Pediatric medication errors in the postanesthesia care unit: analysis of MEDMARX data.

Abstract:

:Medication errors involving pediatric patients in the postanesthesia care unit may occur as frequently as one in every 20 medication orders and are more likely to cause harm when compared to medication errors in the overall population. Researchers examined six years of records from the MEDMARX database and used consecutive nonprobability sampling and descriptive statistics to compare medication errors in the pediatric data set to those occurring in the total population data set. Nineteen different causes of error involving 28 different products were identified. The results of the study indicate that an organization can focus on causes of errors and products involved in errors to mitigate future error occurrence.

journal_name

AORN J

journal_title

AORN journal

authors

Payne CH,Smith CR,Newkirk LE,Hicks RW

doi

10.1016/S0001-2092(07)60147-1

subject

Has Abstract

pub_date

2007-04-01 00:00:00

pages

731-40; quiz 741-4

issue

4

eissn

0001-2092

issn

1878-0369

pii

S0001-2092(07)60147-1

journal_volume

85

pub_type

杂志文章
  • Management of upper abdominal solid organ injuries.

    abstract::Solid organ injuries of the upper abdomen consist primarily of injuries to the spleen and liver. Several years ago, these injuries were fairly straightforward to manage. Recently, however, combinations of new diagnostic modalities and the advent of nonsurgical treatments have added complexity to the management of sple...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)63102-5

    authors: Richardson JD,Brewer M

    更新日期:1996-05-01 00:00:00

  • Optimizing perioperative pain management.

    abstract::All nurses, regardless of specialty or practice setting, must provide effective measures to relieve their patients' pain. Uncontrolled pain can result in negative consequences, such as impaired cardiac functioning and neuroplastic changes in the spine and brain. This article discusses the problem of uncontrolled pain ...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(06)61034-x

    authors: Arnstein P

    更新日期:2002-11-01 00:00:00

  • Regional Anesthesia: An Overview.

    abstract::Advances in anesthesia techniques and guidance imaging have made regional anesthetics effective both for pain management and as a primary anesthesia modality for patients undergoing operative and other invasive procedures. Patients can receive regional anesthesia in most areas of the body, including the upper and lowe...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1002/aorn.12781

    authors: Pincus E

    更新日期:2019-09-01 00:00:00

  • Surgical Care Improvement Project and the perioperative nurse's role.

    abstract::The Surgical Care Improvement Project (SCIP) was formed by a partnership of national organizations with the goal of reducing surgical complications by 25% by 2010. The focus of the SCIP initiative includes four key components that perioperative health care workers can address in reducing the morbidity and mortality of...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2007.06.013

    authors: Brendle TA

    更新日期:2007-07-01 00:00:00

  • An integrative review of pressure relief in surgical patients.

    abstract::Effective patient positioning has been an important issue throughout the history of the nursing profession. Pressure ulcers result from prolonged pressure, which causes skin, tissue, or muscle damage. Surgical patients present a unique challenge in preventing pressure ulcers because they are immobile and unable to per...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)61960-1

    authors: Armstrong D,Bortz P

    更新日期:2001-03-01 00:00:00

  • Patient safety first alert--epinephrine and phenylephrine in surgical settings.

    abstract::Epinephrine and phenylephrine always should be used with extreme caution, especially in their most concentrated solutions. This is especially true in the OR where these medications are used for purposes involving extreme variations in doses and strengths. Although these medications may be handled and administered dail...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(06)60793-x

    authors: Beyea SC,Hicks RW

    更新日期:2003-04-01 00:00:00

  • Dupuytren's contracture. Surgical principles, nursing implications.

    abstract::Successful Dupuytren's surgery requires the cooperation of the patient, the surgeon, and the therapist. Cooperation of the patient is enhanced by nursing care. Preoperative and postoperative teaching by the nurse also contribute to positive outcomes. The type of incision or surgery performed does not affect the time o...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)67003-3

    authors: May PL

    更新日期:1991-07-01 00:00:00

  • The role of the RNFA in anterior cruciate ligament graft preparation.

    abstract::Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed orthopedic procedures in the United States. Repair of the ACL often requires the use of autografts or allografts, and the RN first assistant (RNFA) often is the team member responsible for preparing the graft. Common grafts used in A...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2013.08.021

    authors: Rozakis M

    更新日期:2014-11-01 00:00:00

  • Medical waste. The growing issues of management and disposal.

    abstract::When addressing the impact of medical waste management and regulatory controls on the health care industry, it is important to remember that as long as modern medicine continues to maintain and sustain its current quality of life and wellness standards, industry will continue to generate various byproducts that have a...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)66899-9

    authors: Fay MF,Beck WC,Fay JM,Kessinger MK

    更新日期:1990-06-01 00:00:00

  • Assessment of the Environmental and Physical Ergonomic Conditions of ORs in Turkey.

