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The Paradox of Safety in Medication Management

Bibliographic Data

ID4725992
AuthorsSara F Hawkin, Sara F Hawkins (0000-0001-9590-3576, The University of Utah, Salt Lake City, Utah, USA, corresponding author), Nancy A Nickman (0000-0003-3379-9261, The University of Utah, Salt Lake City, Utah, USA), Janice M Morse (0000-0002-9017-1940, The University of Utah, Salt Lake City, Utah, USA)
Year2017
Volume27
Issue13
Pages1910-1923
Publication date2017-11-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732317732968
PMID28992756
OpenAlexW2763835823
LanguageEN
Citations received5
References cited32

The reduction of medication errors is largely dependent upon the structure of the medication management system and the role of the pharmacist in the acute care setting. The significance of this claim became evident in an ethnographic study of nurses' work in which data were generated from extensive observations, formal interviews, and document reviews. Each step of medication management-from ordering to administering-was microanalyzed, and spaces and places for error emerged. Results revealed medication errors defined by proximity to the patient. Pharmacists became a surprising "stop-gap" between the physicians and patients in the recognition and interception of medication errors occurring far removed from the bedside and did not formally support the reporting of these errors. Understanding the complexity of this process and the roles of involved personnel reminds us that there is presently no fool-proof plan for the reduction of medication errors and implies a culture of safety remains elusive

Acute care · Ethnography · Health care · Patient safety · Pharmacist · Sociology · Computer Science · Healthcare Quality and Management · Medicine · Nursing · Patient Safety and Medication Errors · Pharmaceutical Practices and Patient Outcomes · Psychology · Pharmacy

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Unique citing works5
Citations per year0,83
Citation span2020 - 2026 (7)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 5
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