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Volumn 23, Issue 3, 2006, Pages 33-41

Medication administration errors: Understanding the issues

Author keywords

Literature review; Nursing research; Professional practice; Quality and safe use of medicines

Indexed keywords

HOSPITAL ORGANIZATION; HUMAN; MEDICATION ERROR; NEW ZEALAND; NURSING RESEARCH; ORGANIZATION AND MANAGEMENT; REVIEW; RISK MANAGEMENT; STATISTICS;

EID: 33646153530     PISSN: 08130531     EISSN: 14474328     Source Type: Journal    
DOI: None     Document Type: Review
Times cited : (62)

References (78)
  • 1
    • 0042131572 scopus 로고    scopus 로고
    • Prevention of medication errors in the pediatric inpatient setting
    • American Academy of Pediatrics
    • American Academy of Pediatrics. 2003. Prevention of medication errors in the pediatric inpatient setting. Pediatrics, 112(2):431-436.
    • (2003) Pediatrics , vol.112 , Issue.2 , pp. 431-436
  • 2
    • 0036489355 scopus 로고    scopus 로고
    • Implementing a new drug record system: A qualitative study of difficulties perceived by physicians and nurses
    • Andersen, S. 2002. Implementing a new drug record system: a qualitative study of difficulties perceived by physicians and nurses. Quality in Health Care. 11(1):19-25.
    • (2002) Quality In Health Care , vol.11 , Issue.1 , pp. 19-25
    • Andersen, S.1
  • 3
    • 0035408394 scopus 로고    scopus 로고
    • A systems approach to the reduction of medication error on the hospital
    • Anderson, D., and Webster, C. 2001. A systems approach to the reduction of medication error on the hospital. Journal of Advanced Nursing. 35(1):34-41.
    • (2001) Journal of Advanced Nursing , vol.35 , Issue.1 , pp. 34-41
    • Anderson, D.1    Webster, C.2
  • 4
    • 0037364536 scopus 로고    scopus 로고
    • Adverse events in drug administration: A literature review
    • Armitage, G. and Knapman, H. 2003. Adverse events in drug administration: a literature review. Journal of Nursing Management. 11:130-140.
    • (2003) Journal of Nursing Management , vol.11 , pp. 130-140
    • Armitage, G.1    Knapman, H.2
  • 5
    • 0028771945 scopus 로고
    • Research in practice: How drug mistakes affect self-esteem
    • Arndt, M. 1994. Research in practice: how drug mistakes affect self-esteem. Nursing Times. 90(15):27-30.
    • (1994) Nursing Times , vol.90 , Issue.15 , pp. 27-30
    • Arndt, M.1
  • 7
    • 84855714152 scopus 로고    scopus 로고
    • August 17, Paper presented at the conference: When things go wrong: medical and legal aspects of root cause analysis. Auckland, New Zealand: New Zealand Law Society and the School of Medicine, University of Auckland
    • Bagian, J. 2004, August 17. Patient safety - why bother? Paper presented at the conference: When things go wrong: medical and legal aspects of root cause analysis. Auckland, New Zealand: New Zealand Law Society and the School of Medicine, University of Auckland.
    • (2004) Patient Safety - Why Bother?
    • Bagian, J.1
  • 9
    • 0030625710 scopus 로고    scopus 로고
    • Rules outside the rules for administration of medication: A study in New South Wales, Australia
    • Baker, H. 1997. Rules outside the rules for administration of medication: a study in New South Wales, Australia. Image: Journal of Nursing Scholarship. 29(2):155-159.
    • (1997) Image: Journal of Nursing Scholarship , vol.29 , Issue.2 , pp. 155-159
    • Baker, H.1
  • 10
    • 84855686754 scopus 로고    scopus 로고
    • Medication errors: Where does the fault lie?
    • In S. Hunt and R. Parkes (eds.), St Leonard's, Australia: Allen & Unwin
    • Baker, H. 1999a. Medication errors: where does the fault lie? In S. Hunt and R. Parkes (eds.), Nursing and the quality use of medications (pp. 73-85). St Leonard's, Australia: Allen & Unwin.
