Medication Error Due To Drug Packaging A Case Report
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Medication Errors Articles
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Medication Errors Statistics 2014
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Examples Of Medication Errors
Drugs Drug Safety and Availability Medication Errors Medication Errors Related to Drugs medication errors in hospitals Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Within the Center for Drug medication errors in nursing Evaluation and Research (CDER), the Division of Medication Error Prevention and Analysis (DMEPA) reviews medication error reports on marketed human drugs including prescription drugs, generic drugs, and over-the-counter drugs. DMEPA uses http://www.ncbi.nlm.nih.gov/pubmed/20183992 the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) definition of a medication error. Specifically, a medication error is "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care http://www.fda.gov/drugs/drugsafety/medicationerrors/ products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use."DMEPA includes a medication error prevention program staffed with healthcare professionals. Among their many duties, program staff review medication error reports sent to MedWatch, evaluate causality, and analyze the data to provide solutions to reduce the risk of medication errors to industry and others at FDA.Additionally, DMEPA prospectively reviews proprietary names, labeling, packaging, and product design prior to drug approval to help prevent medication errors.Although DMEPA encourages manufacturers to perform their due diligence when naming their drug products and we strive to avoid approving confusing proprietary names for drug products, there are cases of adverse events where a name of a marketed product is identified as a source of confusion and error. Therefore, we continue to encourage healthcare providers, patients and consumers to report all medication errors to MedWatch so that we can be made aware of potential problems related to drug names and the Agency can provide effective interventions that will minimize further errors. In some situations, changing a pr
Download Full-text PDF Case report of a medication error by look-alike packaging: A classic surrogate marker of an unsafe systemArticle (PDF Available) in Patient Safety in Surgery 9(1):12 · March 2015 with 153 ReadsDOI: 10.1186/s13037-014-0047-0 · Source: https://www.researchgate.net/publication/273951898_Case_report_of_a_medication_error_by_look-alike_packaging_A_classic_surrogate_marker_of_an_unsafe_system PubMed1st Joerg Schnoor2nd Christina Rogalski24.8 · edia.con gemeinnützige GmbH+ 13rd Roberto Frontini22.77 · http://journals.lww.com/md-journal/Fulltext/2016/07120/Case_report_of_a_medication_error__In_the_eye_of.38.aspx University of LeipzigLast Christoph-Eckhardt HeydeShow more authorsAbstractThe acronym LASA (look-alike sound-alike) denotes the problem of confusing similar- looking and/or sounding drugs accidentally. The most common causes of medication error jeopardizing patient safety are LASA as well as high workload. A critical incident report of medication errors of opioids for postoperative analgesia by medication error look-alike packaging highlights the LASA aspects in everyday scenarios. A change to a generic brand of medication saved costs of up to 16% per annum. Consequently, confusion of medication incidents occurred due to the similar appearance of the newly introduced generic opioid. Due to consecutive underdosing no life-threatening situation arose out of this LASA based medication error. Current recommendations for the prevention of LASA are medication errors statistics quite extensive; still, in a system with a lump sum payment per case not all of these security measures may be feasible. This issue remains to be approached on an individual basis, taking into consideration local set ups as well as financial issues.Discover the world's research11+ million members100+ million publications100k+ research projectsJoin for free FiguresEnlargeEnlargeEnlarge Full-text (PDF)DOI: ·Available from: Roberto Frontini, Oct 29, 2015 Download Full-text PDF CitationsCitations0ReferencesReferences17Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units[Show abstract] [Hide abstract] ABSTRACT: Although sleep deprivation has been shown to impair neurobehavioral performance, few studies have measured its effects on medical errors. We conducted a prospective, randomized study comparing the rates of serious medical errors made by interns while they were working according to a traditional schedule with extended (24 hours or more) work shifts every other shift (an "every third night" call schedule) and while they were working according to an intervention schedule that eliminated extended work shifts and reduced the number of hours worked per week. Incidents were identified by means of a multidisciplinary, four-pronged approach that included direct, continuous observation. Two physicians who were unaware of the interns' schedu
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