Vaccination errors reported to the Vaccine Adverse Event Reporting System (VAERS), United States, 2000–2013.
Hibbs BF, Moro PL, Lewis P, Miller ER, Shimabukuro TT. Vaccine. 2015;33:3171-3178.
Vaccination-related errors reported to the National Vaccine Adverse Event Reporting System grew from 10 in the year 2000 to 4324 in 2013, potentially due to the introduction of new vaccines, increasingly complex vaccination schedules, and changes in reporting practices. The most common errors were dispensing vaccines at an inappropriate schedule or administering expired or incorrectly stored vaccines. One-fourth of reported errors caused an adverse health event, with 8% of these resulting in serious harm.
Hospital Reporting Program.
Portland, OR: Oregon Patient Safety Commission.
SPECIAL OR THEME ISSUE
Analysis of ISMP National Vaccine Errors Reporting Program—Part 1 and Part 2.
ISMP Medication Safety Alert! Acute Care Edition. December 4, 2014;19:1-6. March 26, 2015;20:1-4.
Failure to Report
Spath PL. AHRQ WebM&M [serial online]. March 2007.
MEASUREMENT TOOL/INDICATORView all related resources...
2005 ISMP Medication Safety Self Assessment® for Antithrombotic Therapy in Hospitals.
Huntingdon Valley, PA: Institute for Safe Medication Practices; 2005.