Medication Safety Event Reporting: Factors That Contribute to Safety Events During Times of Organizational Stress.

ABSTRACT:

Background

Incident reports submitted during times of organizational stress may reveal unique insights.

Purpose

To understand the insights conveyed in hospital incident reports about how work system factors affected medication safety during a coronavirus disease-2019 (COVID-19) surge.

Methods

We randomly selected 100 medication safety incident reports from an academic medical center (December 2020 to January 2021), identified near misses and errors, and classified contributing work system factors using the Human Factors Analysis and Classification System-Healthcare.

Results

Among 35 near misses/errors, incident reports described contributing factors (mean 1.3/report) involving skill-based errors (n = 20), communication (n = 8), and tools/technology (n = 4). Rep

SUBMITTER: Cohen TN 

PROVIDER: S-EPMC10632541 | biostudies-literature | 2024 Jan-Mar 01

REPOSITORIES: biostudies-literature