    • (1999) Nursing and The Quality Use of Medications , pp. 73-85
    • Baker, H.1
  • 11
    • 84855650203 scopus 로고    scopus 로고
    • Quality use of medicines: Changing the system
    • In S. Hunt and R. Parkes (eds.), St Leonard's, Australia: Allen & Unwin
    • Baker, H. 1999b. Quality use of medicines: changing the system. In S. Hunt and R. Parkes (eds.), Nursing and the Quality Use of Medicines (pp. 98-113). St Leonard's, Australia: Allen & Unwin.
    • (1999) Nursing and The Quality Use of Medicines , pp. 98-113
    • Baker, H.1
  • 14
    • 0032556180 scopus 로고    scopus 로고
    • Effect of computerised physician order entry and a team intervention on prevention of serious medication errors
    • Bates, D., Leape, L., Cullen, D., Laird, N., Peterson, L., Teich, J., et al. 1998. Effect of computerised physician order entry and a team intervention on prevention of serious medication errors. JAMA. 280(15):1311-1316.
    • (1998) JAMA , vol.280 , Issue.15 , pp. 1311-1316
    • Bates, D.1    Leape, L.2    Cullen, D.3    Laird, N.4    Peterson, L.5    Teich, J.6
  • 15
    • 4544251999 scopus 로고    scopus 로고
    • Valuable lessons in patient safety: Reporting near misses in healthcare
    • Berntsen, K. 2004. Valuable lessons in patient safety: reporting near misses in healthcare. Journal of Nursing Care Quality. 19(3):177-179.
    • (2004) Journal of Nursing Care Quality , vol.19 , Issue.3 , pp. 177-179
    • Berntsen, K.1
  • 16
    • 0032107063 scopus 로고    scopus 로고
    • A multisite study of nurse staffing and patient occurrences
    • Blegen, M. and Vaughn, T. 1998. A multisite study of nurse staffing and patient occurrences. Nursing Economics. 16(4):196-204.
    • (1998) Nursing Economics , vol.16 , Issue.4 , pp. 196-204
    • Blegen, M.1    Vaughn, T.2
  • 17
    • 0037271237 scopus 로고    scopus 로고
    • Upgrading systems design to reduce medication administration errors
    • Brush, K. 2003. Upgrading systems design to reduce medication administration errors. Clinical Nurse Specialist. 17(1):15-16.
    • (2003) Clinical Nurse Specialist , vol.17 , Issue.1 , pp. 15-16
    • Brush, K.1
  • 19
    • 2942621882 scopus 로고    scopus 로고
    • Navigating in a complex nursing world
    • Clancy, T. 2004a. Navigating in a complex nursing world. JONA. 34(6): 274-282.
    • (2004) JONA , vol.34 , Issue.6 , pp. 274-282
    • Clancy, T.1
  • 21
    • 0030294233 scopus 로고    scopus 로고
    • Medication errors: Following a game plan
    • 26
    • Cohen, M. and Cohen, H. 1996. Medication errors: following a game plan. Nursing 96 26(11):34-37.
    • (1996) Nursing , vol.96 , Issue.11 , pp. 34-37
    • Cohen, M.1    Cohen, H.2
  • 22
    • 1242267687 scopus 로고    scopus 로고
    • Committee on the Work Environment for Nurses and Patient Safety, Washington: The National Academies Press
    • Committee on the Work Environment for Nurses and Patient Safety. 2004. Keeping the patient safe: transforming the work environment of nurses. Washington: The National Academies Press.
    • (2004) Keeping the Patient Safe: Transforming the Work Environment of Nurses
  • 23
    • 0025395297 scopus 로고
    • Dealing fairly with medication errors
    • March
    • Davis, M. 1990. Dealing fairly with medication errors. Nursing90, March:42-43.
    • (1990) Nursing90 , pp. 42-43
    • Davis, M.1
  • 25
    • 5444259971 scopus 로고    scopus 로고
    • Investigation of correlation between house-staff work hours and prescribing errors
    • Davydov, L., Caliendo, G., Mehl, B. and Smith, L. 2004. Investigation of correlation between house-staff work hours and prescribing errors. American Journal of Health-System Pharmacy. 61(1):1130-1134.
