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Commentary on: Douglass AM, Elder J, Watson RA, et al. Randomized Controlled Trial on the Effect of a Double Check on the Detection of Medication Errors. Ann Emerg Med. 2018 Jan;71(1):74–82.e1.
Implications for practice and research
Double-checking is used in many hospitals and seems to be effective, but more evaluations are needed.
Simulation studies allow the testing of interventions prior to implementation in practice.
Administration error rates remain high, and new studies, with higher statistical power, are needed.
Administration errors can be caused by prescription mistakes (dose errors) and/or dispensing errors (storage mistakes).1 Several interventions have been developed to reduce medication errors, such as barcode-assisted medication administration (BCMA) systems2 and the double-check. Double-checking requires two qualified health professionals to check the medication. The majority of publications focused on professionals’ beliefs concerning double-check effect. A systematic review published in 2012 …
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