Article About Medication Error
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Journal Article On Medication Errors
Web Shows 60 Overtime Face to Face Resources Mobile Radio Local In Depth CBS medication error deaths News Store CBS/AP December 4, 2014, 6:11 PM Hospital medication error kills patient in Oregon Comment Share Tweet Stumble Email A hospital
Medication Error Stories
in Bend, Oregon, says it administered the wrong medication to a patient, causing her death.Loretta Macpherson, 65, died shortly after she was given a paralyzing agent typically used during surgeries instead of an anti-seizure medication, medication error articles nurses said Dr. Michel Boileau, chief clinical officer for St. Charles Health System.He said Macpherson stopped breathing and suffered cardiac arrest and brain damage.Macpherson came into the ER two days earlier with medication dosage questions after a recent brain surgery.Three employees involved in the error have been placed on paid leave. The organization is conducting an investigation, but doesn't yet know how the error occurred, Boileau said.The investigation is looking at every medication error articles 2015 step of the medication process: from how the medication was ordered from the manufacturer, to how the pharmacy mixed, packaged and labeled the drug, to how it was brought to the nurses and administered to the patient."We're looking for any gaps or weaknesses in the process, or to see if there has been any human error involved," Boileau said.The hospital notified the Deschutes County district attorney, who did not immediately return a call for comment.According to the Bend Bulletin, the doctors determined Macpherson needed an intravenous anti-seizure medication called fosphenytoin, but instead accidentally administered rocuronium, which caused Macpherson to stop breathing and go into cardiac arrest, leading to irreversible brain damage. The hospital took Macpherson off life support Wednesday morning.The patient's son, Mark Macpherson told the newspaper he'd recently moved to closer to care for her. "We didn't get the answer for a couple of days about what had happened, but when they first told us, it was pure anger," he told the paper, adding that he wasn't sure if the family planned to pursue legal action. Boileau told the newspaper this was the first time the hospital has dealt with a situation like this. "We are in the process of that analysis right now. Before we say exactly what happened, we
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListSpringer http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3824584/ Open ChoicePMC3824584 Drug Safety Drug Saf. 2013; 36(11): 1045–1067. Published online 2013 Aug 24. doi: 10.1007/s40264-013-0090-2PMCID: PMC3824584Causes of Medication Administration Errors in Hospitals: a Systematic Review of Quantitative and Qualitative EvidenceRichard N. Keers, Steven D. Williams, Jonathan Cooke, and Darren M. AshcroftManchester Pharmacy School, NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, medication error Manchester Academic Health Sciences Centre (MAHSC), University of Manchester, Manchester, M13 9PT UK University Hospital of South Manchester NHS Foundation Trust, Manchester, M23 9LT UK Manchester Pharmacy School, University of Manchester, Manchester, M13 9PT UK Infectious Diseases and Immunity Section, Division of Infectious Diseases, Department of Medicine, Imperial College London, London, SW7 2AZ UK Richard medication error articles N. Keers, Phone: +44-161-2752414, Fax: +44-161-2752416, Email: ku.ca.retsehcnam@sreek.drahcir.Corresponding author.Author information ► Copyright and License information ►Copyright © The Author(s) 2013 Open AccessThis article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author(s) and the source are credited.This article has been cited by other articles in PMC.AbstractBackgroundUnderlying systems factors have been seen to be crucial contributors to the occurrence of medication errors. By understanding the causes of these errors, the most appropriate interventions can be designed and implemented to minimise their occurrence.ObjectiveThis study aimed to systematically review and appraise empirical evidence relating to the causes of medication administration errors (MAEs) in hospital settings.Data SourcesNine electronic databases (MEDLINE, EMBASE, International Pharmaceutical Abstracts, ASSIA, PsycINFO, British Nursing Index, CINAHL, Health Management Information Consortium and Social Science Citations Index) were searched between 1985 and May 2013.Study SelectionInclusion and exclusion criteria were applied to identify eligible publications