Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.

Gordon S. Sacks; Steve Rough; Kenneth A. Kudsk

Study

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.

August 19, 2009

Sacks GS, Rough S, Kudsk KA. Pharmacotherapy. 2009;29(8):966-74.

View more articles from the same authors.

Approximately 1 in 60 prescriptions for parenteral nutrition resulted in a medication error, most of which occurred at the preparation or administration stages.

PubMed citation

Available at

Related Resources From the Same Author(s)

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.

January 16, 2019

Medication errors recovered by emergency department pharmacists.

July 14, 2010

ASPEN parenteral nutrition safety consensus recommendations: translation into practice.

May 19, 2014

ASPEN parenteral nutrition safety consensus recommendations.

February 17, 2015

Parenteral nutrition errors and potential errors reported over the past 10 years.

March 14, 2018

Standardized competencies for parenteral nutrition prescribing: The American Society for Parenteral and Enteral Nutrition Model.

June 12, 2018

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

August 4, 2021

Disclosing adverse events to patients: international norms and trends.

February 17, 2017

Simulation in graduate medical education 2008: a review for emergency medicine.

July 13, 2010

Beyond the prescription: medication monitoring and adverse drug events in older adults.

August 31, 2011

Related Resources

Medical line entanglement: the unspoken patient safety hazard of medical devices.

May 3, 2023

Improving administration and documentation of enteral nutrition support therapy in a Veteran Affairs health care system: use of medication administration record and bar code scanning technology.

February 1, 2023

WebM&M Cases

Life-Threatening Infant Overdose of Sodium Chloride

May 27, 2020

Sleep deprivation and starvation in hospitalised patients: how medical care can harm patients.

June 7, 2016

Enteral Nutrition Safety Toolkit.

May 18, 2016

Reducing medication errors in critical care: a multimodal approach.

October 1, 2014

ASPEN parenteral nutrition safety consensus recommendations: translation into practice.

May 19, 2014

A Hospital Accident: Lessons Learned – A Death, A Conviction, and A Healing.

August 31, 2011

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

August 24, 2011

Enteral feeding misconnections: an update.

June 17, 2009

See More About The Topic

Hospitals

Health Care Providers

Quality and Safety Professionals

Nutrition/Dietetics

Medication Errors/Preventable Adverse Drug Events

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Frequency and severity of harm of medication errors related to the parenteral nutrition process in a large university teaching hospital.

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