Oral Anticoagulants: A Review of Common Errors and Risk Reduction Strategies
Pennsylvania healthcare facilities submitted 831 medication error reports associated with the oral anticoagulants warfarin, apixaban, dabigatran, and rivaroxaban to the Pennsylvania Patient Safety Authority from July 2013 through June 2014. The most commonly reported errors were drug omissions (32.5%), “other” errors (18.5%), and extra doses (11.7%).
Delivering the Right Diet to the Right Patient Every Time
A dietary error can occur at any point in the dietary process, from order entry through tray delivery. From January 2009 through June 2014, the type of dietary event most commonly reported to the Authority involved a patient receiving a tray with a food item to which he or she was allergic. Serious harm was reported in eight of these events.