No abstract accompanies this publication.
Jt Comm J Qual Patient Saf 2017 Aug; 43(8):396-402
Intraoperative Handoffs Among Anesthesia Providers Increase the Incidence of Documentation Errors for Controlled Drugs.
Epstein RH, Dexter F, Gratch DM, Lubarsky DA
When electronic anesthesia records are compared to pharmacy transactions, discrepancies in total doses of controlled drugs are commonly found (˜16% of cases), potentially affecting patient safety and placing hospitals at risk for regulatory action. Errors (˜5%) persisted even with near real-time drug reconciliation feedback to providers. A study was conducted to test the hypothesis of greater risks of discrepancy for longer-duration cases and for intraoperative handoff involving a permanent handoff of care.