Table of Contents Author Guidelines Submit a Manuscript
Nursing Research and Practice
Volume 2013, Article ID 671820, 6 pages
http://dx.doi.org/10.1155/2013/671820
Research Article

Medication Errors in a Swiss Cardiovascular Surgery Department: A Cross-Sectional Study Based on a Novel Medication Error Report Method

1Institute of Nursing Science, University of Basel, Bernoullistraß 28, 4056 Basel, Switzerland
2Department of Cardiovascular Surgery, University Hospital of Bern, Freiburgstraß 1, 3000 Bern, Switzerland
3Department of Health Promotion and Development, School of Nursing, University of Pittsburgh, 350 Victoria Building, 3500 Victoria Street, Pittsburgh, PA 15261, USA
4Department of Orthopedic Surgery, University Hospital of Bern, Freiburgstraß 1, 3000 Bern, Switzerland

Received 24 October 2012; Revised 30 December 2012; Accepted 13 January 2013

Academic Editor: Maria Helena Palucci Marziale

Copyright © 2013 Kaspar Küng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. P. Aspden, I. Institute of Medicine, Committee on, and E. Preventing Medication, Preventing Medication Errors, National Academies Press, 2007.
  2. D. W. Bates, D. J. Cullen, N. Laird et al., “Incidence of adverse drug events and potential adverse drug events: implications for prevention,” Journal of the American Medical Association, vol. 274, no. 1, pp. 29–34, 1995. View at Google Scholar · View at Scopus
  3. D. W. Bates, L. L. Leape, and S. Petrycki, “Incidence and preventability of adverse drug events in hospitalized adults,” Journal of General Internal Medicine, vol. 8, no. 6, pp. 289–294, 1993. View at Google Scholar · View at Scopus
  4. D. W. Bates, E. B. Miller, D. J. Cullen et al., “Patient risk factors for adverse drug events in hospitalized patients. ADE Prevention Study Group,” Archives of Internal Medicine, vol. 159, no. 21, pp. 2553–2560, 1999. View at Google Scholar
  5. L. L. Leape, “Preventing adverse drug events,” American Journal of Health-System Pharmacy, vol. 52, no. 4, pp. 379–382, 1995. View at Google Scholar · View at Scopus
  6. L. L. Leape, T. A. Brennan, N. Laird et al., “The nature of adverse events in hospitalized patients. Results of the Harvard Medical Practice Study II,” The New England Journal of Medicine, vol. 324, no. 6, pp. 377–384, 1991. View at Google Scholar · View at Scopus
  7. M. Lisby, L. P. Nielsen, B. Brock, and J. Mainz, “How are medication errors defined? A systematic literature review of definitions and characteristics,” International Journal for Quality in Health Care, vol. 22, no. 6, pp. 507–518, 2010. View at Publisher · View at Google Scholar · View at Scopus
  8. NCCMERP, National Coordinating Council for Medication Error Reporting and Prevention, About Medication Errors: What is a Medication Error?, 2012, http://www.nccmerp.org/aboutMedErrors.html.
  9. A. Valentin, M. Capuzzo, B. Guidet et al., “Errors in administration of parenteral drugs in intensive care units: multinational prospective study,” British Medical Journal, vol. 338, Article ID b814, 2009. View at Publisher · View at Google Scholar · View at Scopus
  10. J. I. Westbrook, M. Reckmann, L. Li et al., “Effects of two commercial electronic prescribing systems on prescribing error rates in hospital in-patients: a before and after study,” PLoS Medicine, vol. 9, no. 1, Article ID e1001164, 2012. View at Google Scholar
  11. J. I. Westbrook, M. I. Rob, A. Woods, and D. Parry, “Errors in the administration of intravenous medications in hospital and the role of correct procedures and nurse experience,” BMJ Quality & Safety, vol. 20, no. 12, pp. 1027–1034, 2011. View at Google Scholar
  12. H. H. Hoefel, L. Lautert, C. Schmitt, T. Soares, and S. Jordan, “Vancomycin administration: mistakes made by nursing staff,” Nursing Standard, vol. 22, no. 39, pp. 35–42, 2008. View at Google Scholar · View at Scopus
  13. E. N. de Vries, M. A. Ramrattan, S. M. Smorenburg, D. J. Gouma, and M. A. Boermeester, “The incidence and nature of in-hospital adverse events: a systematic review,” Quality and Safety in Health Care, vol. 17, no. 3, pp. 216–223, 2008. View at Publisher · View at Google Scholar · View at Scopus
  14. J. A. Cafazzo, P. L. Trbovich, A. Cassano-Piche et al., “Human factors perspectives on a systemic approach to ensuring a safer medication delivery process,” Healthcare Quarterly, vol. 12, pp. 70–74, 2009. View at Google Scholar · View at Scopus
  15. L. L. Leape, D. W. Bates, D.J. Cullen et al., “Systems analysis of adverse drug events. ADE Prevention Study Group,” Journal of the American Medical Association, vol. 274, no. 1, pp. 35–43, 1995. View at Google Scholar
  16. K. N. Barker, E. A. Flynn, G. A. Pepper, D. W. Bates, and R. L. Mikeal, “Medication errors observed in 36 health care facilities,” Archives of Internal Medicine, vol. 162, no. 16, pp. 1897–1903, 2002. View at Publisher · View at Google Scholar · View at Scopus
  17. N. M. LaPointe and J. G. Jollis, “Medication errors in hospitalized cardiovascular patients,” Archives of Internal Medicine, vol. 163, no. 12, pp. 1461–1466, 2003. View at Publisher · View at Google Scholar · View at Scopus
