Medication Safety Event Reporting: Factors That Contribute to Safety Events During Times of Organizational Stress.
Tara N CohenCarl T BerdahlBernice L ColemanEdward G SeferianAndrew J HenreidDonna W LeangTeryl K NuckolsPublished in: Journal of nursing care quality (2023)
Skill-based errors were the most common contributing factors for medication safety events during a COVID-19 surge. Reporters rarely deemed events to be related to COVID-19, despite the tremendous strain of the surge on nurses. Future efforts to improve the utility of incident reports should emphasize the importance of describing work system factors.