Medication administration is a major safety issue for patients and providers. The authors describe a commercial aviation-based system safety assessment conducted on the medication administration process for a community teaching hospital in the northeast United States. Processes on 2 medical units and 1 surgical unit were assessed. A sampling of qualitative outcomes is presented in a risk prioritization framework, along with practical recommendations predicated on the valuable lessons learned in commercial aviation.
Authors' Affiliations: Chief Nurse Executive, Senior Vice President of Patient Care Services (Dr Donahue), Danbury Hospital, Connecticut; President (Mr Brown), The Salus Network, Goshen, New York; Elizabeth Brooks Ford Professor of Nursing (Dr Fitzpatrick), Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland, Ohio.
Corresponding author: Dr Donahue, Danbury Hospital, 24 Hospital Ave, Danbury, CT 06810 (firstname.lastname@example.org).
Disclosure: Mr Brown is the president of the Salus Network consulting firm discussed in this article.