FRÅGAN
Why do medication errors keep happening?
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Double-checking is signed without a second person actually looking → påverkar? → The same look-alike drugs are stored next to each other
Inget sagt än.
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| Patients are moved between wards mid-treatment and the chart lags behind | → | Errors are discussed as individual mistakes, not as patterns | öppen | diskutera |
| … | → | Agency staff do not know the ward's conventions | öppen | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Infusion pumps on the ward come from three manufacturers | öppen | diskutera |
| Agency staff do not know the ward's conventions | → | Interruptions during the drug round are constant | öppen vidareskickat | diskutera |
| Allergy information is in a different system from the prescribing one | → | The same look-alike drugs are stored next to each other | ✓ ja | diskutera |
| Allergy information is in a different system from the prescribing one | → | Alerts in the system are so frequent that they are clicked through | ✓ ja | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | Discharge medication lists disagree with the inpatient chart | ✓ ja | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | The same look-alike drugs are stored next to each other | ✓ ja | diskutera |
| Double-checking is signed without a second person actually looking | → | Patients are moved between wards mid-treatment and the chart lags behind | ✓ ja | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | The same error recurs on the same drug every few months | ✓ ja | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | Near misses are not reported because the form takes twenty minutes | ✓ ja | diskutera |
| Night shift has one nurse for the whole bay | → | Interruptions during the drug round are constant | ✓ ja | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Night shift has one nurse for the whole bay | ✓ ja | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Agency staff do not know the ward's conventions | ✓ ja | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Infusion pumps on the ward come from three manufacturers | ✓ ja | diskutera |
| Double-checking is signed without a second person actually looking | → | Discharge medication lists disagree with the inpatient chart | ✓ härledd | diskutera |
| Double-checking is signed without a second person actually looking | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| Double-checking is signed without a second person actually looking | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | The same look-alike drugs are stored next to each other | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| Double-checking is signed without a second person actually looking | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| Double-checking is signed without a second person actually looking | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| Double-checking is signed without a second person actually looking | → | The same look-alike drugs are stored next to each other | ✗ nej | i fokus ↑ · stäng ✕ |
| The same error recurs on the same drug every few months | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| Double-checking is signed without a second person actually looking | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | The same look-alike drugs are stored next to each other | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | The same look-alike drugs are stored next to each other | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | The same look-alike drugs are stored next to each other | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | Alerts in the system are so frequent that they are clicked through | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | The same error recurs on the same drug every few months | ✗ nej | diskutera |
| Double-checking is signed without a second person actually looking | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| New nurses are put on drug rounds in their first week | → | Allergy information is in a different system from the prescribing one | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | Discharge medication lists disagree with the inpatient chart | ✗ nej | diskutera |
| Near misses are not reported because the form takes twenty minutes | → | Patients are moved between wards mid-treatment and the chart lags behind | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| Errors are discussed as individual mistakes, not as patterns | → | The same look-alike drugs are stored next to each other | ✗ nej | diskutera |
| Alerts in the system are so frequent that they are clicked through | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| Patients are moved between wards mid-treatment and the chart lags behind | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| Discharge medication lists disagree with the inpatient chart | → | Double-checking is signed without a second person actually looking | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | The same look-alike drugs are stored next to each other | ✗ nej | diskutera |
| The same error recurs on the same drug every few months | → | Errors are discussed as individual mistakes, not as patterns | ✗ nej | diskutera |
| Allergy information is in a different system from the prescribing one | → | New nurses are put on drug rounds in their first week | ✗ nej | diskutera |
| The same look-alike drugs are stored next to each other | → | Near misses are not reported because the form takes twenty minutes | ✗ nej | diskutera |
| … | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | … | ✗ nej | diskutera |
| … | → | … | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| … | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| … | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | … | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | … | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| … | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| … | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | … | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| … | → | Interruptions during the drug round are constant | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Interruptions during the drug round are constant | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | … | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | … | ✗ nej | diskutera |
| … | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| … | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | … | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Interruptions during the drug round are constant | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Interruptions during the drug round are constant | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | … | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | … | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| … | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | … | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | … | ✗ nej | diskutera |
| … | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| … | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| … | → | … | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | … | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | … | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| Agency staff do not know the ward's conventions | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | … | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| … | → | Interruptions during the drug round are constant | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | … | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Handwritten charts are still used when the system is down, which is often | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| … | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | … | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Interruptions during the drug round are constant | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Weight-based doses are calculated by hand at the bedside | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Night shift has one nurse for the whole bay | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| … | → | Agency staff do not know the ward's conventions | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Infusion pumps on the ward come from three manufacturers | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Night shift has one nurse for the whole bay | → | Handwritten charts are still used when the system is down, which is often | ✗ nej | diskutera |
| Infusion pumps on the ward come from three manufacturers | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Weight-based doses are calculated by hand at the bedside | → | Pharmacy reviews charts a day after the first dose was given | ✗ nej | diskutera |
| Pharmacy reviews charts a day after the first dose was given | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| … | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Interruptions during the drug round are constant | → | Reporting an error has led to disciplinary action in the past | ✗ nej | diskutera |
| Reporting an error has led to disciplinary action in the past | → | Interruptions during the drug round are constant | ✗ nej | diskutera |