Preventing iatrogenic overdose: a review of in–emergency department opioid-related adverse drug events and medication errors.
Beaudoin FL, Merchant RC, Janicki A, McKaig DM, Babu KM. Ann Emerg Med. 2014 Dec 17; [Epub ahead of print].
This study was conducted using a trigger tool method in which all cases of naloxone administration in the emergency department were reviewed. Causes of iatrogenic opioid overdose included patient factors such as comorbid conditions, inappropriate prescribing practices such as coadministration of multiple opioid medications, and systems problems including suboptimal handoffs and lack of pharmacy oversight. These results clearly demonstrate the need for multimodal interventions that address the varied factors that contribute to opioid overdose in the emergency department. A recent AHRQ WebM&M commentary describes best practices for opioid prescribing.
National patterns of codeine prescriptions for children in the emergency department.
Kaiser SV, Asteria-Penaloza R, Vittinghoff E, Rosenbluth G, Cabana MD, Bardach NS. Pediatrics. 2014;133:e1139-e1147.
Inquiry into reporter's death finds multiple failures in care.
Stout D. New York Times. June 17, 2006;National desk:9.
Reevaluating recovery: perceived violations and preemptive interventions on emergency psychiatry rounds.
Cohen T, Blatter B, Almeida C, Patel VL. J Am Med Inform Assoc. 2007;14:312-319.
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