Medication Error Incidence Per Patient Population
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it as a free PDF. Contents Chapter Page of 464 Original Pages Text Pages incidence of medication errors in hospitals Get This Book « Previous: 2 Overview of the Drug
Medication Error Rates In The Us
Development, Regulation, Distribution, and Use System Page 105 Share Cite Suggested Citation: "3 Medication Errors: medication error rate benchmark Incidence and Cost ." Institute of Medicine. Preventing Medication Errors: Quality Chasm Series. Washington, DC: The National Academies Press, 2007. doi:10.17226/11623. × Save Cancel 3 medication error rate calculation Medication Errors: Incidence and Cost CHAPTER SUMMARY Medication error rates are important for gauging the scope of the problem, setting priorities for prevention strategies, and measuring the impact of those strategies. This chapter summarizes the evidence base on rates of medication errors; preventable adverse drug events; and failure to prescribe medications
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for which the evidence supports the ability to reduce morbidity and mortality in hospital, nursing home, and ambulatory settings. An understanding of the costs of medication errors is important as well to inform decisions about the implementation of strategies designed to reduce the risk of medication errors. This chapter also summarizes the evidence base on these costs. As noted in Chapter 1, the committee’s charge encompassed developing estimates of the incidence, severity, and costs of medication errors and evaluating alternative approaches to reducing such errors in different settings. To this end, the committee commissioned papers summarizing the salient peer-reviewed literature in the areas of hospital care, nursing home care, ambulatory care, pediatric care, psychiatric care, and use of over-the-counter (OTC) and complementary and alternative medications.1 The au- 1 The authors of the papers are as follows: for hospital care, Harvey J. Murff, MD, MPH, Vanderbilt University; for nursing home care, Ginette
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListCrit Carev.12(2); medication errors in hospitals statistics 2014 2008PMC2447555 Crit Care. 2008; 12(2): 208. Published online 2008 Mar which order below will result in the least amount of medication errors? 12. doi: 10.1186/cc6813PMCID: PMC2447555Clinical review: Medication errors in critical careEric Moyen,1 Eric Camiré,1 and Henry Thomas Stelfox11Department
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of Critical Care Medicine, University of Calgary, Foothills Medical Centre, EG23A, 1403-29 Street NW, Calgary, AB, Canada, T2N 2T9Corresponding author.Henry Thomas Stelfox: ac.noigerhtlaehyraglac@xoflets.mot Author information ► Copyright https://www.nap.edu/read/11623/chapter/6 and License information ►Copyright © 2008 BioMed Central LtdThis article has been cited by other articles in PMC.AbstractMedication errors in critical care are frequent, serious, and predictable. Critically ill patients are prescribed twice as many medications as patients outside of the intensive care unit (ICU) and nearly all will suffer a potentially life-threatening error at https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2447555/ some point during their stay. The aim of this article is to provide a basic review of medication errors in the ICU, identify risk factors for medication errors, and suggest strategies to prevent errors and manage their consequences.IntroductionHealth care delivery is not infallible. Errors are common in most health care systems and are reported to be the seventh most common cause of death overall [1]. The 1999 Institute of Medicine (IOM) report, To Err is Human: Building a Safer Health System, drew public attention to the importance of patient safety [2]. This was followed with considerable interest by the medical community [3]. However, to date, there is little evidence that patient safety has improved [4]. In the intensive care unit (ICU), on average, patients experience 1.7 errors per day [5] and nearly all suffer a potentially life-threatening error at some point during their stay [6]. Medication errors account for 78% of serious medical errors in the ICU [7]. The aim of
of medication errors in a Moroccan medical intensive care unitNaoualJennane1_135, NaoufelMadani1_135, RachidaOuldErrkhis2_135, KhalidAbidi1_135, IbtissamKhoudri1_135, JihaneBelayachi1_135, TarikDendane1_135, AliAmineZeggwagh1_135, 3_135 https://intarchmed.biomedcentral.com/articles/10.1186/1755-7682-4-32 and RedouaneAbouqal1_135, 3_135Email authorInternational Archives of Medicine20114:32DOI: 10.1186/1755-7682-4-32© Jennane et http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm al; licensee BioMed Central Ltd.2011Received: 18April2011Accepted: 4October2011Published: 4October2011 Abstract Background Medication errors (ME) are an important problem in all hospitalized populations, especially in intensive care unit (ICU). The aim of the study was to determine incidence, type and consequences of ME. medication error Materials and methods Prospective observational cohort study during six weeks in a Moroccan ICU. Were included all patients admitted for > 24 hours. ME were collected by two reviewers following three methods: voluntary and verbally report by medical and paramedical staff, chart review and studying prescriptions and transcriptions. Seriousness of events was of medication errors classified from Category A: circumstances or events that have the capacity to cause error, to Category I: patient's death. Results 63 patients were eligible with a total of 509 patient-days, and 4942 prescription. We found 492 ME, which incidence was 10 per 100 orders and 967 per 1000 patient-days. There were 113 potential Adverse Drug Events (ADEs) [2.28 per 100 orders and 222 per 1000 patient-days] and 8 ADEs [0.16 per 100 orders and 15.7 per 1000 patient-days]. MEs occurred in transcribing stage in 60%cases. Antibiotics were the drug category in 33%. Two ADEs conducted to death. Conclusion MEs are common in Moroccan medical ICU. These results suggest future targets of prevention strategies to reduce the rate of ME. Keywords Medication Error Intensive care unit Adverse drug event potential adverse drug event BackgroundIatrogenic injuries occur commonly in the health care system. In recent years, medication error events received considerable attention because of its s
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Resources for You Information for Consumers (Drugs) Strategies to Reduce Medication Errors: Working to Improve Medication Safety Share Tweet Linkedin Pin it More sharing options Linkedin Pin it Email Print When Jacquelyn Ley shattered her elbow on the soccer field, her parents set out to find her the best care in Minneapolis. "We drove past five other hospitals to get to the one we wanted," says Carol Ley, M.D., an occupational health physician. Her husband, an orthopedic surgeon, made sure Jacquelyn got the right surgeon. After a successful three-hour surgery to repair the broken bones, Jacquelyn, who was 9 at the time, received the pain medicine morphine through a pump and was hooked up to a heart monitor, breathing monitor, and blood oxygen monitor. Her recovery was going so well that doctors decided to turn off the morphine pump and to forgo regular checks of her vital signs.Carol Ley slept in her daughter's hospital room that night. When she woke up in the middle of the night and checked on her, Jacquelyn was barely breathing. "I called her name, but she wouldn't respond," she says. "I shook her and called for help." The morphine pump hadn't been shut down, but had accidentally been turned up high. The narcotic flooded Jacquelyn's body. She survived the overdose, but it was a close call. "If three more hours had gone by, I don't think Jacquelyn would have survived," Ley says. "Fortunately, I woke up."Ley was pleased with the way the hospital handled the error. "They came right out and said the morphine pump was incorrectly programmed, they told me the steps they were going to take to make sure Jacquelyn was OK, and they also told me what they were going to do to make sure this kind of mistake won't happen again. And that's very important to me." The hospital began using pumps that are easier to use and revamped nurses' training. Ley believes there were many contributors to the error, including the fact that it was Labor Day weekend and there were staff shortages. "It goes to show that this can happen to anyone, anywhere," says Ley, who now chairs the board of the National Patient Safety Foundation.Multiple FactorsSince 1992, the Food and Drug Administration has received nearly 30,000 reports of medication errors. These are voluntary reports, so the number of medication errors that actually occur is thought to be much higher. There is no "typical" medication error, and health professionals, patients, and their families are all involved. S