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J Nurs Adm. 2004 Oct;34(10):437-9.

An intravenous medication safety system: preventing high-risk medication errors at the point of care.

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  • 1Case Management, Vanderbilt University Medical Center, 1161 21st Avenue S., Nashville, TN 37232-2415, USA.


Improving medication safety at the point of care--particularly for high-risk drugs--is a major concern of nursing administrators. The medication errors most likely to cause harm are administration errors related to infusion of high-risk medications. An intravenous medication safety system is designed to prevent high-risk infusion medication errors and to capture continuous quality improvement data for best practice improvement. Initial testing with 50 systems in 2 units at Vanderbilt University Medical Center revealed that, even in the presence of a fully mature computerized prescriber order-entry system, the new safety system averted 99 potential infusion errors in 8 months.

[PubMed - indexed for MEDLINE]
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