Medication errors: the human factor

Etchells, Edward; Juurlink, David; Levinson, Wendy
January 2008
CMAJ: Canadian Medical Association Journal;1/1/2008, Vol. 178 Issue 1, p63
Academic Journal
The article presents an analysis of a study conducted to 118 health care professionals who prepared 464 morphine infusions on simulated conditions. It is suggested that chromatography was used in the preparation of the morphine concentrate. Procedural elements revealed that 34.7% of infusions varied from the intended concentration and 3% of the drug volume calculated resulted to a 2-fold error while 1.2% incurred a 10-fold error. It is inferred that the study supports previous findings having a high error rate in the preparation of intravenous medications by health professionals.


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