a,b   Rapp, Robert P ^b  

^a College of Pharmacy ^*  (United States)

^b UNIVERSITY OF KENTUCKY MEDICAL CENTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

DRUG;

DRUG ADMINISTRATION; DRUG DOSE; DRUG INFORMATION; DRUG THERAPY; ERROR; INTRAVENOUS DRUG ADMINISTRATION; MEDICAL DECISION MAKING; PATIENT INFORMATION; PRESCRIPTION; REVIEW;

ADULT; DRUG MONITORING; DRUG THERAPY; HUMANS; INFUSIONS, INTRAVENOUS; MEDICATION ERRORS; PHARMACY SERVICE, HOSPITAL; PRACTICE GUIDELINES; PRESCRIPTIONS, DRUG;

EID: 0030012160     PISSN: 08965846     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Review

References (25)

1. Barker KN. The effects of an experimental medication system on medication errors and costs. Part 1: introduction and errors study. Am J Hosp Pharm 1969;26:324-333.
2. Graham K, McMahan M. Medication incidents: a microgram of prevention. Dimensions in Health Service 1989;66:21-24.
3. Sarubbi FA, Wilson MB, Lee M, et al. Nosocomial meningitis and bacteremia due to contaminated amphotericin B. JAMA 1978;239:416-418.
4. Plouffe JF, Brown DG, Silva J, et al. Nosocomial outbreak of Candida parapsilosis fungemia related to intravenous infusions. Arch Intern Med 1977;137:1686-1689.
5. Primary bacteremia-Illinois. MMWR 1976;25:110-115.
6. Zellmer WA. Solving problems associated with large-volume parenterals. 1. Pharmacists responsibility for compounding intravenous admixtures. Am J Hosp Pharm 1975;32:255.
7. Zellmer WA. Quality control in admixture services. Am J Hosp Pharm 1978;35:527-528.
8. National Coordinating Committee on Large Volume Parenterals. Recommended method for compounding intravenous admixtures in hospitals. Am J Hosp Pharm 1975;32:261-270.
9. Oddis JA. ASHP urges review of sterile product procedures (letter to pharmacy directors, assistant directors, and IV admixture supervisors. 1990.
10. American Society of Health-System Pharmacists. ASHP technical assistance bulletin on quality assurance for pharmacy-prepared sterile products. Am J Hosp Pharm 1993;50:2386-2398.
11. Leape LL, Bates W, Cullen DJ, Cooper H, Demonaco J, et al. Systems analysis of adverse drug events. JAMA 1995;274: 35-43.
12. Bates DW, Cullen DJ, Laird N, Petersen LA, Small SD, et al. Incidence of adverse drug events and potential adverse drug events: implications for prevention. JAMA 1995;274:29-34.
13. Stop, look, and listen! USP Quality Review No. 49. Rockville, MD: The United States Pharmacopeial Convention, Inc. 1995.
14. Countryman G, Walsh CT. A special report from the Board of Trustees and Administration of the Dana-Farber Cancer Institute to its various constituencies. Report issues October 30, 1995.
15. McDonald CJ. Use of a computer to detect and respond to clinical events: its effect on clinical behavior. Ann Intern Med 1976;84:162-167.
16. Rind DM, Safran C, Phillips RS, et al. The effect of computer-based reminders on the management of hospitalized patients with worsening symptoms. Proc Annu Symp Comput Appl Med Care 1991;15:28-32.
17. Davis NM. Can computers stop errors? Am J Nurs 1994; 94:14.
18. Davis N. Unprecendented procedural safeguards needed with the use of automated IV compounders. Hosp Pharm 1992; 27:488.
19. Leape LL, Brennan TA, Laird N, et al. The nature of adverse events in hospitalized patients - results of the Harvard medical Practice Study II. N Engl J Med 1991;324:377-384.
20. Rogers G. More on similarly packaged medications and drug company's response. J Emerg Nursing 1992;18:99-100.
21. American Society of Health-System Pharmacists. ASHP and ANA guidelines for collaboration of pharmacists and nurses in institutional care setting. Am J Hosp Pharm 1980;37:253-254.
22. Calliari D. The relationship between a calculation test given in nursing orientation and medication errors. Journal of Continuing Education in Nursing 1995;26:11-14.
23. Johnson JA, Bootman JL. Drug-Related morbidity and mortality. Arch Intern Med 1995;155:1949-1956.
24. ASHP and other groups identify steps needed to reduce drug errors. Phar Practice News 1995;November:18.
25. American Society of Health-System Pharmacists. ASHP guidelines on preventing medication errors in hospitals. Am J Hosp Pharm 1993;50:305-314.