Authors

1. Cohen , Tara N.
2. Berdahl , Carl T.
3. Coleman , Bernice L.
4. Seferian , Edward G.
5. Henreid , Andrew J.
6. Leang , Donna W.
7. Nuckols , Teryl K.

Abstract

Skill-based errors were the most common contributing factors for medication safety events during a COVID-19 surge. Reporters rarely deemed events to be related to COVID-19, despite the tremendous strain of the surge on nurses. Future efforts to improve the utility of incident reports should emphasize the importance of describing work system factors.