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Take action now to prevent medication errors: lessons from a fatal error involving an automated dispensing cabinet.
Bowdle, T Andrew; Jelacic, Srdjan; Webster, Craig S; Merry, Alan F.
Afiliação
  • Bowdle TA; Department of Anaesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA. Electronic address: bowdle@u.washington.edu.
  • Jelacic S; Department of Anaesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
  • Webster CS; Department of Anaesthesiology, Faculty of Medical and Health Science, University of Auckland, Auckland, New Zealand.
  • Merry AF; Department of Anaesthesiology, Faculty of Medical and Health Science, University of Auckland, Auckland, New Zealand.
Br J Anaesth ; 130(1): 14-16, 2023 01.
Article em En | MEDLINE | ID: mdl-36333160
ABSTRACT
An error in the administration of an anaesthetic medication related to an automated dispensing cabinet resulted in a patient fatality and a highly publicised criminal prosecution of a healthcare worker, which concluded in 2022. Urgent action is required to re-engineer systems and workflows to prevent such errors. Exhortation, blame, and criminal prosecution are unlikely to advance the cause of patient safety.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Erros de Medicação / Sistemas de Medicação no Hospital Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article
Texto completo
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Erros de Medicação / Sistemas de Medicação no Hospital Limite: Humans Idioma: En Ano de publicação: 2023 Tipo de documento: Article