    • (2004) American Journal of Health-System Pharmacy , vol.61 , Issue.1 , pp. 1130-1134
    • Davydov, L.1    Caliendo, G.2    Mehl, B.3    Smith, L.4
  • 27
    • 0037140185 scopus 로고    scopus 로고
    • Causes of prescribing errors in hospital inpatients: A prospective study
    • Dean, B., Schachter, M., Vincent, C. and Barber, N. 2002. Causes of prescribing errors in hospital inpatients: a prospective study. The Lancet. 359:1373-1378.
    • (2002) The Lancet , vol.359 , pp. 1373-1378
    • Dean, B.1    Schachter, M.2    Vincent, C.3    Barber, N.4
  • 28
    • 0026415044 scopus 로고
    • Drug errors: A judgment of errors
    • Ernst, M., Buchanan, A. and Cox, C. 1991. Drug errors: a judgment of errors. Nursing Times. 87(14):26-30.
    • (1991) Nursing Times , vol.87 , Issue.14 , pp. 26-30
    • Ernst, M.1    Buchanan, A.2    Cox, C.3
  • 29
    • 0036500042 scopus 로고    scopus 로고
    • Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities
    • Mar
    • Flynn, E., Barker, K., Pepper, G., Bates, D. and Mikel, R. 2002. Comparison of methods for detecting medication errors in 36 hospitals and skilled-nursing facilities. American Journal of Health-System Pharmacy. 59, Mar 1:436-446.
    • (2002) American Journal of Health-System Pharmacy , vol.59 , Issue.1 , pp. 436-446
    • Flynn, E.1    Barker, K.2    Pepper, G.3    Bates, D.4    Mikel, R.5
  • 31
    • 0037383538 scopus 로고    scopus 로고
    • Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients
    • Fortescue, E., Kaushal, R., Landrigan, C., McKenna, K., Clapp, M., Federico, F., Goldman, D. and Bates, D. 2003. Prioritizing strategies for preventing medication errors and adverse drug events in pediatric inpatients. Pediatrics. 111(4):722-729.
    • (2003) Pediatrics , vol.111 , Issue.4 , pp. 722-729
    • Fortescue, E.1    Kaushal, R.2    Landrigan, C.3    McKenna, K.4    Clapp, M.5    Federico, F.6    Goldman, D.7    Bates, D.8
  • 34
    • 0035383219 scopus 로고    scopus 로고
    • Nurses and medication error: A discursive reading of the literature
    • Gibson, T. 2001. Nurses and medication error: a discursive reading of the literature. Nursing Inquiry. 8(2):108-117.
    • (2001) Nursing Inquiry , vol.8 , Issue.2 , pp. 108-117
    • Gibson, T.1
  • 35
    • 16544381784 scopus 로고    scopus 로고
    • Analysis of medication incidents and development of a medication incident rate clinical indicator
    • Headford, C., McGowan, S., and Clifford, R. (2001). Analysis of medication incidents and development of a medication incident rate clinical indicator. Collegian. 8(3):26-31.
    • (2001) Collegian , vol.8 , Issue.3 , pp. 26-31
    • Headford, C.1    McGowan, S.2    Clifford, R.3
  • 36
    • 84855714159 scopus 로고    scopus 로고
    • Unpublished Master of Arts (Applied) thesis, Victoria University of Wellington, New Zealand
    • Healee, D. 1999. Medication errors: understanding the risk. Unpublished Master of Arts (Applied) thesis, Victoria University of Wellington, New Zealand.
    • (1999) Medication Errors: Understanding the Risk
    • Healee, D.1
  • 39
    • 0003413171 scopus 로고    scopus 로고
    • Institute of National Academies, Washington, D.C. The National Academies Press
    • Institute of National Academies. 1999. To err is human: building a safer health system. Washington, D.C. The National Academies Press.
    • (1999) To Err is Human: Building a Safer Health System
  • 40
  • 41
    • 1342321923 scopus 로고    scopus 로고
    • Nurses' perceptions of their pharmacology education needs
    • King, R. 2004. Nurses' perceptions of their pharmacology education needs. Journal of Advanced Nursing. 45(4):392-401.
