An engineered solution to the maladministration of spinal injections.

R. Lawton; P. Gardner; B. Green; C. Davey; P. Chamberlain; P. Phillips; G. Hughes

Study

An engineered solution to the maladministration of spinal injections.

June 9, 2011

Lawton R, Gardner P, Green B, et al. Qual Saf Health Care. 2009;18(6):492-5.

View more articles from the same authors.

This study describes the use of human factors engineering to improve the safety of spinal injections.

PubMed citation

Available at

Related Resources From the Same Author(s)

Preventing home medication administration errors.

March 14, 2022

A preliminary taxonomy of medical errors in family practice.

April 7, 2011

Identifying the latent failures underpinning medication administration errors: an exploratory study.

August 2, 2012

Learning from malpractice claims about negligent, adverse events in primary care in the United States.

April 8, 2011

Pain management best practices from multispecialty organizations during the COVID-19 pandemic and public health crises.

April 29, 2020

Testing process errors and their harms and consequences reported from family medicine practices: a study of the American Academy of Family Physicians National Research Network.

June 11, 2008

Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention.

February 9, 2011

Implementation of the I-PASS handoff program in diverse clinical environments: a multicenter prospective effectiveness implementation study.

November 16, 2022

Design and implementation of an application and associated services to support interdisciplinary medication reconciliation efforts at an integrated healthcare delivery network.

June 13, 2011

Enabling a learning healthcare system with automated computer protocols that produce replicable and personalized clinician actions.

August 4, 2021

Related Resources

Evaluation of detected medication errors within the operating room at an academic medical center.

June 21, 2023

Facilitated self-reported anaesthetic medication errors before and after implementation of a safety bundle and barcode-based safety system.

February 13, 2019

The nature, magnitude, and reporting compliance of device-related events for intravenous patient-controlled analgesia in the FDA Manufacturer and User Facility Device Experience (MAUDE) database.

July 18, 2018

Novel analysis of clinically relevant diagnostic errors in point-of-care devices.

October 19, 2011

Critical incident reports concerning anaesthetic equipment: analysis of the UK National Reporting and Learning System (NRLS) data from 2006-2008.

October 4, 2011

ALERT: reports of severe harm after intravenous administration of breast milk to infants.

August 24, 2011

WebM&M Cases

Watch the Warfarin!

July 1, 2011

Impact of a comprehensive safety initiative on patient-controlled analgesia errors.

January 12, 2011

Epidural pump programming error leading to inadvertent 10-fold dosing error during epidural labor analgesia with ropivacaine.

December 8, 2010

Patient safety incidents associated with equipment in critical care: a review of reports to the UK National Patient Safety Agency.

June 10, 2010

See More About The Topic

Health Care Providers

Quality and Safety Professionals

Engineers

Anesthesiology

Hematology

An engineered solution to the maladministration of spinal injections.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

An engineered solution to the maladministration of spinal injections.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site

Submit Your Training

Continue as a Guest

Continue Logged In

Submit Your Training

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your Toolkit

Continue as a Guest

Continue Logged In

Submit Your Toolkit

Continue as a Guest

Continue Logged In

New Users to the PSNet site

Submit Your WebM&M Case

Continue as a Guest

Continue Logged In

Submit Your WebM&M Case

Continue as a Guest

Already have a PSNet

Account?

New Users