Near-miss event analysis enhances the barcode medication administration process. | AHRQ Patient Safety Network

Near-miss event analysis enhances the barcode medication administration process. | AHRQ Patient Safety Network

• Newspaper/Magazine Article
 
• Published December 2017

Near-miss event analysis enhances the barcode medication administration process.

Magee MC, Miller K, Patzek D, Madera C, Michalek C, Shetterly M. PA-PSRS Patient Saf Advis. Dec 2017;14.

Near misses provide unique opportunities to identify and learn from safety hazards. Describing how one organization utilized data on near misses involving barcode medication administrationover a 12-year period to reduce barcode-workflow events, this report outlines practices and strategies that contributed to success such as promoting event reporting and applying root cause analysis.

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