  18. R. E. Ferner, “The epidemiology of medication errors: the methodological difficulties,” British Journal of Clinical Pharmacology, vol. 67, no. 6, pp. 614–620, 2009. View at Publisher · View at Google Scholar · View at Scopus
  19. E. J. Thomas and L. A. Petersen, “Measuring errors and adverse events in health care,” Journal of General Internal Medicine, vol. 18, no. 1, pp. 61–67, 2003. View at Publisher · View at Google Scholar · View at Scopus
  20. C. Meyer-Massetti, C. M. Cheng, D. L. B. Schwappach et al., “Systematic review of medication safety assessment methods,” American Journal of Health-System Pharmacy, vol. 68, no. 3, pp. 227–240, 2011. View at Publisher · View at Google Scholar · View at Scopus
  21. R. E. Ferner and J. K. Aronson, “National differences in publishing papers on adverse drug reactions,” British Journal of Clinical Pharmacology, vol. 59, no. 1, pp. 108–111, 2005. View at Publisher · View at Google Scholar · View at Scopus
  22. J. M. Naessens, C. R. Campbell, J. M. Huddleston et al., “A comparison of hospital adverse events identified by three widely used detection methods,” International Journal for Quality in Health Care, vol. 21, no. 4, pp. 301–307, 2009. View at Publisher · View at Google Scholar · View at Scopus
  23. D. Dunn, “Incident reports—their purpose and scope,” AORN Journal, vol. 78, no. 1, pp. 46–66, 2003. View at Google Scholar · View at Scopus
  24. D. F. Polit, C. T. Beck, and S. V. Owen, “Focus on research methods: is the CVI an acceptable indicator of content validity? Appraisal and recommendations,” Research in Nursing and Health, vol. 30, no. 4, pp. 459–467, 2007. View at Publisher · View at Google Scholar · View at Scopus
  25. E. Ammenwerth, P. Schnell-Inderst, C. Machan, and U. Siebert, “The effect of electronic prescribing on medication errors and adverse drug events: a Systematic review,” Journal of the American Medical Informatics Association, vol. 15, no. 5, pp. 585–600, 2008. View at Publisher · View at Google Scholar · View at Scopus
  26. D. W. Bates, L. L. Leape, D. J. Cullen et al., “Effect of computerized physician order entry and a team intervention on prevention of serious medication errors,” Journal of the American Medical Association, vol. 280, no. 15, pp. 1311–1316, 1998. View at Publisher · View at Google Scholar · View at Scopus
  27. D. J. Cullen, D. W. Bates, and L. L. Leape, “Prevention of adverse drug events: a decade of progress in patient safety,” Journal of Clinical Anesthesia, vol. 12, no. 8, pp. 600–614, 2000. View at Publisher · View at Google Scholar · View at Scopus
  28. E. G. Poon, C. A. Keohane, R. N. Catherine et al., “Effect of bar-code technology on the safety of medication administration,” The New England Journal of Medicine, vol. 362, no. 18, pp. 1698–1707, 2010. View at Google Scholar
  29. E. A. Flynn, K. Barker, and B. Barker, “Medication-administration errors in an emergency department,” American Journal of Health-System Pharmacy, vol. 67, no. 5, pp. 347–348, 2010. View at Publisher · View at Google Scholar · View at Scopus
  30. B. Hardmeier, S. Braunschweig, M. Cavallaro et al., “Adverse drug events caused by medication errors in medical inpatients,” Swiss Medical Weekly, vol. 134, no. 45-46, pp. 664–670, 2004. View at Google Scholar · View at Scopus
  31. J. K. Aronson, “Medication errors: definitions and classification,” British Journal of Clinical Pharmacology, vol. 67, no. 6, pp. 599–604, 2009. View at Publisher · View at Google Scholar · View at Scopus
  32. V. A. Kellogg and D. S. Havens, “The Shift Coupon: an innovative method to monitor adverse events,” Journal of Nursing Care Quality, vol. 21, no. 1, pp. 49–55, 2006. View at Google Scholar · View at Scopus
  33. D. J. Cullen, D. W. Bates, S. D. Small, J. B. Cooper, A. R. Nemeskal, and L. L. Leape, “The incident reporting system does not detect adverse drug events: a problem for quality improvement,” The Joint Commission Journal on Quality Improvement, vol. 21, no. 10, pp. 541–548, 1995. View at Google Scholar · View at Scopus
  34. A. Agrawal, “Medication errors: prevention using information technology systems,” British Journal of Clinical Pharmacology, vol. 67, no. 6, pp. 681–686, 2009. View at Publisher · View at Google Scholar · View at Scopus
  35. L. L. Leape, “Who's to blame?” Joint Commission Journal on Quality and Patient Safety, vol. 36, no. 4, pp. 150–151, 2010. View at Google Scholar · View at Scopus
  36. L. L. Leape and D. M. Berwick, “Safe health care: are we up to it?” British Medical Journal, vol. 320, no. 7237, pp. 725–726, 2000. View at Google Scholar · View at Scopus
  37. L. L. Leape, G. Rogers, D. Hanna et al., “Developing and implementing new safe practices: voluntary adoption through statewide collaboratives,” Quality and Safety in Health Care, vol. 15, no. 4, pp. 289–295, 2006. View at Publisher · View at Google Scholar · View at Scopus
  38. L. L. Leape, D. S. Swankin, and M. R. Yessian, “A conversation on medical injury,” Public Health Reports, vol. 114, no. 4, pp. 302–317, 1999. View at Google Scholar · View at Scopus
  39. R. Flin, C. Burns, K. Mearns, S. Yule, and E. M. Robertson, “Measuring safety climate in health care,” Quality and Safety in Health Care, vol. 15, no. 2, pp. 109–115, 2006. View at Publisher · View at Google Scholar · View at Scopus