Journal of PeriAnesthesia Nursing
Volume 19, Issue 1 , Pages 18-28 , February 2004

Medication errors in the PACU: a secondary analysis of MEDMARX findings

  • Rodney W Hicks, MPA, MSN, RN, CS

      Affiliations

    • Corresponding Author InformationAddress correspondence to Rodney W. Hicks, 12601 Twinbrook Parkway, Rockville, MD 20852, USA
    • Rodney W. Hicks, MPA, MSN, RN, CS, is Research Coordinator, United States Pharmacopeia, Center for the Advancement of Patient Safety, Rockville, MD
    • ,
  • Shawn C Becker, BSN, RN

      Affiliations

    • Shawn C. Becker, BSN, RN, is Director, Patient Safety Initiatives, United States Pharmacopeia, Center for the Advancement of Patient Safety, Rockville, MD
    • ,
  • Dina Krenzischeck, RN, MAS, CPAN

      Affiliations

    • Dina Krenzischeck, RN, MAS, CPAN, is ASPAN Director for Research, Baltimore, MD
    • ,
  • Suzanne C Beyea, RN, PhD (FAAN)

      Affiliations

    • Suzanne C. Beyea, RN, PhD, FAAN, was AORN Director for Research, Denver, CO. She is currently located in Lebanon, NH.

References 

  1. Kohn LT, Corrigan JM, Donaldson MS. To err is human. Building a safer health system. Washington, DC: National Academy of Sciences; 2000;
  2. American Society of PeriAnesthesia Nurses . Standards of perianesthesia nursing practice. Cherry Hill, NJ: ASPAN; 2002;
  3. Summary of the 1999 information submitted to MedMARX™ (A national database for hospital medication error reporting). Rockville, MD: The United States Pharmacopeia; 2000;
  4. Summary of information submitted to MedMARX™ in the year 2000 (Charting a course for change). Rockville, MD: The United States Pharmacopeia; 2002;
  5. Summary of information submitted to MEDMARX™ in the year 2001 (A human factors approach to understanding medication errors). Rockville, MD: The United States Pharmacopeia; 2002;
  6. Leape L, Cullen DJ, Clapp MD, et al.  Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. J Am Med Assoc. 1999;282:267–270
  7. Bates DW, Cullen DJ, Laird N, et al.  Incidence of adverse drug events and potential adverse drug events: Implications for prevention. ADE Prevention Study Group. J Am Med Assoc. 1995;274:29–34
  8. ECRI . General-purpose infusion pumps. Health Devices. 2002;31:353–384
  9. Kaushal R, Bates DW, Landrigan C, et al.  Medication errors and adverse drug events in pediatric inpatients. J Am Med Assoc. 2002;295:2114–2120
  10. AORN . Guidance statement—Safe medication practices in perioperative practice settings. AORN. 2002;75:1008–1009
  11. Nadzam DM. Medication use (A systems approach to reducing errors). In:  Cousins DD editors. A systems approach to medication use. Oakbrook Terrace: Joint Commission on Accreditation of Healthcare Organizations; 1998;p. pp 5–17
  12. USP dispensing information. Vol. I. Micromedex Thomson Healthcare; 2003;
  13. JCAHO . 2003 National Patient Safety Goals. 2003; Available at: http://www.JCAHO.org. Accessed July 1
  14. Cohen M, Kilo CM. High-alert medications (safeguarding against errors). In:  Cohen MR editors. Washington, DC: American Pharmaceutical Association; 1999;
  15. Singer PA. Commentary (Learning to love mistakes). BMJ. 2001;322–1238
  16. American Hospital Association . Successful practices for improving medication safety, Chicago, IL. 1999;
  17. Hospital Accreditation Standards by the Joint Commission on Accreditation of Healthcare Organizations. 2001; Available at: http://www.oahhs.org/issues/safety/aha_quality_advisory120799.pdf. Accessed January 16, 2004

PII: S1089-9472(03)00313-7

doi: 10.1016/j.jopan.2003.11.007

Journal of PeriAnesthesia Nursing
Volume 19, Issue 1 , Pages 18-28 , February 2004

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