Send to

Choose Destination
J Obstet Gynecol Neonatal Nurs. 2002 May-Jun;31(3):347-54.

Medication errors: analysis not blame.

Author information

Neonatal Nurse Practitioner Program, College of Nursing, University of Utah, Salt Lake City 84112, USA.


This article summarizes current knowledge regarding neonatal medication errors and explicates the key concepts of human error and system error. A case report illustrates the sources of error. Medication error analysis must go beyond the blaming of individuals for active errors and explore the latent errors that exist in a complex health care environment. Using correct language to describe and define medication error may facilitate the development of a nonpunitive culture and enable effective evaluation of the causes of error.

[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Elsevier Science
Loading ...
Support Center