title: Medication administration process assessment: applying lessons learned from commercial aviation.
abstract: Medication administration is a major safety issue for patients and providers. The authors describe a commercial aviation-based system safety assessment conducted on the medication administration process for a community teaching hospital in the northeast United States. Processes on 2 medical units and 1 surgical unit were assessed. A sampling of qualitative outcomes is presented in a risk prioritization framework, along with practical recommendations predicated on the valuable lessons learned in commercial aviation.
authors.affiliation: Danbury Hospital, Danbury, Connecticut 06810, USA. moreen.donahue@danhosp.org
authors.forename: Moreen
authors.initials: M
authors.lastname: Donahue
authors.forename: Joseph P
authors.initials: JP
authors.lastname: Brown
authors.forename: Joyce J
authors.initials: JJ
authors.lastname: Fitzpatrick
mesh_terms: D001359:Aviation / Q000458:organization & administration; D002983:Clinical Competence; D004334:Drug Administration Schedule; D006745:Hospital Bed Capacity, 300 to 499; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control*; D008510:Medication Systems, Hospital / Q000458:organization & administration*; D009511:New England; D024802:Nurse's Role; D015404:Nursing Methodology Research; D009741:Nursing Staff, Hospital / Q000458:organization & administration*; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D017751:Safety Management / Q000458:organization & administration*