Error Impact Medication Patient Safety
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Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch medication error definition termSearch Advanced Journal list Help Journal ListBr J Clin Pharmacolv.67(6); medication error statistics 2009 JunPMC2723209 Br J Clin Pharmacol. 2009 Jun; 67(6): 681–686. doi: 10.1111/j.1365-2125.2009.03427.xPMCID: PMC2723209Medication errors: medication errors in nursing prevention using information technology systemsAbha AgrawalDepartment of Clinical Medicine and Medical Informatics, State University of New York Downstate, Brooklyn, NY, USACorrespondence Professor Abha
Medication Error Articles
Agrawal, Department of Clinical Medicine and Medical Informatics, State University of New York Downstate, Brooklyn, NY 11203, USA. Tel: +1-718-245-3980 Fax: +1-718-245-5347 E-mail: moc.liamg@ahba.lawargaAuthor information ► Article notes ► Copyright and License information ►Received 2009 Feb 9; Accepted 2009 Mar 18.Copyright Journal compilation © 2009 The British Pharmacological types of medication errors SocietyThis article has been cited by other articles in PMC.AbstractGiven the high frequency of medication errors with resultant patient harm and cost, their prevention is a worldwide priority for health systems.Systems that use information technology (IT), such as computerized physician order entry, automated dispensing, barcode medication administration, electronic medication reconciliation, and personal health records, are vital components of strategies to prevent medication errors, and a growing body of evidence calls for their widespread implementation.However, important barriers, such as the high costs of such systems, must be addressed through economic incentives and government policies.This paper provides a review of the current state of IT systems in preventing medication errors.Keywords: CPOE, decision support, electronic health record, health information technology, medication errors, patient safetyA substantial body of evidence from international literature points to the risks posed by medication errors and the resulting preventa
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Medication Error Statistics 2015
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Seminar Executive Lean Leadership Retreat Lean Facility Design Seminar Speakers Bureau Tour Virginia Mason Immersion Creating Flow in the Ambulatory Setting* Engaging Staff in Daily Improvement* Leading With a Shared Vision* Lean Training* https://www.virginiamasoninstitute.org/2016/05/medication-error-spurred-team-engagement-innovation-and-patient-safety/ Learning From Never Events: Aligning an Organization Around Safety Rapid Process Improvement Workshop Participation Using Patient Experience to Drive Improvement Skill Mastery Advanced Lean Training* Genba Kaizen Event Coaching & Facilitation 3P (Production Preparation Process) Facilitation* Organizational TransformationEngage in a full suite of customized services to transform your entire organization.Discover More *Available at your organization Find Answers How a Medication Error Spurred Team medication error Engagement, Innovation and Patient Safety Category: Case Study,Culture Shift,Lean Principles,Patient Safety,Quality Virginia Mason Institute May 26, 2016 In many hospital pharmacies today, the pace is hurried. Patients’ lives are at stake, and staff are rushing to fulfill often complex orders for waiting providers. With so many urgent and emergent patient needs, changing staff shifts, increasingly complex medications, direct patient care responsibilities and the medication error statistics inevitable influx of new team members who need to be mentored and trained — all in the setting of evolving federal and state medication regulations — how can a pharmacy team prevent errors before they’re passed on to patients? At Virginia Mason, an error occurred in the pharmacy years ago that had a profound effect on a patient, leaders and staff — and eventually the processes the pharmacy team would use moving forward. How did the team uncover the systemic cause of the problem, and how did they dramatically reduce defects in the process to make sure such an event never happened again? Discovering a never event In the hospital’s sterile compounding room, a solution that was prepared for a patient was incorrectly prepared. It should have been made with infliximab, an immunomodulating agent used to treat the pain of rheumatoid arthritis. Instead, the solution was accidentally prepared with etoposide, an antineoplastic with known side effects including gastrointestinal problems, weakness, hair loss and more. (For this article, some of the details identifying the event and the patient have been changed to protect the patient’s privacy.) The compounded medication was s
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