    • (2004) Journal of Advanced Nursing , vol.45 , Issue.4 , pp. 392-401
    • King, R.1
  • 42
    • 0042338775 scopus 로고    scopus 로고
    • The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients
    • King, W., Paice, N., Rangrej, J., Forestell, G. and Swartz, R. 2003. The effect of computerized physician order entry on medication errors and adverse drug events in pediatric inpatients. Pediatrics, 112(3):506-509.
    • (2003) Pediatrics , vol.112 , Issue.3 , pp. 506-509
    • King, W.1    Paice, N.2    Rangrej, J.3    Forestell, G.4    Swartz, R.5
  • 43
    • 1242306672 scopus 로고    scopus 로고
    • Open disclosure: The only approach to medical error: Open, honest, and timely disclosure should be the only approach to medical error
    • Lamb, R. 2004. Open disclosure: the only approach to medical error: open, honest, and timely disclosure should be the only approach to medical error. Quality and Safety in Health Care. 13(1):3.
    • (2004) Quality and Safety In Health Care , vol.13 , Issue.1 , pp. 3
    • Lamb, R.1
  • 45
    • 0028969702 scopus 로고
    • Measurement of patient outcomes: Data availability and consistency across hospitals
    • Mark, B. and Burleson, D. 1995. Measurement of patient outcomes: data availability and consistency across hospitals. JONA 25(4):52-59.
    • (1995) JONA , vol.25 , Issue.4 , pp. 52-59
    • Mark, B.1    Burleson, D.2
  • 46
    • 4544275364 scopus 로고    scopus 로고
    • Nurse perceptions of medication errors: What we need to know for patient safety
    • Mayo, A. and Duncan, D. 2004. Nurse perceptions of medication errors: what we need to know for patient safety. Journal of Nursing Care Quality, 19(3):209-217.
    • (2004) Journal of Nursing Care Quality , vol.19 , Issue.3 , pp. 209-217
    • Mayo, A.1    Duncan, D.2
  • 48
    • 27244458268 scopus 로고    scopus 로고
    • Ministry of Health, Wellington. Ministry of Health
    • Ministry of Health. 2001a. Reportable Events: guidelines. Wellington. Ministry of Health.
    • (2001) Reportable Events: Guidelines
  • 50
    • 21244475219 scopus 로고    scopus 로고
    • National Patient Safety Agency, Retrieved September 17, 2004 from
    • National Patient Safety Agency. 2003. Seven steps to patient safety: a guide for NHS staff. Retrieved September 17, 2004 from: http://www.npsa.nhs.uk/admin/publications/docs/sevensteps_overview(2).pdf
    • (2003) Seven Steps to Patient Safety: A Guide For NHS Staff
  • 51
    • 3242807366 scopus 로고    scopus 로고
    • Pilot study to determine the ability of health-care professionals to undertake drug dose calculations
    • Oldridge, G., Gray, K., McDermott, L. and Kirkpatrick, C. 2004. Pilot study to determine the ability of health-care professionals to undertake drug dose calculations. Internal Medicine Journal. 34:316-319.
    • (2004) Internal Medicine Journal , vol.34 , pp. 316-319
    • Oldridge, G.1    Gray, K.2    McDermott, L.3    Kirkpatrick, C.4
  • 54
    • 0033187306 scopus 로고    scopus 로고
    • Factors contributing to medication errors: A literature review
    • O'Shea, E. 1999. Factors contributing to medication errors: a literature review. Journal of Clinical Nursing. 8:496-504.
    • (1999) Journal of Clinical Nursing , vol.8 , pp. 496-504
    • O'Shea, E.1
  • 55
    • 19244371215 scopus 로고    scopus 로고
    • Searching for the final answer: Factors contributing to medication administration errors
    • Pape, T. 2001. Searching for the final answer: factors contributing to medication administration errors. Journal of Continuing Education in Nursing. 32(4):152-160.
