Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | AHRQ Patient Safety Network

Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps. | AHRQ Patient Safety Network

• Newspaper/Magazine Article
 
• Published November 2015

Key vulnerabilities in the surgical environment: container mix-ups and syringe swaps.

ISMP Medication Safety Alert! Acute Care Edition. November 5, 2015;20:1-5.

The perioperative environment is vulnerable to medication error. This newsletter article highlights how container confusion and syringe swaps are particularly susceptible to failures and offers recommendations to address risks.

• Free full text

Related Resources

JOURNAL ARTICLE › STUDY

Association of off-label drug use and adverse drug events in an adult population.

Eguale T, Buckeridge DL, Verma A, et al. JAMA Intern Med. 2015 Nov 2; [Epub ahead of print].

JOURNAL ARTICLE › STUDY

Evaluation of perioperative medication errors and adverse drug events.

Nanji KC, Patel A, Shaikh S, Seger DL, Bates DW. Anesthesiology. 2015 Oct 21; [Epub ahead of print].

JOURNAL ARTICLE › STUDY

Emergency department visits for adverse events related to dietary supplements.

Geller AI, Shehab N, Weidle NJ, et al. N Engl J Med. 2015;373:1531-1540.

JOURNAL ARTICLE › STUDY

Impact of automated dispensing cabinets on medication selection and preparation error rates in an emergency department: a prospective and direct observational before-and-after study.

Fanning L, Jones N, Manias E. J Eval Clin Pract. 2015 Sep 7; [Epub ahead of print].

NEWSPAPER/MAGAZINE ARTICLE

Medication errors affecting pediatric patients: unique challenges for this special population.

Grissinger M. PA-PSRS Patient Saf Advis. September 2015;12:96-102.

View More