Systemic causes of in-hospital intravenous medication errors: a systematic review.
Kuitunen S, Niittynen I, Airaksinen M, et al. Systemic causes of in-hospital intravenous medication errors: a systematic review. J Patient Saf. 2021;17(8):e1660-e1668. doi:10.1097/pts.0000000000000632.
Intravenous (IV) medication administration errors can cause severe patient harm. In this systematic review, researchers identified eleven studies characterizing the systemic causes of in-hospital IV medication errors. Systemic errors were identified most frequently during medication administration, prescribing and preparation, with common errors involving knowledge gaps, calculation errors, failure to double-check, and confusion between look-alike, sound-alike medications. More research focused on IV medication safety is needed.