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Are temporary staff associated with more severe emergency department medication errors?
MedLine Citation:
PMID:  21733020     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The use of temporary staff in healthcare is on the rise due in part to work-force shortages and perceived cost savings. They may present an increased risk of errors from insufficient training and orientation, and less familiarity with local culture and practice. However, their impact, particularly in the emergency department where the risk of preventable medication errors is high, has not been established. The objective of this study was to evaluate whether temporary staff medication errors would be associated with more severe harm than permanent staff medication errors. We used a national Internet-based medication error reporting system (MEDMARX) and did a cross-sectional study of the dataset between the years 2000 and 2005. After adjusting for clustering by facility, temporary staff errors were more likely than permanent staff errors to reach the patient (odds ratio [OR] 1.42, 95% confidence intervals [CI] 0.97-2.09), require patient monitoring (OR 1.91, 95% CI 1.21-3.03), result in temporary harm (OR 3.11, 95% CI 1.13-8.59), and be life-threatening (OR 8.63, 95% CI 1.22-61.0). In conclusion, emergency department medication errors associated with temporary staff were more harmful than those associated with permanent staff.
Authors:
Julius Cuong Pham; Mary Andrawis; Andrew D Shore; Maureen Fahey; Laura Morlock; Peter J Pronovost
Publication Detail:
Type:  Journal Article     Date:  2010-11-11
Journal Detail:
Title:  Journal for healthcare quality : official publication of the National Association for Healthcare Quality     Volume:  33     ISSN:  1945-1474     ISO Abbreviation:  J Healthc Qual     Publication Date:  2011 Jul 
Date Detail:
Created Date:  2011-07-07     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9202994     Medline TA:  J Healthc Qual     Country:  United States    
Other Details:
Languages:  eng     Pagination:  9-18     Citation Subset:  H    
Copyright Information:
© 2010 National Association for Healthcare Quality.
Affiliation:
Johns Hopkins University School of Medicine in Baltimore, Maryland American Society of Health-System Pharmacists in Bethesda, Maryland.
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