Medication errors associated with code situations in U.S. hospitals: direct and collateral damage.
A retrospective analysis of 842 medication errors related to code situations revealed that "collateral damage" errors accounted for 74% of all code-related errors, whereas 21% involved patients directly experiencing codes.
Lipshutz
Angela K M
AK
University of California, San Francisco, USA.
Morloc
Laura L
LL
Shore
Andrew D
AD
Hicks
Rodney W
RW
Dy
Sydney M
SM
Pronovost
Peter J
PJ
Winters
Bradford D
BD
D019985:Benchmarking; D004638:Emergency Treatment / Q000009:adverse effects* / Q000592:standards; D006761:Hospitals / Q000592:standards*; D006801:Humans; D019221:Mandatory Reporting; D008508:Medication Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D016017:Odds Ratio; D011785:Quality Assurance, Health Care / Q000379:methods; D016414:Resuscitation Orders; D014481:United States