Medication Error Review
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Medication Error Definition
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Medication Error Prevention
2008 Mar 12. doi: 10.1186/cc6813PMCID: PMC2447555Clinical review: Medication errors in critical careEric Moyen,1
Types Of Medication Error
Eric Camiré,1 and Henry Thomas Stelfox11Department of Critical Care Medicine, University of Calgary, Foothills Medical Centre, EG23A, 1403-29 Street medication error reporting NW, Calgary, AB, Canada, T2N 2T9Corresponding author.Henry Thomas Stelfox: ac.noigerhtlaehyraglac@xoflets.mot Author information ► Copyright and License information ►Copyright © 2008 BioMed Central LtdThis article has been cited by other articles in http://www.ncbi.nlm.nih.gov/pubmed/26255621 PMC.AbstractMedication errors in critical care are frequent, serious, and predictable. Critically ill patients are prescribed twice as many medications as patients outside of the intensive care unit (ICU) and nearly all will suffer a potentially life-threatening error at some point during their stay. The aim of this article is to provide a basic review of medication errors in the ICU, identify risk factors for https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2447555/ medication errors, and suggest strategies to prevent errors and manage their consequences.IntroductionHealth care delivery is not infallible. Errors are common in most health care systems and are reported to be the seventh most common cause of death overall [1]. The 1999 Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health System, drew public attention to the importance of patient safety [2]. This was followed with considerable interest by the medical community [3]. However, to date, there is little evidence that patient safety has improved [4]. In the intensive care unit (ICU), on average, patients experience 1.7 errors per day [5] and nearly all suffer a potentially life-threatening error at some point during their stay [6]. Medication errors account for 78% of serious medical errors in the ICU [7]. The aim of this article is to provide a basic review of medication errors in the ICU as well as strategies to prevent errors and manage their consequences.What is a medication error?Providing a single hospitalized patient with a single dose of a single medication requires correctly executing 80 to 200 individual steps [8]. This hospital medicatio
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Drug Safety and Availability Medication Errors http://www.fda.gov/drugs/drugsafety/medicationerrors/ Medication Errors Related to Drugs Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print Within the Center for Drug 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 the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) definition of medication error 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 products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and medication error review 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 proprietary name while the product is marketed may be necessary to address safety issues resulting from the name confusion errors.DMEPA also works closely with federal partners, patient safety organizations such as Institute for Safe Medication Practices (ISMP), standard setting organizations suc