    • (2001) Journal of Continuing Education In Nursing , vol.32 , Issue.4 , pp. 152-160
    • Pape, T.1
  • 56
    • 0023955171 scopus 로고
    • Primary versus functional medication administration: Monitoring and evaluating medication error rates
    • Poster, E. and Pelletier, L. 1988. Primary versus functional medication administration: monitoring and evaluating medication error rates. Journal of Nursing Quality and Assurance, 2(2):68-76.
    • (1988) Journal of Nursing Quality and Assurance , vol.2 , Issue.2 , pp. 68-76
    • Poster, E.1    Pelletier, L.2
  • 57
    • 2142768365 scopus 로고    scopus 로고
    • Drug errors and patient safety: The need for a change in practice
    • Preston, R. 2004. Drug errors and patient safety: the need for a change in practice. British Journal of Nursing, 13(2):72-78.
    • (2004) British Journal of Nursing , vol.13 , Issue.2 , pp. 72-78
    • Preston, R.1
  • 58
    • 0024314358 scopus 로고
    • Medication errors in neonatal and paediatric intensive-care units
    • Raju, T., Kecskes, S., Thorndon, J., Perry, M. and Feldman, S. 1989. Medication errors in neonatal and paediatric intensive-care units. Lancet. 2(8659):374-376.
    • (1989) Lancet , vol.2 , Issue.8659 , pp. 374-376
    • Raju, T.1    Kecskes, S.2    Thorndon, J.3    Perry, M.4    Feldman, S.5
  • 59
    • 0242721745 scopus 로고    scopus 로고
    • Integrating six sigma with Total Quality Management: A case example for measuring medication errors
    • Revere, L. 2003. Integrating six sigma with Total Quality Management: a case example for measuring medication errors. Journal of Health Care Management. 48(6):377-392.
    • (2003) Journal of Health Care Management , vol.48 , Issue.6 , pp. 377-392
    • Revere, L.1
  • 60
    • 0029382988 scopus 로고
    • Neonatal nursing staff time involved with medication-related activities
    • Ridge, H. and While, A. 1995. Neonatal nursing staff time involved with medication-related activities. Journal of Advanced Nursing. 22:623-627.
    • (1995) Journal of Advanced Nursing , vol.22 , pp. 623-627
    • Ridge, H.1    While, A.2
  • 61
    • 0031822391 scopus 로고    scopus 로고
    • Evaluation of nurses' errors associated with the preparation and administration of medication in a pediatric intensive care unit
    • Schneider, M., Cotting, J. and Pannatier, A. 1998. Evaluation of nurses' errors associated with the preparation and administration of medication in a pediatric intensive care unit. Pharmacy World Science, 20(4):178-182.
    • (1998) Pharmacy World Science , vol.20 , Issue.4 , pp. 178-182
    • Schneider, M.1    Cotting, J.2    Pannatier, A.3
  • 62
    • 17144452435 scopus 로고    scopus 로고
    • How safe are our hospitals?
    • Retrieved 24 August, 2004 from
    • Seddon, M. and Merry, A. 2002. How safe are our hospitals? The New Zealand Medical Association, 115(1167). Retrieved 24 August, 2004 from:www.nzmz.org.na/journal/115-1167/268
    • (2002) The New Zealand Medical Association , vol.115 , Issue.1167
    • Seddon, M.1    Merry, A.2
  • 64
  • 65
    • 3843065650 scopus 로고    scopus 로고
    • Transforming the workplace environment: Port Huron Hospital's transformation model
    • Sokol, P. 2004. Transforming the workplace environment: Port Huron Hospital's transformation model. Nursing Economics, 22(3):152-154.
    • (2004) Nursing Economics , vol.22 , Issue.3 , pp. 152-154
    • Sokol, P.1
  • 69
    • 5144231279 scopus 로고    scopus 로고
    • Enforcement outdoes education at eliminating unsafe abbreviations
    • Traynor, K. 2004. Enforcement outdoes education at eliminating unsafe abbreviations. American Journal of Health-System Pharmacy, 61:1314-1315.
