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Volumn 68, Issue 11, 2013, Pages 1179-1187

Accidental hypoglycaemia caused by an arterial flush drug error: A case report and contributory causes analysis

Author keywords

[No Author keywords available]

Indexed keywords

GLUCOSE; INFUSION FLUID; SODIUM CHLORIDE;

EID: 84885960293     PISSN: 00032409     EISSN: 13652044     Source Type: Journal    
DOI: 10.1111/anae.12388     Document Type: Article
Times cited : (25)

References (20)
  • 1
    • 84885950746 scopus 로고    scopus 로고
    • National Patient Safety Agency Rapid Response Report. NPSA/2008/RRR006 (accessed 29/04/2013)
    • National Patient Safety Agency. Problems with infusions and sampling from arterial lines. Rapid Response Report. NPSA/2008/RRR006. http://www.nrls.npsa. nhs.uk/resources/?EntryId45=59891 (accessed 29/04/2013).
    • Problems with Infusions and Sampling from Arterial Lines
  • 2
    • 34249087333 scopus 로고    scopus 로고
    • Fatal neuroglycopaenia after accidental use of a glucose 5% solution in a peripheral arterial cannula flush system
    • Sinha S, Jayaram R, Hargreaves CG,. Fatal neuroglycopaenia after accidental use of a glucose 5% solution in a peripheral arterial cannula flush system. Anaesthesia 2007; 62: 615-20.
    • (2007) Anaesthesia , vol.62 , pp. 615-620
    • Sinha, S.1    Jayaram, R.2    Hargreaves, C.G.3
  • 4
    • 84885959546 scopus 로고    scopus 로고
    • Management of arterial lines and blood sampling in intensive care: A threat to patient safety?
    • doi: 10.1111/anae.12389.
    • Leslie RA, Gouldson S, Habib N, et al. Management of arterial lines and blood sampling in intensive care: a threat to patient safety? Anaesthesia 2013. doi: 10.1111/anae.12389.
    • (2013) Anaesthesia
    • Leslie, R.A.1    Gouldson, S.2    Habib, N.3
  • 5
    • 84860217109 scopus 로고    scopus 로고
    • Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: A systematic review
    • Lawton R, McEachan RR, Giles SJ, Sirriyeh R, Watt IS, Wright J,. Development of an evidence-based framework of factors contributing to patient safety incidents in hospital settings: a systematic review. British Medical Journal Quality and Safety 2012; 21: 369-80.
    • (2012) British Medical Journal Quality and Safety , vol.21 , pp. 369-380
    • Lawton, R.1    McEachan, R.R.2    Giles, S.J.3    Sirriyeh, R.4    Watt, I.S.5    Wright, J.6
  • 6
    • 0004223940 scopus 로고
    • New York: Cambridge University Press.
    • Reason J,. Human Error. New York: Cambridge University Press, 1990.
    • (1990) Human Error
    • Reason, J.1
  • 7
    • 22744434592 scopus 로고    scopus 로고
    • Does hyperglycaemia precede the clinical onset of myocardial ischaemia?
    • Laver SR, Padkin A,. Does hyperglycaemia precede the clinical onset of myocardial ischaemia? Resuscitation 2005; 66: 237-9.
    • (2005) Resuscitation , vol.66 , pp. 237-239
    • Laver, S.R.1    Padkin, A.2
  • 8
    • 77949369295 scopus 로고    scopus 로고
    • Reducing the risk of fatal and disabling hypoglycaemia: A comparison of arterial blood sampling systems
    • Brennan KA, Eapen G, Turnball D,. Reducing the risk of fatal and disabling hypoglycaemia: a comparison of arterial blood sampling systems. British Journal of Anaesthesia 2010; 104: 446-51.
    • (2010) British Journal of Anaesthesia , vol.104 , pp. 446-451
    • Brennan, K.A.1    Eapen, G.2    Turnball, D.3
  • 9
    • 33749247650 scopus 로고    scopus 로고
    • Patient safety in intensive care: Results from the multinational Sentinel Events Evaluation (SEE) study
    • Valentin A, Capuzzo M, Guidet B, et al. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care Medicine 2006; 32: 1591-8.
