Medication errors commonly occur in many health care settings. This review of medication errors illustrates that complex, fast-paced care delivered in PACUs often occurs in an environment where patients encounter numerous processes as they move from preadmission, to preop holding, to the operating room, to PACU, and then back to a clinical unit or discharge. Using a nationally recognized framework, 645 PACU medication error records were analyzed. The errors resulted in a higher than expected threshold of harm (6.8
作者:Rodney W, Hicks;Shawn C, Becker;Dina, Krenzischeck;Suzanne C, Beyea
来源:Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses 2004 年 19卷 1期