    • (2004) American Journal of Health-System Pharmacy , vol.61 , pp. 1314-1315
    • Traynor, K.1
  • 70
    • 0037434858 scopus 로고    scopus 로고
    • Understanding and responding to adverse events
    • Vincent, C. 2003. Understanding and responding to adverse events. New England Journal of Medicine. 348:1051-1056.
    • (2003) New England Journal of Medicine , vol.348 , pp. 1051-1056
    • Vincent, C.1
  • 71
    • 0036489347 scopus 로고    scopus 로고
    • Patient safety: What about the patient?
    • Vincent, C. and Coulter, A. 2002. Patient safety: What about the patient? Quality in Health Care. 11:76-80.
    • (2002) Quality In Health Care , vol.11 , pp. 76-80
    • Vincent, C.1    Coulter, A.2
  • 72
    • 0032507502 scopus 로고    scopus 로고
    • Framework for analysing risk and safety in clinical medicine
    • Vincent, C., Taylor-Adams, S. and Stanhope, N. 1998. Framework for analysing risk and safety in clinical medicine. British Medical Journal, 316:1154-1157.
    • (1998) British Medical Journal , vol.316 , pp. 1154-1157
    • Vincent, C.1    Taylor-Adams, S.2    Stanhope, N.3
  • 73
    • 0031992437 scopus 로고    scopus 로고
    • Nurses' perceptions of why medication administration errors occur
    • Wakefield, B., Wakefield, D., Uden-Holman, T. and Blegen, M. 1998. Nurses' perceptions of why medication administration errors occur. Medsurg Nursing, 7(1):39-44.
    • (1998) Medsurg Nursing , vol.7 , Issue.1 , pp. 39-44
    • Wakefield, B.1    Wakefield, D.2    Uden-Holman, T.3    Blegen, M.4
  • 74
    • 0036675668 scopus 로고    scopus 로고
    • A practical guide to the implementation of an effective incident reporting scheme to reduce medication error on the hospital ward
    • Webster, C. and Anderson, D. 2002. A practical guide to the implementation of an effective incident reporting scheme to reduce medication error on the hospital ward. International Journal of Nursing Practice, 8:176-183.
    • (2002) International Journal of Nursing Practice , vol.8 , pp. 176-183
    • Webster, C.1    Anderson, D.2
  • 75
    • 0031657948 scopus 로고    scopus 로고
    • Medication errors in paediatric practice: Insights from a continuous quality improvement approach
    • Wilson, D., McArtney, R., Newcombe, R., McArtney, R., Gracie, J., Kirk, C., et al. 1998. Medication errors in paediatric practice: insights from a continuous quality improvement approach. European Journal of Pediatrics, 157:769-774.
    • (1998) European Journal of Pediatrics , vol.157 , pp. 769-774
    • Wilson, D.1    McArtney, R.2    Newcombe, R.3    McArtney, R.4    Gracie, J.5    Kirk, C.6
  • 76
    • 0037933309 scopus 로고    scopus 로고
    • An observational study of intravenous medication errors in the United Kingdom and in Germany
    • Wirtz, V., Taxis, K. and Barber, N. 2003. An observational study of intravenous medication errors in the United Kingdom and in Germany. Pharmacy World Science. 25(3):104-111.
    • (2003) Pharmacy World Science , vol.25 , Issue.3 , pp. 104-111
    • Wirtz, V.1    Taxis, K.2    Barber, N.3
  • 77
    • 0024764009 scopus 로고
    • Medication errors and nursing responsibility
    • Wolf, Z. 1989. Medication errors and nursing responsibility. Holistic Nursing Practice, 4(1):8-17.
    • (1989) Holistic Nursing Practice , vol.4 , Issue.1 , pp. 8-17
    • Wolf, Z.1
  • 78
    • 3242746673 scopus 로고    scopus 로고
    • Incidence and nature of dosing errors in paediatric medications: A systematic review
    • Wong, I., Ghaleb, B. and Barber, F. 2004. Incidence and nature of dosing errors in paediatric medications: a systematic review. Drug Safety, 27(9):661-671.
    • (2004) Drug Safety , vol.27 , Issue.9 , pp. 661-671
    • Wong, I.1    Ghaleb, B.2    Barber, F.3


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.