Book contents
- Medication Safety during Anesthesia and the Perioperative Period
- Medication Safety during Anesthesia and the Perioperative Period
- Copyright page
- Dedication
- The Snow Vaporizer, Mark II
- Contents
- Foreword
- Acknowledgments
- 1 Introduction to Medication Safety in Anesthesia and the Perioperative Period
- 2 Failures in Medication Safety during Anesthesia and the Perioperative Period
- 3 Failures in Medication Safety in the Intensive Care Unit and Ward
- 4 Impact of Medication Errors on the Patient and Family
- 5 Consequences for the Practitioner
- 6 Why Failures Occur in the Safe Management of Medications
- 7 Errors in the Context of the Perioperative Administration of Medications
- 8 Violations and Medication Safety
- 9 Interventions to Improve Medication Safety
- 10 Medication Safety in Special Contexts
- 11 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part I: General Principles
- 12 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part II: Practical Examples
- 13 Barriers to Improving Medication Safety
- 14 Conclusions
- Index
- References
3 - Failures in Medication Safety in the Intensive Care Unit and Ward
Published online by Cambridge University Press: 09 April 2021
Book contents
- Medication Safety during Anesthesia and the Perioperative Period
- Medication Safety during Anesthesia and the Perioperative Period
- Copyright page
- Dedication
- The Snow Vaporizer, Mark II
- Contents
- Foreword
- Acknowledgments
- 1 Introduction to Medication Safety in Anesthesia and the Perioperative Period
- 2 Failures in Medication Safety during Anesthesia and the Perioperative Period
- 3 Failures in Medication Safety in the Intensive Care Unit and Ward
- 4 Impact of Medication Errors on the Patient and Family
- 5 Consequences for the Practitioner
- 6 Why Failures Occur in the Safe Management of Medications
- 7 Errors in the Context of the Perioperative Administration of Medications
- 8 Violations and Medication Safety
- 9 Interventions to Improve Medication Safety
- 10 Medication Safety in Special Contexts
- 11 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part I: General Principles
- 12 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part II: Practical Examples
- 13 Barriers to Improving Medication Safety
- 14 Conclusions
- Index
- References
Summary
Many surgical patients spend time in an intensive care unit and on the wards. Medication errors are one of the most frequent causes of preventable harm in ICU and wards, and occur predominately in the dispensing and administration phases. Despite a plethora of publications and studies of medication errors in these locations, significant differences in definitions, study methods, and local workflows lead to remarkable differences in the rates of error reported. Increasing number of medications per patient, nurse to patient ratios, and patient age contribute to medication errors in the ICU. Pediatric ICUs tend to have higher rates of error, and this often is due to mis-calculation of a dilution or a weight based dose. On the wards, administration errors are common, especially when exact timing is expected for a given administration. Prescribing errors are often the result of lack of knowledge, whether related to diagnosis or medication; administration errors are more frequently skill based errors such as slips or lapses.
Keywords
- Type
- Chapter
- Information
- Publisher: Cambridge University PressPrint publication year: 2021
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