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Understanding end-of-life injectable medication patient safety origin incidents in the community: a mixed-methods analysis of national incident-reporting data
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DOI：10.1016/j.ijnurstu.2026.105544.png)
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Abstract
En 中文
The use of injectable end-of-life symptom control medications is complex and a risk-prone healthcare activity in the community. Attention is often directed towards the immediate causes of medication-related incidents; however, valuable learning can be gained by examining ‘origin incidents’, the first adverse event occurring in incident chains that resulted in patient harm or the potential for harm. Understanding these origin incidents can underpin improvements in system resilience to ensure the provision of timely, effective and safe symptom management. System resilience arises from capacities at individual, team and structural levels that enable a complex system to adapt practices and maintain essential functions under varying conditions.
Keywords:
Drug safety
Subcutaneous
Injections
Infusions
End of life care
Patient safety
Palliative care
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