Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
10
pubmed:dateCreated
1994-10-11
pubmed:abstractText
Actual or potential medication errors reported to a national medication error database from August 1991 through April 1993 are summarized. The United States Pharmacopeial Convention (USP) and the Institute for Safe Medication Practices (ISMP) collect medication error reports and study them in an effort to provide feedback to practitioners, the FDA, and product manufacturers. Reports are voluntary and are most often received by telephone or submission of a standard form. Five hundred sixty-eight such reports were received by the USP between August 1991 and April 1993; the majority of these were from pharmacists. Medication errors were classified as potential, actual-intercepted, or actual-transpired; 406 actual errors occurred in the prescribing, transcribing, communication, dispensing, or administration of medications, and 162 incidents involved potential errors in these areas. Nurses, pharmacists, and physicians were implicated in the greatest number of triggering incidents. The drugs most commonly involved in errors were heparin, lidocaine, epinephrine, and potassium chloride; lidocaine was implicated in the largest number of fatalities. Product problems (e.g., similar packaging, incomplete labeling) played the largest role overall, whereas cognitive error was the most important factor in fatalities. A national medication error reporting program can provide valuable feedback to practitioners and manufacturers.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
May
pubmed:issn
0002-9289
pubmed:author
pubmed:issnType
Print
pubmed:day
15
pubmed:volume
51
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
1335-8
pubmed:dateRevised
2006-11-15
pubmed:meshHeading
pubmed:year
1994
pubmed:articleTitle
Experience with a national medication error reporting program.
pubmed:affiliation
Practitioner's Reporting Network, United States Pharmacopeial Convention, Inc. (USP), Rockville, MD 20852.
pubmed:publicationType
Journal Article, Comparative Study