Het gaat om de formulering, niet om de inhoud:  Adrenaline bij anafylaxie: intraveneus of intramusculair toedienen?

Mike Van Der Have; Douwe Dekker; Eefje M.J. Theunissen; Cathelijne Snijders; Karin A.H. Kaasjager

Het gaat om de formulering, niet om de inhoud: Adrenaline bij anafylaxie: intraveneus of intramusculair toedienen?

Translated title of the contribution: It is all about the form - adrenaline in anaphylaxis: intravenous or intramuscular administration?

Mike Van Der Have^*, Douwe Dekker, Eefje M.J. Theunissen, Cathelijne Snijders, Karin A.H. Kaasjager

^*Corresponding author for this work

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Medication errors are a frequent problem in the accident and emergency (A&E) department.

CASE DESCRIPTION: A 17-year-old boy was referred to our A&E department with an anaphylactic reaction to peanuts. Because of various shortcomings in the care process in A&E, adrenaline was administered intravenously instead of intramuscularly, resulting in a broad complex tachycardia. We analysed these shortcomings using the 'Prevention and recovery information system for monitoring and analysis' (PRISMA) method.

CONCLUSION: Medication errors are usually a result of shortcomings in non-technical skills, such as communication and situational awareness. Training these skills by applying the concept 'Crew resource management' may reduce medication errors and improve patient safety.

Translated title of the contribution	It is all about the form - adrenaline in anaphylaxis: intravenous or intramuscular administration?
Original language	Dutch
Article number	D1089
Number of pages	5
Journal	Nederlands Tijdschrift voor Geneeskunde
Volume	161
Issue number	26
Publication status	Published - 2017

Cite this

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title = "Het gaat om de formulering, niet om de inhoud: Adrenaline bij anafylaxie: intraveneus of intramusculair toedienen?",

abstract = "BACKGROUND: Medication errors are a frequent problem in the accident and emergency (A&E) department.CASE DESCRIPTION: A 17-year-old boy was referred to our A&E department with an anaphylactic reaction to peanuts. Because of various shortcomings in the care process in A&E, adrenaline was administered intravenously instead of intramuscularly, resulting in a broad complex tachycardia. We analysed these shortcomings using the 'Prevention and recovery information system for monitoring and analysis' (PRISMA) method.CONCLUSION: Medication errors are usually a result of shortcomings in non-technical skills, such as communication and situational awareness. Training these skills by applying the concept 'Crew resource management' may reduce medication errors and improve patient safety.",

author = "{Van Der Have}, Mike and Douwe Dekker and Theunissen, {Eefje M.J.} and Cathelijne Snijders and Kaasjager, {Karin A.H.}",

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AU - Theunissen, Eefje M.J.

AU - Snijders, Cathelijne

AU - Kaasjager, Karin A.H.

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AB - BACKGROUND: Medication errors are a frequent problem in the accident and emergency (A&E) department.CASE DESCRIPTION: A 17-year-old boy was referred to our A&E department with an anaphylactic reaction to peanuts. Because of various shortcomings in the care process in A&E, adrenaline was administered intravenously instead of intramuscularly, resulting in a broad complex tachycardia. We analysed these shortcomings using the 'Prevention and recovery information system for monitoring and analysis' (PRISMA) method.CONCLUSION: Medication errors are usually a result of shortcomings in non-technical skills, such as communication and situational awareness. Training these skills by applying the concept 'Crew resource management' may reduce medication errors and improve patient safety.

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Het gaat om de formulering, niet om de inhoud: Adrenaline bij anafylaxie: intraveneus of intramusculair toedienen?

Abstract

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