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Take action now to prevent medication errors: lessons from a fatal error involving an automated dispensing cabinet.
- Source :
-
British journal of anaesthesia [Br J Anaesth] 2023 Jan; Vol. 130 (1), pp. 14-16. Date of Electronic Publication: 2022 Nov 01. - Publication Year :
- 2023
-
Abstract
- An error in the administration of an anaesthetic medication related to an automated dispensing cabinet resulted in a patient fatality and a highly publicised criminal prosecution of a healthcare worker, which concluded in 2022. Urgent action is required to re-engineer systems and workflows to prevent such errors. Exhortation, blame, and criminal prosecution are unlikely to advance the cause of patient safety.<br /> (Copyright © 2022 British Journal of Anaesthesia. Published by Elsevier Ltd. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1471-6771
- Volume :
- 130
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- British journal of anaesthesia
- Publication Type :
- Editorial & Opinion
- Accession number :
- 36333160
- Full Text :
- https://doi.org/10.1016/j.bja.2022.09.017