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- W366281919 abstract "Introduction: Medical errors are estimated to be the 8th largest cause of death in the USA and medication-related errors the largest single cause of errors in hospital. Intravenous administration is strongly associated with higher risk and more severe errors than other medication routes and the rates of intravenous drug errors are high. Multiple interventions have been made at the Alfred Hospital during the last five years in order to reduce infusion errors and improve safety intravenous therapies.Aim: Evaluation of the impact of infusion related medication safety initiatives on infusion errors at The Alfred Hospital 2009-2014.Materials and Methods: Prospective observational studies at a tertiary referral teaching hospital. The study included data collection in 2014 and analysis of data collected in 2009, 2011, 2012 and 2014 in order to make comparison. Discrepancies and errors found were evaluated for risk severity by an expert panel.Results: The number of significant errors identified were 63 of 469 infusions assessed (13.4%) 2009, 54 of 744 (7.3%) 2011, 23 of 685 (3.4%) 2012 and 37 of 701 (5.3%) 2014. The number of potentially serious errors were estimated to 1 (0.2%) 2009, 2 (0.3%) 2011 and none 2012 and 2014. Compliance to the drug library was 90.4% in 2014 when looking at all infusion and 39.1% when looking at the infusions with significant errors. A pharmacist had annotated the drug chart 67.2% of all infusions 2014 and 45.9% when looking at the infusions with significant errors.Conclusions: Intravenous infusion errors have significantly decreased since infusion interventions have been made at the Alfred. Smart pumps intercept serious errors and pharmacy annotation, as well as drug library compliance, lower risks of significant errors. Education on the use of smart pumps and non-compliance should be prioritized in order to further decrease infusion related errors." @default.
- W366281919 created "2016-06-24" @default.
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- W366281919 date "2014-01-01" @default.
- W366281919 modified "2023-09-27" @default.
- W366281919 title "Evaluation of interventions to reduce infusion errors at The Alfred Hospital" @default.
- W366281919 hasPublicationYear "2014" @default.
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