Drug administration error leading to refractory status epilepticus after intrathecal injection of tranexamic acid: A case report
M Marzouk, S Thamlaoui, N Baffoun, K Baccar… - Perioperative Care and …, 2021 - Elsevier
Drug administration errors can occur in the operating room and can cause significant harm,
including death. Tranexamic acid (TXA) is an antifibrinolytic agent that is used to improve …
including death. Tranexamic acid (TXA) is an antifibrinolytic agent that is used to improve …
Perioperative medication error prevention
KC Nanji - Current Anesthesiology Reports, 2020 - Springer
Abstract Purpose of Review To describe the incidence and types of perioperative medication
errors and adverse medication events, and to provide a summary of strategies to reduce …
errors and adverse medication events, and to provide a summary of strategies to reduce …
[HTML][HTML] Tranexamic acid: beware of anaesthetic misadventures
S Gupta, AK Bhiwal, K Sharma - Journal of Obstetric Anaesthesia …, 2018 - journals.lww.com
Tranexamic acid (TXA) is an antifibrinolytic agent that is commonly used in cardiac,
gynecologic, and obstetric surgeries. Inadvertent intrathecal injection of the TXA may lead to …
gynecologic, and obstetric surgeries. Inadvertent intrathecal injection of the TXA may lead to …
Development of Consensus-Based Recommendations to Prevent/Minimize Medication Errors in the Perioperative Care of Patients with Epilepsy: A Mixed-Method
R Shawahna, M Jaber - World Neurosurgery, 2022 - Elsevier
Background This study explored medication errors in the perioperative care of patients with
epilepsy and developed consensus-based recommendations to prevent/minimize these …
epilepsy and developed consensus-based recommendations to prevent/minimize these …
[PDF][PDF] Perioperative medication errors: uncovering risk from behind the drapes
KH Cierniak, MJ Gaunt, M Grissinger - Penn Patient Saf Advis, 2018 - patientsafety.pa.gov
Medication use in the perioperative setting presents unique patient safety challenges
compared with other hospital settings. For example, perioperative medication prescribing …
compared with other hospital settings. For example, perioperative medication prescribing …
Integrating a pharmacist into the perioperative setting
TG Forrester, S Sullivan, CL Snoswell… - Australian Health …, 2020 - CSIRO Publishing
This paper describes the integration of a pharmacist into a perioperative environment and
the ensuing quality and economic benefits. Deficiencies were identified in medication …
the ensuing quality and economic benefits. Deficiencies were identified in medication …
Back to basics: medication safety
L Spruce - Aorn Journal, 2020 - Wiley Online Library
Perioperative nurses administer some medications but are primarily responsible for
obtaining, preparing, and documenting medications. Unlike personnel in many other patient …
obtaining, preparing, and documenting medications. Unlike personnel in many other patient …
A user-centered approach to designing secondary anesthesia medication labels
Poorly designed and implemented medication labels have been identified as a source of
medication errors within anesthesia delivery. Previous studies noted that simplified text and …
medication errors within anesthesia delivery. Previous studies noted that simplified text and …
[HTML][HTML] Evaluation of a Course to Teach Medical Students Latent Hazard Identification in the Operating Room
NC Cammer, KM Mascarenhas, MC Delgado-Landino… - Cureus, 2024 - ncbi.nlm.nih.gov
Introduction: To improve situational awareness in the operating room (OR), a virtual online
operating room of hazards (ROH) with deliberately placed risks was created. We …
operating room of hazards (ROH) with deliberately placed risks was created. We …
Prevention of perioperative medication errors
K Nanji - UpToDate. Waltham, MA: UpToDate, 2021 - uptodate.com
A medication error is any mistake in the intended use of a medication (eg, wrong medication,
wrong dose, or infusion of the wrong medication into the wrong place). The perioperative …
wrong dose, or infusion of the wrong medication into the wrong place). The perioperative …