    • (2006) Intensive Care Medicine , vol.32 , pp. 1591-1598
    • Valentin, A.1    Capuzzo, M.2    Guidet, B.3
  • 10
    • 67649200265 scopus 로고    scopus 로고
    • Errors in administration of parenteral drugs in intensive care units: Multinational prospective study
    • Valentin A, Capuzzo M, Guidet B, et al. Errors in administration of parenteral drugs in intensive care units: multinational prospective study. British Medical Journal 2009; 338: 814.
    • (2009) British Medical Journal , vol.338 , pp. 814
    • Valentin, A.1    Capuzzo, M.2    Guidet, B.3
  • 13
    • 79954556594 scopus 로고    scopus 로고
    • Major complications of airway management in the UK: Results of the 4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2 Intensive Care and Emergency Department
    • Cook TM, Woodall N, Harper J, Benger J,. Major complications of airway management in the UK: results of the 4th National Audit Project of the Royal College of Anaesthetists and the Difficult Airway Society. Part 2 Intensive Care and Emergency Department. British Journal of Anaesthesia 2011; 106: 632-42.
    • (2011) British Journal of Anaesthesia , vol.106 , pp. 632-642
    • Cook, T.M.1    Woodall, N.2    Harper, J.3    Benger, J.4
  • 15
    • 84985846653 scopus 로고
    • Cognitive Fit: A theory-based analysis of the graphs versus tables literature
    • Vessey I,. Cognitive Fit: A theory-based analysis of the graphs versus tables literature. Decision Sciences 1991; 22: 219-40.
    • (1991) Decision Sciences , vol.22 , pp. 219-240
    • Vessey, I.1
  • 16
    • 0026470359 scopus 로고
    • Administering non-restricted medications in hospital: The implications and cost of using two nurses
    • Kruse H, Johnson A, O'Connell D, Clarke T,. Administering non-restricted medications in hospital: the implications and cost of using two nurses. Australian Clinical Review 1992; 12: 77-83.
    • (1992) Australian Clinical Review , vol.12 , pp. 77-83
    • Kruse, H.1    Johnson, A.2    O'Connell, D.3    Clarke, T.4
  • 17
    • 84866059739 scopus 로고    scopus 로고
    • Double checking the administration of medicines: What is the evidence? A systematic review
    • Alsulami Z, Conroy S, Choonara I,. Double checking the administration of medicines: what is the evidence? A systematic review. Archives of Disease of Childhood 2012; 97: 833-7.
    • (2012) Archives of Disease of Childhood , vol.97 , pp. 833-837
    • Alsulami, Z.1    Conroy, S.2    Choonara, I.3
  • 18
    • 28044437761 scopus 로고    scopus 로고
    • Involuntary automaticity: A work-system induced risk to safe health care
    • Toft B, Mascie-Taylor H,. Involuntary automaticity: a work-system induced risk to safe health care. Health Services Management Research 2005; 18: 211-6.
    • (2005) Health Services Management Research , vol.18 , pp. 211-216
    • Toft, B.1    Mascie-Taylor, H.2
  • 19
    • 44949243904 scopus 로고    scopus 로고
    • Medication-related patient safety incidents in critical care: A review of reports to the UK National Patient Safety Agency
    • Thomas AN, Panchagnula U,. Medication-related patient safety incidents in critical care: a review of reports to the UK National Patient Safety Agency. Anaesthesia 2008; 63: 726-33.
    • (2008) Anaesthesia , vol.63 , pp. 726-733
    • Thomas, A.N.1    Panchagnula, U.2
  • 20
    • 84862167998 scopus 로고    scopus 로고
    • Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010
    • Thomas AN, Taylor RJ,. Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010. Anaesthesia 2012; 67: 706-13.
    • (2012) Anaesthesia , vol.67 , pp. 706-713
    • Thomas, A.N.1    Taylor, R.J.2


* 이 정보는 Elsevier사의 SCOPUS DB에서 KISTI가 분석하여 추출한 것입니다.