    abstract::This descriptive, cross-sectional study in hospital ORs in İzmir, Turkey, assessed the environmental and physical ergonomic conditions that may place perioperative personnel at risk for injury or illness. We used an ergonomic conditions and risk factor description form to collect data in 58 ORs in nine different hospi...

    journal_title:AORN journal

    pub_type: 杂志文章,多中心研究

    doi:10.1002/aorn.12841

    authors: Yasak K,Vural F

    更新日期:2019-11-01 00:00:00

  • Professional and Regulatory Infection Control Guidelines: Collaboration to Promote Patient Safety.

    abstract::Professional organizations and regulatory agencies collaborate on infection prevention and control guidelines to support preventing and controlling infection in the surgical setting. More specifically, regulatory and accrediting agencies, professional associations, and advisory committees create and promote the use of...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2017.07.005

    authors: Clayton JL,Miller KJ

    更新日期:2017-09-01 00:00:00

  • Reducing the frequency of immediate-use sterilization: a systematic multidisciplinary approach.

    abstract::Efforts to comply with AORN's recommended practices for sterilization led a multidisciplinary team at H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, to undertake a quality improvement project to reduce the frequency of immediate-use (previously called flash) sterilization. Team members determined t...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2011.06.014

    authors: Shelby D,Kras B,Bryant S,Myers K,Bolyard N

    更新日期:2012-11-01 00:00:00

  • Ideas and Approaches for Quality-Assessment and Performance-Improvement Projects in Ambulatory Surgery Centers.

    abstract::Identifying a performance-improvement project can be a struggle when a facility's data demonstrate desirable performance. Quality-improvement teams may be limiting their data collection to only required or traditional outcome indicators. Facility personnel may need guidance on how to broaden the vision to monitor for ...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2016.02.014

    authors: Allison J

    更新日期:2016-05-01 00:00:00

  • Results of the 2007 AORN Salary Survey.

    abstract::AORN conducted its fifth annual compensation survey for perioperative nurses in August of 2007. A multiple regression model was used to examine how a variety of variables including job title, education level, certification, experience, and geographic region affect nursing compensation. Comparisons between 2007 and pre...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2007.11.024

    authors: Bacon D

    更新日期:2007-12-01 00:00:00

  • A Network Analysis of Perioperative Communication Patterns.

    abstract::To foster teamwork, improve clinical excellence, and promote a culture of safety, perioperative leaders should have a clear understanding of the dynamics that affect clinician communication in the OR. We used social network analysis to characterize the typical OR clinician communication patterns at a military surgery ...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1002/aorn.13044

    authors: Stucky CH,De Jong MJ,Kabo FW,Kasper CE

    更新日期:2020-06-01 00:00:00

  • HIPAA compliance in the OR.

    abstract::Many current information management practices in the OR will have to change to comply with the Health Insurance Portability and Accountability Act and meet Joint Commission on Accreditation of Healthcare Organizations standards for managing health care information. Demands for accurate, timely, confidential, and secur...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)61719-5

    authors: Allender M

    更新日期:2002-01-01 00:00:00

  • A college without walls. Learning first assistant skills.

    abstract::This course for expanded perioperative role assumption as an RNFA intends to prepare nurses who eventually can become individually responsible for comprehensive care of the patient undergoing surgical intervention, and help them establish collegial relationships with other nursing colleagues, surgeons, and health care...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69852-4

    authors: Rothrock JC

    更新日期:1987-05-01 00:00:00

  • Video-assisted thoracoscopic ligation of patent ductus arteriosus in children.

    abstract::Video-assisted thoracoscopic surgery is a new approach that offers an alternative to open surgical ligation of the patient ductus arteriosus. Advanced video technology precise pediatric instrumentation, and innovative surgical techniques have facilitated the development of this approach. From April 1993 to February 19...

    journal_title:AORN journal

    pub_type: 历史文章,杂志文章

    doi:10.1016/s0001-2092(06)63620-x

    authors: Valdes MP,Boudreau SA

    更新日期:1996-10-01 00:00:00

  • Bullying, mentoring, and patient care.

    abstract::The literature suggests that acts of bullying are a root cause of new nurses leaving their units or the profession entirely and have the potential to worsen the nursing shortage. As an effective way to address bullying in the perioperative setting, mentoring benefits the nursing profession. Mentoring can have a direct...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2013.10.023

    authors: Frederick D

    更新日期:2014-05-01 00:00:00

  • Barrier materials. Their influence on surgical wound infections.

