Reengineering Intravenous Drug and Fluid Administration Processes in the Operating Room

Fraind, Deborah B.; Slagle, Jason; Tubbesing, Victor A.; Hughes, Samuel A.; Weinger, Matthew B.

doi:10.1097/00000542-200207000-00020

Cited by 70 publications

(44 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Other evidence [12][13][14][15] has highlighted the error-prone nature of preparing critical infusions at the bedside, including vasopressors and opioids. Task analysis 16 has identified a total of 41 potential steps in the process of preparing a drug infusion, providing 41 opportunities for error during the fast-paced environment of medical emergencies.…”

Section: Simulationmentioning

confidence: 99%

Medication Errors in Cardiopulmonary Arrest and Code-Related Situations

Flannery

Parli

2016

American Journal of Critical Care

View full text Add to dashboard Cite

) was searched to identify relevant published studies on the overall frequency, types, and examples of medication errors during medical emergencies involving cardiopulmonary resuscitation and related situations, and the breakdown by type of error. The overall frequency of medication errors during medical emergencies, specifically situations related to resuscitation, is highly variable. Medication errors during such emergencies, particularly cardiopulmonary resuscitation and surrounding events, are not well characterized in the literature but may be more frequent than previously thought. Depending on whether research methods included database mining, simulation, or prospective observation of clinical practice, reported occurrence of medication errors during cardiopulmonary resuscitation and surrounding events has ranged from less than 1% to 50%. Because of the chaos of the resuscitation environment, errors in prescribing, dosing, preparing, labeling, and administering drugs are prone to occur. System-based strategies, such as infusion pump policies and code cart management, as well as personal strategies exist to minimize medication errors during emergency situations.

show abstract

Section: Simulationmentioning

confidence: 99%

Medication Errors in Cardiopulmonary Arrest and Code-Related Situations

Flannery

Parli

2016

American Journal of Critical Care

View full text Add to dashboard Cite

show abstract

“…When interns were performing two or more tasks simultaneously, the observer held down the "command" key to mark multi-tasking periods. 11,12,15 To ensure that we accounted for the amount of time spent on each task that was simultaneously performed (i.e., each task within the multi-tasking markers), the total time for the case (i.e., the denominator used for the % time calculations/metric) was extended by the time of the overlapping tasks. In addition, the observational software program included an annotation feature that allowed observers to write brief notes about their observations and the data.…”

Section: Data Collection Proceduresmentioning

confidence: 99%

The Composition of Intern Work While on Call

et al. 2012

View full text Add to dashboard Cite

“…Third, there may be practical and cost advantages to the centralized preparation of medications. [34][35][36] Although our data suggest that this strategy may reduce the number of errors, it would not signifi- cantly reduce errors of larger magnitude (Table 2). Remote preparation of medications may not be ideal, because delays in the availability of medications may result in adverse outcomes.…”

mentioning

confidence: 97%