Medication errors in a neonatal intensive care unit

Jornal de Pediatria

Volumn 84, Issue 2, 2008, Pages 166-170

  Lerner, Renata Bandeira De Melo Escovedo ^a   De Carvalho, Manoel ^a   Vieira, Alan Araújo ^a   Lopes, Jose Maria De Andrade ^a   Moreira, Maria Elisabeth Lopes ^a  

^a INSTITUTO OSWALDO CRUZ   (Brazil)

Author keywords

Medical errors; Neonatal unit; Newborn infant

Indexed keywords

ARTICLE; BIRTH WEIGHT; CLINICAL PRACTICE; CONTROLLED STUDY; GESTATIONAL AGE; HEALTH STATUS; HIGH RISK INFANT; HOSPITAL ADMISSION; HOSPITALIZATION; HUMAN; INCIDENCE; INFANT; INTENSIVE CARE UNIT; MAJOR CLINICAL STUDY; MEDICAL RECORD REVIEW; MEDICATION ERROR; NEWBORN INTENSIVE CARE; PHOTOTHERAPY; PRESCRIPTION; SCORING SYSTEM;

BRAZIL; COHORT STUDIES; HUMANS; INCIDENCE; INFANT, NEWBORN; INTENSIVE CARE UNITS, NEONATAL; MEDICATION ERRORS; SEVERITY OF ILLNESS INDEX;

EID: 43049112461     PISSN: 00217557     EISSN: None     Source Type: Journal    
DOI: 10.2223/JPED.1757     Document Type: Article

References (20)

1. Kohn LT, Corrigan JM, Donaldson MS. To err is human: building a safer health system. Washington: National Academies; 2000.
2. Cimino MA, Kirschbaum MS, Brodsky L, Shaha SH; Child Health Accountability Initiative. Assessing medication prescribing errors in pediatric intensive care units. Pediatr Crit Care Med. 2004;5:124-32.
3. Slonim AD, LaFleur BJ, Ahmed W, Joseph JG. Hospital-reported medical errors in children. Pediatrics. 2003;111:617-21.
4. Vincer MJ, Murray JM, Yuill A, Allen AC, Evans JR, Stinson DA. Drug errors and incidents in a neonatal intensive care unit. A quality assurance activity. Am J Dis Child. 1989;143:737-40.
5. Lehmann CU, Kim GR. Prevention of medication errors. Clin Perinatol. 2005;32:107-23.
6. American Society of Hospital Pharmacists. ASHP guidelines on preventing medical errors in hospitals. Am J Hosp Pharm. 1993;50:305-14.
7. Young TE, Mangum B. Neofax®: a manual of drugs used in neonatal care. 18th ed. Raleigh: Acorn Publishing; 2005.
8. Weingart SN, Wilson RM, Gibberd RW, Harrison B. Epidemiology of medical error. BMJ. 2000;320:774-7.
9. Mendes I, de Carvalho M, Almeida RT, Moreira ME. Use of technology as an evaluation tool of clinical care in preterm newborns. J Pediatr (Rio J). 2006;82:371-6.
10. Richardson DK, Corcoran JD, Escobar GJ, Lee SK. SNAP-II and SNAPPE-II: Simplified newborn illness severity and mortality risk scores. J Pediatr. 2001;138:92-100.
11. Weingart SN, Pagovich O, Sands DZ, Li JM, Aronson MD, Davis RB, et al. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. J Gen Intern Med. 2005;20:830-6.
12. Brennan TA, Leape LL, Laird NM, Hebert L, Localio AR, Lawthers AG et al. Incidence of adverse events and negligence in hospitalized patients: results of the Harvard Medical Practice Study I. N Engl J Med. 1991;324:370-6.
13. Grant MJ, Larsen GY. Effect of an anonymous reporting system on near-miss and harmful medical error reporting in a pediatric intensive care unit. J Nurs Care Qual. 2007;22:213-21.
14. Sharek PJ, Horbar JD, Mason W, Bisarya H, Thurm CW, Suresh G, et al. Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs. Pediatrics. 2006;118:1332-40.
15. Chedoe I, Molendijk HA, Dittrich ST, Jansman FG, Harting JW, Brouwers JR, et al. Incidence and nature of medication errors in neonatal intensive care with strategies to improve safety: a review of the current literature. Drug Saf. 2007;30:503-13.
16. Suresh G, Horbar JD, Plsek P, Gray J, Edwards WH, Shiono PH, et al. Voluntary anonymous reporting of medicals errors for neonatal intensive care. Pediatrics. 2004;113:1609-18.
17. Ross LM, Wallace J, Paton JY. Medication errors in a pediatric teaching hospital in the UK: five years operational experience. Arch Dis Child. 2000;83:492-7.
18. Gaba DM, Howard SK. Patient safety: fatigue among clinicians and the safety of patients. N Engl J Med. 2002;347:1249-55.
19. Simons SL. Long hours and no breaks: a patient safety concern. Neonatal Netw. 2006;25:445-6.
20. de Carvalho M, Vieira AA. Erro médico em pacientes hospitalizados. J Pediatr (Rio J). 2002;78:261-8.