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Updated: Jun 9, 2025

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
Published on: November 9, 2016
Examining Nursing Medical Malpractice Cases Related to Medications.
Julie Higden1, Patricia Folcarelli, Adam Schaffer
1Author Affiliation: Program Director (Dr Higden), Vice President for Patient Safety (Dr Folcarelli), and Senior Clinical Analytics Specialist (Dr Schaffer), Patient Safety, CRICO, Boston, Massachusetts.
Medication errors in nursing are uncommon, but when they occur, failure to follow protocols is a key factor. Patient safety interventions focusing on policies and procedures can reduce medication-related malpractice risks.
Area of Science:
- Nursing
- Medical Malpractice
- Patient Safety
Background:
- The RaDonda Vaught case highlighted medication-related medicolegal risks for nurses.
- Increased attention on medication errors and their legal consequences in nursing practice.
Purpose of the Study:
- To analyze medication-related nursing medical malpractice cases.
- To identify factors contributing to these cases.
- To provide insights for reducing malpractice risk.
Main Methods:
- Analysis of medication-related nursing medical malpractice cases from a national database.
- Examination of contributing factors, injury severity, and case outcomes.
Main Results:
- 231 cases from 2017-2021 involved medication administration errors.
- Failure to follow policies/protocols was the most common cause.
- Opioids and epinephrine were frequently implicated; 56.3% of cases resulted in indemnity payments averaging $366,002.
Conclusions:
- Medication-related nursing malpractice cases are infrequent, offering reassurance to nurses.
- Patient safety initiatives should focus on education regarding policies, procedures, and protocols.
- Addressing common contributing factors can mitigate medicolegal risks.
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