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Reduce Adverse Drug Events (ADEs) Involving Intravenous Medications:
Conduct Independent Double-Checks on the Unit

Intravenous solutions may cause adverse drug events more quickly than oral medications. And some medications administered intravenously have higher risks than others of causing severe adverse drug events. Double-checks can be a valuable safety mechanism to ensure that all data and orders are correct before anyone acts on them. For the double-checks to be effective, at least two qualified people must perform them independently. Checking together runs the risk that both people will make the same error (for example, one person might read the dosage aloud incorrectly and the other might automatically agree).


Tips
  • Limit the number of medications calling for double-checks, so the requirement does not become burdensome or slow down patient care activities.
  • Use double-checks for some medications only when unusual doses are ordered, which may be when the risk is greatest.
  • Remember that double-checks need two clinical staff members. Patients and relatives should be involved in care and verification of medications, but not in independent double-checks.