Pharmacotherapeutic friendly fire in the intensive care unit: high stakes seeking high calibre
Tóm tắt
Increasing numbers of patients are surviving the intensive care unit. Concordant with our shifting focus to minimizing intensive care unit-acquired morbidity, in the present issue of Critical Care Moyen, Camire, and Stelfox describe the importance of quality pharmacotherapy. They describe challenges and potential solutions to this source of iatrogenic injury in our vulnerable patients. Their article reminds us not to understate the importance of medication error, to avoid overstating the benefits of incompletely proven methods to prevent medication error, and to distinguish harmful medication errors from other types of medication error.
Tài liệu tham khảo
citation_journal_title=Crit Care; citation_title=Clinical review: Medication errors in critical care; citation_author=E Moyen, E Camire, HT Stelfox; citation_volume=12; citation_publication_date=2008; citation_pages=208; citation_doi=10.1186/cc6813; citation_id=CR1
citation_journal_title=Crit Care Med; citation_title=A look into the nature and causes of human errors in the intensive care unit; citation_author=Y Donchin, D Gopher, M Olin, Y Badihi, M Biesky, CL Sprung, R Pizov, S Cotev; citation_volume=23; citation_publication_date=1995; citation_pages=294-300; citation_doi=10.1097/00003246-199502000-00015; citation_id=CR2
citation_journal_title=Pediatr Crit Care Med; citation_title=Assessing medication prescribing errors in pediatric intensive care units; citation_author=MA Cimino, MS Kirschbaum, L Brodsky, SH Shaha; citation_volume=5; citation_publication_date=2004; citation_pages=124-132; citation_doi=10.1097/01.PCC.0000112371.26138.E8; citation_id=CR3
citation_journal_title=Crit Care Med; citation_title=The Critical Care Safety Study: the incidence and nature of adverse events and serious medical errors in intensive care; citation_author=JM Rothschild, CP Landrigan, JW Cronin, R Kaushal, SW Lockley, E Burdick, PH Stone, CM Lilly, JT Katz, CA Czeisler, DW Bates; citation_volume=33; citation_publication_date=2005; citation_pages=1694-1700; citation_doi=10.1097/01.CCM.0000171609.91035.BD; citation_id=CR4
citation_journal_title=Pediatrics; citation_title=Adverse events in the neonatal intensive care unit: development, testing, and findings of an NICU-focused trigger tool to identify harm in North American NICUs; citation_author=PJ Sharek, JD Horbar, W Mason, H Bisarya, CW Thurm, G Suresh, JE Gray, WH Edwards, D Goldmann, D Classen; citation_volume=118; citation_publication_date=2006; citation_pages=1332-1340; citation_doi=10.1542/peds.2006-0565; citation_id=CR5
citation_journal_title=Drug Saf; citation_title=Drug-related problems in hospitals: a review of the recent literature; citation_author=A Krahenbuhl-Melcher, R Schlienger, M Lampert, M Haschke, J Drewe, S Krahenbuhl; citation_volume=30; citation_publication_date=2007; citation_pages=379-407; citation_doi=10.2165/00002018-200730050-00003; citation_id=CR6
citation_journal_title=Crit Care Med; citation_title=Preventable adverse drug events in hospitalized patients: a comparative study of intensive care and general care units; citation_author=DJ Cullen, BJ Sweitzer, DW Bates, E Burdick, A Edmondson, LL Leape; citation_volume=25; citation_publication_date=1997; citation_pages=1289-1297; citation_doi=10.1097/00003246-199708000-00014; citation_id=CR7
citation_journal_title=Am J Health Syst Pharm; citation_title=Preventing adverse drug events; citation_author=LL Leape; citation_volume=52; citation_publication_date=1995; citation_pages=379-382; citation_id=CR8
National Library of Medicine – Medical Subject headings. accessed 14 April 2008. Tree Number E02.319.529., [
http://www.nlm.nih.gov/mesh/MBrowser.html
]
citation_journal_title=JAMA; citation_title=Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study; citation_author=CP West, MM Huschka, PJ Novotny, JA Sloan, JC Kolars, TM Habermann, TD Shanafelt; citation_volume=296; citation_publication_date=2006; citation_pages=1071-1078; citation_doi=10.1001/jama.296.9.1071; citation_id=CR10
citation_journal_title=BMJ; citation_title=Medical error: the second victim. The doctor who makes the mistake needs help too; citation_author=AW Wu; citation_volume=320; citation_publication_date=2000; citation_pages=726-727; citation_doi=10.1136/bmj.320.7237.726; citation_id=CR11
citation_journal_title=Eur J Pediatr; citation_title=Does critical incident reporting contribute to medication error prevention?; citation_author=B Frey, V Buettiker, MI Hug, K Waldvogel, P Gessler, D Ghelfi, C Hodler, O Baenziger; citation_volume=161; citation_publication_date=2002; citation_pages=594-599; citation_doi=10.1007/s00431-002-1055-0; citation_id=CR12
citation_journal_title=JAMA; citation_title=Pharmacist participation on physician rounds and adverse drug events in the intensive care unit; citation_author=LL Leape, DJ Cullen, MD Clapp, E Burdick, HJ Demonaco, JI Erickson, DW Bates; citation_volume=282; citation_publication_date=1999; citation_pages=267-270; citation_doi=10.1001/jama.282.3.267; citation_id=CR13
citation_journal_title=Crit Care; citation_title=Etomidate, pharmacological adrenalectomy and the critically ill: a matter of vital importance; citation_author=R Bloomfield, DW Noble; citation_volume=10; citation_publication_date=2006; citation_pages=161; citation_doi=10.1186/cc5020; citation_id=CR14
citation_journal_title=Crit Care Med; citation_title=Discrepancies between ordered and delivered concentrations of opiate infusions in critical care; citation_author=CS Parshuram, GY Ng, TK Ho, J Klein, AM Moore, D Bohn, G Koren; citation_volume=31; citation_publication_date=2003; citation_pages=2483-2487; citation_doi=10.1097/01.CCM.0000089638.83803.B2; citation_id=CR15
citation_journal_title=CMAJ; citation_title=Systematic evaluation of errors occurring during the preparation of intravenous medication; citation_author=CS Parshuram, T To, W Seto, A Trope, G Koren, A Laupacis; citation_volume=178; citation_publication_date=2008; citation_pages=42-48; citation_doi=10.1503/cmaj.061743; citation_id=CR16
citation_journal_title=Pediatrics; citation_title=Unexpected increased mortality after implementation of a commercially sold computerized physician order entry system; citation_author=YY Han, JA Carcillo, ST Venkataraman, RS Clark, RS Watson, TC Nguyen, H Bayir, RA Orr; citation_volume=116; citation_publication_date=2005; citation_pages=1506-1512; citation_doi=10.1542/peds.2005-1287; citation_id=CR17