NICU medication errors: Identifying a risk profile for medication errors in the neonatal intensive care unit

T. A. Stavroudis, A. D. Shore, L. Morlock, R. W. Hicks, D. Bundy, M. R. Miller

Research output: Contribution to journalArticlepeer-review

57 Scopus citations

Abstract

Objective: To identify a risk profile for harmful medication errors in the neonatal intensive care unit (NICU). Study Design: A retrospective cross-sectional study on NICU medication error reports submitted to MEDMARX between 1 January 1999, and 31 December 2005. The Rao-Scott modified χ2 test was used for analysis. Result: 6749 NICU medication error reports were submitted by 163 health-care facilities. Administering errors accounted for approximately one half of errors, and human factors were the most frequently cited cause of error. Patient age was not associated with an increased likelihood of an error being harmful (P=0.11). Error reports involving Institute for Safe Medication Practices (ISMP) High-Alert Medications, occurring in the prescribing phase of medication processing, or involving equipment/delivery device failures were more likely to be harmful (P≤0.05). Conclusion: Risk factors for harmful medication error reports include use of ISMP High-Alert Medications, the prescribing phase of the medication use process, and failure of equipment/delivery devices.

Original languageEnglish (US)
Pages (from-to)459-468
Number of pages10
JournalJournal of Perinatology
Volume30
Issue number7
DOIs
StatePublished - Jul 2010
Externally publishedYes

Keywords

  • MEDMARX
  • neonates
  • pediatrics

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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