Sources and magnitude of error in preparing morphine infusions for nurse patient controlled analgesia in a UK paediatric hospital. | AHRQ Patient Safety Network

Sources and magnitude of error in preparing morphine infusions for nurse patient controlled analgesia in a UK paediatric hospital. | AHRQ Patient Safety Network

• Study
 
• Published October 2016

Sources and magnitude of error in preparing morphine infusions for nurse–patient controlled analgesia in a UK paediatric hospital.

Rashed AN, Tomlin S, Aguado V, Forbes B, Whittlesea C. Int J Clin Pharm. 2016;38:1069-1074.

Pediatric medication errors are common. In this study, researchers observed 153 nurse preparations of morphine infusions for pediatric patients and found significant variation in technique, which led to many patients receiving doses higher or lower than what was initially ordered.

PubMed citationAvailable at

Related Resources

MEETING/CONFERENCE › MASSACHUSETTS MEETING/CONFERENCE

The Opioid Crisis: How Health Care Can Take Action.

Institute for Healthcare Improvement. March 13–14, 2017; Hyatt Regency Boston Harbor, Boston, MA.

WEB RESOURCE › MULTI-USE WEBSITE

Turn the Tide Rx.

United States Office of the Surgeon General.

JOURNAL ARTICLE › STUDY

National trends in hospitalizations for opioid poisonings among children and adolescents, 1997 to 2012.

Gaither JR, Leventhal JM, Ryan SA, Camenga DR. JAMA Pediatr. 2016 Oct 31; [Epub ahead of print].

PRESS RELEASE/ANNOUNCEMENT

Request for comments on the proposed measures and 2020 targets for the National Action Plan for Adverse Drug Event Prevention: inpatient and outpatient measures for reduction of adverse drug events from anticoagulants, diabetes agents, and opioid analgesics.

Federal Register. Washington, DC: Office of Disease Prevention and Health Promotion, US Department of Health and Human Services. October 20, 2016;81:72594-72595.

JOURNAL ARTICLE › STUDY

Mandatory provider review and pain clinic laws reduce the amounts of opioids prescribed and overdose death rates.

Dowell D, Zhang K, Noonan RK, Hockenberry JM. Health Aff (Millwood). 2016;35:1876-1883.

View More