Medication Error In Canada
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Inside Canada's secret world of medical error: ‘There is a lot of lying, there’s a lot ofcover-up' Tom Blackwell | January 16, 2015 | Last Updated: Mar 2 5:31 PM ETMore from Tom Blackwell | @tomblackwellNP Twitter Google+ Reddit Email Typo? More Comments LinkedIn Tumblr Pinterest medication errors in canada statistics Digg FarkIt StumbleUpon As Helen Church woke up one morning just before medication error statistics 2014 canada Christmas 2012, the pain that had been building for weeks behind her right eye reached an excruciating medication errors in nursing canada climax. Screaming in agony, she ran around her east-end Toronto apartment before finally managing to call 911 and passing out. How much do we know?
In 2004 a study canadian adverse events study by Ross Baker and Peter Norton analyzed patient charts at a representative sample of Canadian hospitals and came up with estimates of the number of adverse events that occur in an average year. With a paucity of official data on medical errors at the country's hospitals, one way to get a rough estimate of adverse events isMedical Error Deaths Canada
to take the Baker-Norton numbers and divide them according to provincial populations. British Columbia Estimated adverse events: 24,310 events, 1,202-3,087 deaths Reported events: Aprx. 9,800 undefined events (in other words, with no details released), no deaths reported for 2010-11 Alberta Estimated adverse events: 21,310 events, 1,054-2,707 deaths Reported events: No public reporting Saskatchewan Estimated adverse events: 5,984 events, 296-760 deaths Reported events: 195 events, 30 deaths reported for 2013-14 Manitoba Estimated adverse events: 6,732 events, 333-855 deaths Reported events: 526 events, 52 deaths reported for 2011-12 Ontario Estimated adverse events: 71,995 events, 3,561-9,143 deaths Reported events: 29 events, six deaths reported for 2013 Quebec Estimated adverse events: 43,384 events, 2,146-5,510 deaths Reported events: Aprx. 3,072 events, 297 deaths reported for 2013-14 New Brunswick Estimated adverse events: 4,114 events, 203-522 deaths Reported events: No public reporting Nova Scotia Estimated adverse events: 5,049 events, 250-641 deaths Reported events: 27 events, 0 deaths reported for Jan-June 2014 Newfoundland Estimated adverse events: 2,085 events, 138-356 deaths Reported events: No public reporting Prince Edward Island Estimated
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Medical Errors Canada
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both hospitals and in the community. Risk managers are taking a more proactive approach to preventing medication incidents in hospitals. This has been exemplified during my recent contacts with hospitals https://www.ismp-canada.org/Riskmgm.htm in the metropolitan Toronto area. There is evidently support for a change in http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2832561/ culture in organizations, from a suppressive and closed error reporting culture to a more open and non-punitive culture. Most importantly, there is commitment to implementing quality improvement initiatives to ensure safer medication use systems in our hospitals. Although medication error reduction and prevention efforts need to be made by all health care disciplines, at all medication error levels of the hospital, risk managers have a unique and important role to play: Facilitate the creation of an open and non-punitive culture in the organization to encourage error reporting, to ensure learning from error occurs, and ensure improvement needs are identified. Encourage reporting of "near-misses" to identify areas for improvement before an incident occurs. Coordinate educational sessions for staff to discuss errors and their prevention strategies. Focus efforts medication errors in on specific high alert drugs and error-prone situations. References are available which identify these areas.1,2 Perform an objective self-assessment of the hospital's risk for medication errors. Be involved in the review and "root-cause" analysis of medication errors. Participate and provide input into the development of quality improvement initiatives. Share error reduction and prevention strategies and other patient safety information with the other facilities In this article I would like to highlight two very important strategies for health care administration, risk managers and practitioners. Firstly, DISCOURAGE BENCHMARKING OF MEDICATION ERROR RATES. It is unfortunate that many healthcare facilities still believe that their "error rate" is a measure of patient safety. The true incidence of medication errors will vary, depending very much on the vigor with which errors are identified and reported. Although many hospitals have a relatively standardized method to define a medication incident (a medication error that reaches a patient), the manner in which they are detected and the efforts to report them differ widely. Simply comparing "numbers" of medication errors lacks validity, and more importantly can dangerously undermine efforts for full reporting. A high error rate could suggest unsafe medication practices or it could reflect an organizational culture which promotes error reporting. Likewise, lo
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListCan J Hosp Pharmv.63(1); Jan-Feb 2010PMC2832561 Can J Hosp Pharm. 2010 Jan-Feb; 63(1): 20–24. PMCID: PMC2832561Language: English | FrenchMedication Error Reporting Systems: A Survey of Canadian Intensive Care UnitsKimberley LouieKimberley Louie, BSc, is with the Centre for Health Evaluation and Outcome Sciences, Providence Health Care, Vancouver, British Columbia.Amanda WilmerAmanda Wilmer, BScPharm, is with the Centre for Health Evaluation and Outcome Sciences, Providence Health Care, Vancouver, British Columbia.Hubert WongHubert Wong, PhD, is with the Centre for Health Evaluation and Outcome Sciences, Providence Health Care, and the School of Population and Public Health, University of British Columbia, Vancouver, British Columbia.Maja GrubisicMaja Grubisic, MSc, is with the Centre for Health Evaluation and Outcome Sciences, Providence Health Care, Vancouver, British Columbia.Najib AyasNajib Ayas, MD, MPH, is with the Centre for Health Evaluation and Outcome Sciences, Providence Health Care, and the Department of Medicine, University of British Columbia, Vancouver, British Columbia.Peter DodekPeter Dodek, MD, MHSc, is with the Centre for Health Evaluation and Outcome Sciences, Providence Health Care, and the Department of Medicine, University of British Columbia, Vancouver, British Columbia.Address correspondence to: Dr Peter Dodek, Center for Health Evaluation and Outcome Sciences, St Paul’s Hospital, 1081 Burrard Street, Vancouver BC V6Z1Y6, e-mail: ac.cbu.egnahcretni@kedodepAutho