title: Reduction of Medication Errors: A Unique Approach.
abstract: Medication errors are a source of serious patient harm. A unique approach, Socio-Technical Probabilistic Risk Assessment, was used to analyze historical errors in this setting. The goal was to identify a minimal number of steps that would establish increased reliability and decrease errors if these steps were used every time. Three steps were identified that should be taken with every intravenous medication or fluid administration. Preliminary analysis revealed a 22% reduction in errors when using these 3 steps.
authors.affiliation: Center for Cancer & Blood Disorders (Ms Schmidt), Inpatient Medical-Surgical Units (Ms Taylor), and Nurse Informatics Liaison (Mr Pearson), Children's Health, Children's Medical Center, Dallas, Texas.
authors.forename: Kaye
authors.initials: K
authors.lastname: Schmidt
authors.forename: Amy
authors.initials: A
authors.lastname: Taylor
authors.forename: Anthony
authors.initials: A
authors.lastname: Pearson
mesh_terms: D061605:Administration, Intravenous / Q000592:standards / Q000706:statistics & numerical data; D005440:Fluid Therapy / Q000592:standards / Q000706:statistics & numerical data; D017144:Focus Groups; D006801:Humans; D008508:Medication Errors / Q000517:prevention & control* / Q000706:statistics & numerical data; D061214:Patient Safety / Q000592:standards; D015203:Reproducibility of Results; D018570:Risk Assessment / Q000379:methods* / Q000706:statistics & numerical data