Matches in SemOpenAlex for { <https://semopenalex.org/work/W1574291301> ?p ?o ?g. }
Showing items 1 to 95 of
95
with 100 items per page.
- W1574291301 endingPage "332" @default.
- W1574291301 startingPage "328" @default.
- W1574291301 abstract "To identify the factors that threaten patient safety when using patient-controlled analgesia (PCA) and to obtain an evidence-based estimate of the probability of death from user programming errors associated with PCA.A 19-yr-old woman underwent Cesarean section and delivered a healthy infant. Postoperatively, morphine sulfate (2 mg bolus, lockout interval of six minutes, four-hour limit of 30 mg) was ordered, to be delivered by an Abbott Lifecare 4100 Plus II Infusion Pump. A drug cassette containing 1 mg.mL(-1) solution of morphine was unavailable, so the nurse used a cassette that contained a more concentrated solution (5 mg.mL(-1)). 7.5 hr after the PCA was started, the patient was pronounced dead. Blood samples were obtained and autopsy showed a toxic concentration of morphine. The available evidence is consistent with a concentration programming error where morphine 1 mg.mL(-1) was entered instead of 5 mg.mL(-1). Based on a search of such incidents in the Food and Drug Administration MDR database and other sources and on a denominator of 22,000,000 provided by the device manufacturer, mortality from user programming errors with this device was estimated to be a low likelihood event (ranging from 1 in 33,000 to 1 in 338,800), but relatively numerous in absolute terms (ranging from 65-667 deaths).Anesthesiologists, nurses, human factors engineers, and device manufacturers can work together to enhance the safety of PCA pumps by redesigning user interfaces, drug cassettes, and hospital operating procedures to minimize programming errors and to enhance their detection before patients are harmed." @default.
- W1574291301 created "2016-06-24" @default.
- W1574291301 creator A5021407279 @default.
- W1574291301 creator A5028349424 @default.
- W1574291301 creator A5031694990 @default.
- W1574291301 creator A5049734978 @default.
- W1574291301 creator A5090760502 @default.
- W1574291301 date "2003-04-01" @default.
- W1574291301 modified "2023-10-13" @default.
- W1574291301 title "Programming errors contribute to death from patient-controlled analgesia: case report and estimate of probability" @default.
- W1574291301 cites W1595557825 @default.
- W1574291301 cites W1977765099 @default.
- W1574291301 cites W1979317903 @default.
- W1574291301 cites W2048902481 @default.
- W1574291301 cites W2062127678 @default.
- W1574291301 cites W2079560112 @default.
- W1574291301 cites W2081565252 @default.
- W1574291301 cites W2084805923 @default.
- W1574291301 cites W2087427604 @default.
- W1574291301 cites W2092409880 @default.
- W1574291301 cites W2100899314 @default.
- W1574291301 cites W2131145533 @default.
- W1574291301 cites W2136257753 @default.
- W1574291301 cites W4242333275 @default.
- W1574291301 cites W4292550096 @default.
- W1574291301 cites W4297918346 @default.
- W1574291301 cites W4378951071 @default.
- W1574291301 doi "https://doi.org/10.1007/bf03021027" @default.
- W1574291301 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/12670807" @default.
- W1574291301 hasPublicationYear "2003" @default.
- W1574291301 type Work @default.
- W1574291301 sameAs 1574291301 @default.
- W1574291301 citedByCount "158" @default.
- W1574291301 countsByYear W15742913012012 @default.
- W1574291301 countsByYear W15742913012013 @default.
- W1574291301 countsByYear W15742913012014 @default.
- W1574291301 countsByYear W15742913012015 @default.
- W1574291301 countsByYear W15742913012016 @default.
- W1574291301 countsByYear W15742913012017 @default.
- W1574291301 countsByYear W15742913012018 @default.
- W1574291301 countsByYear W15742913012019 @default.
- W1574291301 countsByYear W15742913012020 @default.
- W1574291301 countsByYear W15742913012021 @default.
- W1574291301 countsByYear W15742913012022 @default.
- W1574291301 crossrefType "journal-article" @default.
- W1574291301 hasAuthorship W1574291301A5021407279 @default.
- W1574291301 hasAuthorship W1574291301A5028349424 @default.
- W1574291301 hasAuthorship W1574291301A5031694990 @default.
- W1574291301 hasAuthorship W1574291301A5049734978 @default.
- W1574291301 hasAuthorship W1574291301A5090760502 @default.
- W1574291301 hasBestOaLocation W15742913011 @default.
- W1574291301 hasConcept C141071460 @default.
- W1574291301 hasConcept C160735492 @default.
- W1574291301 hasConcept C162324750 @default.
- W1574291301 hasConcept C194828623 @default.
- W1574291301 hasConcept C2777389121 @default.
- W1574291301 hasConcept C2779328685 @default.
- W1574291301 hasConcept C2992629722 @default.
- W1574291301 hasConcept C42219234 @default.
- W1574291301 hasConcept C43376680 @default.
- W1574291301 hasConcept C50522688 @default.
- W1574291301 hasConcept C71924100 @default.
- W1574291301 hasConceptScore W1574291301C141071460 @default.
- W1574291301 hasConceptScore W1574291301C160735492 @default.
- W1574291301 hasConceptScore W1574291301C162324750 @default.
- W1574291301 hasConceptScore W1574291301C194828623 @default.
- W1574291301 hasConceptScore W1574291301C2777389121 @default.
- W1574291301 hasConceptScore W1574291301C2779328685 @default.
- W1574291301 hasConceptScore W1574291301C2992629722 @default.
- W1574291301 hasConceptScore W1574291301C42219234 @default.
- W1574291301 hasConceptScore W1574291301C43376680 @default.
- W1574291301 hasConceptScore W1574291301C50522688 @default.
- W1574291301 hasConceptScore W1574291301C71924100 @default.
- W1574291301 hasIssue "4" @default.
- W1574291301 hasLocation W15742913011 @default.
- W1574291301 hasLocation W15742913012 @default.
- W1574291301 hasOpenAccess W1574291301 @default.
- W1574291301 hasPrimaryLocation W15742913011 @default.
- W1574291301 hasRelatedWork W1959935893 @default.
- W1574291301 hasRelatedWork W1972467019 @default.
- W1574291301 hasRelatedWork W1975729175 @default.
- W1574291301 hasRelatedWork W1988469671 @default.
- W1574291301 hasRelatedWork W2039764726 @default.
- W1574291301 hasRelatedWork W2041369474 @default.
- W1574291301 hasRelatedWork W2268739471 @default.
- W1574291301 hasRelatedWork W2388549616 @default.
- W1574291301 hasRelatedWork W2412954903 @default.
- W1574291301 hasRelatedWork W2460359275 @default.
- W1574291301 hasVolume "50" @default.
- W1574291301 isParatext "false" @default.
- W1574291301 isRetracted "false" @default.
- W1574291301 magId "1574291301" @default.
- W1574291301 workType "article" @default.