Issue 5
Palliative Care: A Multi-Incident Analysis
An MIA was undertaken to identify complexities contributing to medication errors during care at end of life. The 3 themes identified were (1) hesitancy to treat opioid toxicity with naloxone, (2) errors in medication use processes such as transcription errors and administration errors, and (3) gaps in coordination of care.
Key Words:
- Terminal
- DNR
- Telephone orders and verbal orders
- Transitions of care
𝗦𝗶𝗱𝗲𝗯𝗮𝗿𝘀:
- Consumer “Good Catches”
- Health Canada’s Policy Statement on the Naming of Biologic Drugs