Submitting Campus

Daytona Beach

Department

Human Factors and Behavioral Neurobiology

Document Type

Article

Publication/Presentation Date

1-2019

Abstract/Description

Lack of verification is often cited as a root cause of medication errors; however, medication errors occur in spite of conventional verification practices and it appears that human factors engineering (HFE) can inform the design of a more effective method. To this end, an HFE-driven process was designed and implemented in an urban, Midwestern emergency medical service agency. Medication error data were collected over a 54-month period, 27 months before and after implementation. A decrease in the average monthly error rate was realized for all medications administered (49.0%) during the post-intervention time period. The average monthly error rate for fentanyl, a commonly administered analgesic, demonstrated a 71.1% error rate decrease. This study is the first to evaluate the effectiveness of a team-based cross-check process for medication verification to prevent errors in the prehospital setting.

Publication Title

Therapeutic Advances in Drug Safety

DOI

https://doi.org/10.1177/2042098618821916

Publisher

Sage Publications Ltd.

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