Recurrent wrong-route drug error – a professional shame.

Dominic Bell

Commentary

Recurrent wrong-route drug error – a professional shame.

September 1, 2011

Bell D. Anaesthesia. 2007;62(6):541-5.

View more articles from the same authors.

Referencing three case studies from the same issue, the author discusses design changes and regulatory measures aimed at minimizing wrong-route medication errors in the United Kingdom.

PubMed citation

Free full text

Issue table of contents

Related Resources From the Same Author(s)

Associations between internet-based patient ratings and conventional surveys of patient experience in the English NHS: an observational study.

July 11, 2012

The devil is in the detail: how a closed-loop documentation system for IV infusion administration contributes to and compromises patient safety.

July 22, 2020

Escalation of care in surgery: a systematic risk assessment to prevent avoidable harm in hospitalized patients.

April 6, 2015

Agency for Healthcare Research and Quality pediatric indicators as a quality metric for surgery in children: do they predict adverse outcomes?

February 1, 2012

The evolution of error: error management, cognitive constraints, and adaptive decision-making biases.

August 8, 2013

Errors and discrepancies in the administration of intravenous infusions: a mixed methods multihospital observational study.

October 18, 2018

The impact of improving teamwork on patient outcomes in surgery: a systematic review.

May 2, 2018

User-centered collaborative design and development of an inpatient safety dashboard.

December 6, 2017

How can patient-held lists of medication enhance patient safety? A mixed-methods study with a focus on user experience.

February 5, 2020

International evaluation of an AI system for breast cancer screening.

January 29, 2020

Related Resources

Patient safety of perioperative medication through the lens of digital health and artificial intelligence.

June 28, 2023

ASHP Guidelines on Preventing Diversion of Controlled Substances.

December 14, 2022

Developing strategic recommendations for implementing smart pumps in advanced healthcare systems to improve intravenous medication safety.

November 16, 2022

MRI suites: safety outside the bore.

September 12, 2016

Improving heparin safety: a multidisciplinary invited conference.

May 11, 2014

Non-Luer connectors: are we nearly there yet?

June 15, 2012

An engineered solution to the maladministration of spinal injections.

June 9, 2011

Drug selection errors in relation to medication labels: a simulation study.

July 28, 2010

Morphine overdose from error propagation on an acute pain service: [Une surdose de morphine resultant de multiples erreurs dans un service de douleur aigue].

June 21, 2006

Perspective

The Wild West: Patient Safety in Office-Based Anesthesia

May 1, 2006

See More About The Topic

Anesthesiology

Pharmacy

Cognitive Errors ("Mistakes")

Regulation

Medical Device Design

Recurrent wrong-route drug error – a professional shame.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Recurrent wrong-route drug error – a professional shame.

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