Medication Error Rate Adults
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Me Forgot Password? Login or Sign up for a Free Account My Topics of Interest My CME My Profile Sign Out Home Topics Issues WebM&M Cases Perspectives Primers Submit Case CME / CEU Training Catalog Info Glossary About PSNet Help & medication error definition FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / medication errors in nursing Copyright PSNet Privacy Policy External Link Disclaimer Patient Safety Primer Last Updated: March 2015 Medication Errors Topics Resource Type Patient Safety Primers medication errors statistics Safety Target Medication Errors/Preventable Adverse Drug Events Look-Alike, Sound-Alike Drugs More Share Facebook Twitter Linkedin Email Print Background and definitions Prescription medication use is widespread, complex, and increasingly risky. Clinicians have access to an
Medication Errors Statistics 2015
armamentarium of more than 10,000 prescription medications, and nearly one-third of adults in the United States take 5 or more medications. Advances in clinical therapeutics have undoubtedly resulted in major improvements in health for patients with many diseases, but these benefits have also been accompanied by increased risks. An adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to a medication, and ADEs types of medication errors account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. ADEs affect nearly 5% of hospitalized patients, making them one of the most common types of inpatient errors; ambulatory patients may experience ADEs at even higher rates. Transitions in care are also a well-documented source of preventable harm related to medications. As with the more general term adverse event, the occurrence of an ADE does not necessarily indicate an error or poor quality care. A medication error refers to an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication. Preventable adverse drug events result from a medication error that reaches the patient and causes any degree of harm. It is generally estimated that about half of ADEs are preventable. Medication errors that do not cause any harm—either because they are intercepted before reaching the patient, or by luck—are often called potential ADEs. An ameliorable ADE is one in which the patient experienced harm from a medication that, while not completely preventable, could have been mitigated. Finally, a certain percentage of patients will experience ADEs even when medications are prescribed and administered appropriately; these are considered adverse drug reactions or non-preventable ADEs
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Preventing Medication Errors
12. doi: 10.1186/cc6813PMCID: PMC2447555Clinical review: Medication errors in critical careEric Moyen,1 Eric Camiré,1 and Henry Thomas
Medication Errors In Hospitals
Stelfox11Department 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 ► https://psnet.ahrq.gov/primers/primer/23/medication-errors Copyright 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 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2447555/ error at 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
of Clinical Oncology Medication Errors Among Adults and Children With Cancer in the Outpatient Setting http://jco.ascopubs.org/content/27/6/891.abstract Kathleen E. Walsh, Katherine S. Dodd, Kala Seetharaman, Douglas W. https://www.nap.edu/read/11623/chapter/15 Roblin, Lisa J. Herrinton, Ann Von Worley, G. Naheed Usmani, David Baer and Jerry H. Gurwitz From the Departments of Pediatrics and Geriatric Medicine, University of Massachusetts Medical School; Meyers Primary Care Institute, Fallon Community Health Plan, Fallon Clinic, Worcester, MA; The medication error Center for Health Research/Southeast, Kaiser Permanente Georgia, Atlanta, GA; Division of Research, Kaiser Permanente Northern California; Kaiser Permanente Medical Care Program, Oakland, CA; and Lovelace Clinic Foundation, Albuquerque, NM. Corresponding author: Kathleen E. Walsh, MD, MSc, University of Massachusetts Medical Center, Benedict Second Floor, 55 North Lake St, Worcester, MA 01655; e-mail: medication errors in walshk02{at}ummhc.org. Abstract Purpose Outpatients with cancer receive complicated medication regimens in the clinic and home. Medication errors in this setting are not well described. We aimed to determine rates and types of medication errors and systems factors associated with error in outpatients with cancer. Methods We retrospectively reviewed records from visits to three adult and one pediatric oncology clinic in the Southeast, Southwest, Northeast, and Northwest for medication errors using established methods. Two physicians independently judged whether an error occurred (κ = 0.65), identified its severity (κ = 0.76), and listed possible interventions. Results Of 1,262 adult patient visits involving 10,995 medications, 7.1% (n = 90; 95% CI, 5.7% to 8.6%) were associated with a medication error. Of 117 pediatric visits involving 913 medications, 18.8% (n = 22; 95% CI, 12.5% to 26.9%) were associated with a medication error. Among all visits, 64 of the 112 errors had the potential to cause harm, and 15
to download it as a free PDF. Contents Chapter Page of 464 Original Pages Text Pages Get This Book « Previous: Appendix B Glossary of Terms and Acronyms Page 367 Share Cite Suggested Citation: "Appendix C Medication Errors: Incidence Rates ." Institute of Medicine. Preventing Medication Errors: Quality Chasm Series. Washington, DC: The National Academies Press, 2007. doi:10.17226/11623. × Save Cancel C Medication Errors: Incidence Rates This appendix reviews estimates of the rates of medication errors and adverse drug events (ADEs) in three care settings (hospital, nursing home, and ambulatory care) and in pediatric and psychiatric care. Where possible, error rates for the five stages of the medication-use system and at the interface between care settings are documented separately. INCIDENCE OF MEDICATION ERRORS IN HOSPITAL CARE Selection and Procurement of the Drug by the Pharmacy No studies were identified that specifically identified medication errors of this type. It is possible that these types of errors were included in studies of general medication error rates. Prescription and Selection of the Drug for the Patient: Errors of Commission Rates of prescribing errors (for example, dosing errors, prescribing medications to which the patient was allergic, prescribing inappropriate dosage forms) vary considerably from study to study and are quoted in several different ways—errors per 1,000 admissions, errors per 1,000 orders, errors per 100 opportunities for error, and preventable ADEs per 1,000 admissions (see Table C-1): Page 368 Share Cite Suggested Citation: "Appendix C Medication Errors: Incidence Rates ." Institute of Medicine. Preventing Medication Errors: Quality Chasm Series. Washington, DC: The National Academies Press, 2007. doi:10.17226/11623. × Save Cancel TABLE C-1 Hospital Care: Prescription and Selection Errors of Commission Error rates Per 1,000 admissions—detection method 12.3 (Lesar, 2002a)—pharmacist review of written orders 29 (Winterstein et al., 2004)—prompted reporting 52.9 (Lesar et al., 1997)—pharmacist review of written orders 190 (LaPointe and Jollis, 2003)—clinical pharmacist directly participating in clinical care 1,400 (Bates et al., 1995a)—prompted reporting, chart review, review of medication orders Per 1,000 orders—detection methods 0.61 (Lesar, 2002a)—pharmacist review of written orders 2.87 (Lesar et al., 1997)—pharmacist review of written orders 3.13 (Lesar et al., 1990)—pharmacist review of written orders 53 (Bates e