Medication errors: Ending the blame-game

Nursing Management

Volumn 35, Issue 8, 2011, Pages 41-48

  Wolf, Zane Robinson ^a   Serembus, Joanne Farley ^a  

^a LA SALLE UNIVERSITY   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ARTICLE; HEALTH PERSONNEL ATTITUDE; HUMAN; INTERPERSONAL COMMUNICATION; MEDICATION ERROR; METHODOLOGY; NURSING; NURSING STAFF; ORGANIZATION; PERSONNEL MANAGEMENT; RISK MANAGEMENT; STATISTICS; UNITED STATES;

ATTITUDE OF HEALTH PERSONNEL; HUMANS; MEDICATION ERRORS; NURSING STAFF; ORGANIZATIONAL CULTURE; ORGANIZATIONAL INNOVATION; PENNSYLVANIA; PERSONNEL MANAGEMENT; RISK MANAGEMENT; TRUTH DISCLOSURE;

EID: 19644370996     PISSN: 07446314     EISSN: 15388670     Source Type: Journal    
DOI: 10.1097/00006247-200408000-00013     Document Type: Article

References (18)

1. Dowell, M., et al.: “Developing mechanisms for reporting compliance violations,”Healthcare Financial Management. 55(8):50-55, 2001.
2. Kohn, I., Corrigan, J., and Donaldson, M. (eds.):To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press, 2000.
3. Wolf, Z., et al.: “Responses and Concerns of Health Care Providers to Medication Errors,”Clinical Nurse Specialist: The Journal of Adult Health. 14(6):278-287, 2000.
4. Leape, L.: “Error in Medicine,”JAMA. 272(23):1851-1857, 1994.
5. Osborne, J., Blais, K., and Hayes, J.: “Nurses’ Perceptions: When Is It a Medication Error?”JONA. 29(4):33-38, 1999.
6. Wakefield, D., et al.: “Perceived Barriers in Reporting Medication Administration Errors,”Best Practices and Benchmarking in Healthcare. 1(4):191-197, 1996.
7. Ibid.
8. Senders, J., and Senders, S.: “Failure Mode and Effects Analysis in Medicine,” In M. Cohen (ed.). Medication Errors (pp. 3.1-3.8). Washington, DC: American Pharmaceutical Association, 1999.
9. Shortell, S., O’Brien, J., Carman, J., Foster, R., Hughes, E., Boerstler, H., and O’Connor, E.: “Assessing the Impact of Continuous Quality Improvement/Total Quality Management: Concept Versus Implementation,”Health Services Research. 30(2):377-401, 1995.
10. Brown, S., Bogner, M., Parmentier, C., and Taylor, J.: “Human Error and Patient-Controlled Analgesia Pumps,”Journal of Intravenous Nursing. 20(6):311-316, 1997.
11. Ibid.
12. Paget, M.:The Unity of Mistakes: A Phenomenological Interpretation of Medical Work. Philadelphia: Temple University Press, 1998.
13. Wolf, Z., et al.: loc cit.
14. Smetzer, J.: “Beyond Blaming Individuals: Lesson from Colorado,”Nursing98. May, 48-51, 1998.
15. Smetzer, J., and Cohen, M.: “Lesson from the Denver Medication Error/Criminal Negligence Case: Look Beyond Blaming Individuals,”Hospital Pharmacy. 33(6):640-657, 1998.
16. Yopp, M.: “Health Care Homicide: Killing Providers with Criminal Prosecution,”Tennessee Nurse. 61(1):17-19, 1998.
17. Sullivan, G.: “Who is to Blame When a Med Error Occurs?RN. 62(7):68, 1999.
18. Minnesota Nurses Association: “US News ‘Blameless’ Reporting Story Features MNA Members: Children’s Hospitals Nurses Explore New System Safety Measures,”Minnesota Nursing Accent. 72(9):14, 2000.