AHRQ Patient Safety Network ► Omission of high-alert medications: a hidden danger.

AHRQ Patient Safety Network



Omission of high-alert medications: a hidden danger.

Grissinger M, Alghamdi D. PA-PSRS Patient Saf Advis. December 2014;11:149-155.

Analyzing incidents reported over a 4-month period, this article reveals that 21% of 2700 medication errorsinvolved at least one high-alert medication. The investigation found that more than half of errors occurred during the administration process, and problems associated with set up and use of intravenous (IV) delivery systems contributed to omissions. Recommended strategies to reduce risks include developing standardprocedures, tracing IV lines, and enhancing utilization of health care technology.

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