Medication Errors: Causes, Prevention, and

Given the large number of new drugs approved over the past 25 years--many highly potent and complex--it's no surprise that medication errors occur. Although most are not serious, some cause irreparable harm and fatalities. Medication Errors takes an in-depth look at factors that contribute to medication errors and recommends steps for preventing them at the micro and macro levels.

Foreword

ix

Preface

xi

Acknowledgments

xix

Part I: Introduction

Causes of Medication Errors

1

(1)

Michael R. Cohen

Part II: Medication Errors and Human Perspectives

A Systems Analysis Approach to Medical Error

2

(1)

Lucian L. Leape

Failure Mode and Effects Analysis in Medicine

3

(1)

J.W. Senders

S.J. Senders

One Hospital's Method of Applying Failure Mode and Effects Analysis

4

(1)

Michael R. Cohen

High-Alert Medications: Safeguarding Against Errors

5

(1)

Michael R. Cohen

Charles M. Kilo

Medication Errors Research

6

(1)

Elizabeth Allan Flynn

Kenneth N. Barker

Caregivers' Reactions to Making Medication Errors

7

(1)

Zane Robinson Wolf

Michael R. Cohen

Part III: Preventing Medication Errors: A Shared Responsibility

Preventing Medication Errors Related to Prescribing

8

(1)

Michael R. Cohen

Preventing Dispensing Errors

9

(1)

Michael R. Cohen

Effective Use of Dispensing Automation

10

(1)

Mark Neuenschwander

Errors Associated with Medication Administration

11

(1)

Michael R. Cohen

The Role of Pharmaceutical Trademarks in Medication Errors

12

(1)

Dan Boring

George Di Domizio

Michael R. Cohen

The Role of Drug Packaging and Labeling in Medication Errors

13

(1)

Michael R. Cohen

The Patient's Role in Preventing Medication Errors

14

(1)

Stacy A. Weigman

Michael R. Cohen

Part IV: Medication Errors in Relation to Specific Diseases and Conditions

Preventing Medication Errors in Cancer Chemotherapy

15

(1)

Michael R. Cohen

Roger W. Anderson

Richard M. Attilio

Laurence Green

Raymond J. Muller

Jane M. Pruemer

Pediatric Medication Errors

16

(1)

Yvonne C. D'Antonio

Michael R. Cohen

Recognizing and Preventing Errors Involing Immunologic Drugs

17

(1)

John D. Grabenstein

Michael R. Cohen

Susan M. Proulx

Part V: Medication Errors and Risk Management

Medication Error Reporting Systems

18

(1)

Diane DeMichele Cousins

Rita Calnan

The Role of Risk Management in Medication Error Prevention

19

(1)

Judy L. Smetzer

Michael R. Cohen

Charles J. Milazzo

Risk Analysis and Treatment

20

Michael R. Cohen

Judy L. Smetzer

Index

1

Color Plates

Following Page 14.8

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Medication Errors: Causes, Prevention, and Risk Management

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