Enteral nutrition: an underappreciated source of patient safety events.
Enteral nutrition (EN) therapies are vulnerable to the same types of errors as those occurring in the medication use process (ie, prescribing, transcribing/documenting, dispensing, administering, and monitoring). This study categorized 1,227 EN-related safety events reported to the Joint Patient Safety Reporting (JPSR) system. Three-quarters of reported events were classified as "care management events," eg, incorrect rate or dosage; 31% of errors occurred during administration; and 28% occurred during monitoring.