    abstract::Aseptic technique can best be described as an aggregation of reasonable practices performed in the surgical suite as part of the overall methodology in controlling or minimizing the possibility of infection. The key words in this definition are aggregation and reasonable. The real question is whether the surgical nurs...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)66589-2

    authors: Belkin NL

    更新日期:1992-06-01 00:00:00

  • Pharmacotherapeutics of positive inotropes.

    abstract::Pharmacology is integrated in all areas of nursing practice. From the most basic entry level to the most advanced clinical practice, nursing curriculums are not complete without pharmacology. The word "pharmacology" often makes nurses and other health care professionals feel uneasy. Pharmacology implies complicated wo...

    journal_title:AORN journal

    pub_type: 杂志文章,评审

    doi:10.1016/s0001-2092(06)62180-7

    authors: Morrill P

    更新日期:2000-01-01 00:00:00

  • A perioperative elective for college credit.

    abstract::The authors developed a collaborative perioperative elective course between the Veterans Affairs Medical Center, Louisville, and Indiana University Southeast, New Albany. The course is for students studying for bachelor of science degrees in nursing and is offered as a four-hour elective. The course allows nursing stu...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(06)63396-6

    authors: Brown MB,Hill BJ,Brouse SH

    更新日期:1996-03-01 00:00:00

  • Technology in the OR: AORN Members' Perceptions of the Effects on Workflow Efficiency and Quality Patient Care.

    abstract::This collaborative study sought to describe technology used by AORN members at work, inclusive of radio-frequency identification or barcode scanning (RFID), data collection tools (DATA), workflow or dashboard management tools (DASHBOARD), and environmental services/room decontamination technologies (ENVIRON), and to i...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2015.07.011

    authors: Sipes C,Baker JD

    更新日期:2015-09-01 00:00:00

  • Temporary abdominal closure using an i.v. bag silo for severe trauma.

    abstract::Patients with severe abdominal trauma injuries can have improved outcomes if a priority-oriented approach is taken to surgical intervention. This includes temporary abdominal closure and planned reoperation to complete complex, lengthy procedures when the patient is stabilized. Temporary abdominal closure can be achie...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(06)62464-2

    authors: Fox VJ,Miller J,Nix AM

    更新日期:1999-03-01 00:00:00

  • Microbial flora on operating room telephones.

    abstract::Approximately 500,000 surgical site infections (SSIs) occur each year in the United States. The purpose of this study was to determine if the bacteria most frequently involved in SSIs could be found on telephones in the OR. Twenty-six cultures were taken from telephones in 14 ORs and two substerile rooms at a large te...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(06)60190-7

    authors: Nelson J,Bivens A,Shinn A,Wanzer L,Kasper C

    更新日期:2006-03-01 00:00:00

  • Clinical Issues-January 2021.

    abstract::Containment of unopened sterile supplies during procedures Key words: unopened sterile instruments, unopened sterile supplies, contamination, containment, event-related sterility. Contamination of solutions in sterile basins Key words: sterile basin, splash basin, instrument table, solution contamination, surgical sit...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1002/aorn.13291

    authors: Cahn J

    更新日期:2021-01-01 00:00:00

  • Feasibility of family member presence in the OR during breast biopsy procedures.

    abstract::Family-centered care is an accepted and promoted philosophy within the health care community. Perioperative nurses are empowered to support change in the health care arena and to examine and institute policies that affect patient care. This study examined the feasibility of family presence in the OR during breast biop...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2008.01.001

    authors: Evans LA

    更新日期:2008-10-01 00:00:00

  • Implementation of a couplet care program for families after a cesarean birth.

    abstract::This article describes the implementation of a couplet care program for patients who have undergone a cesarean delivery. The goals of couplet care (ie, keeping a mother and infant together after the birth) are to facilitate family bonding, support successful breastfeeding, and increase patient satisfaction. Staff memb...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/j.aorn.2008.07.019

    authors: Spradlin LR

    更新日期:2009-03-01 00:00:00

  • Planning and documentation. Addressing patient needs in a day surgery setting.

    abstract::Day surgery has reduced the time allowed for patient contact, but it has not reduced the need for assessment, planning, and delivery of patient care. Day surgery, however, has shifted some responsibility from nurses to patients and their families. Our goals in developing a preoperative assessment plan were to ensure c...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69021-8

    authors: Page SM,Beresford LA

    更新日期:1988-02-01 00:00:00

  • Shared governance for nursing. Part I: Creating the new organization.

    abstract::In Part I, the concept of shared governance is presented. I have discussed what it means to move toward a shared governance model and the way of thinking and reorganizing that supports it. Basic principles that drive the concept are discussed, and the underpinnings necessary to make it work are identified. Clearly, th...

    journal_title:AORN journal

    pub_type: 杂志文章

    doi:10.1016/s0001-2092(07)69934-7

    authors: Porter-O'Grady T

    更新日期:1991-02-01 00:00:00