Medication Error Rate In Hospital
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to download it as a free PDF. Contents Chapter Page of 464 Original Pages Text Pages Get This Book « Previous: Appendix B Glossary medication error rate calculation of Terms and Acronyms Page 367 Share Cite Suggested Citation: "Appendix
Medication Errors In Hospitals Statistics 2014
C Medication Errors: Incidence Rates ." Institute of Medicine. Preventing Medication Errors: Quality Chasm Series. Washington, DC: The medication error statistics 2015 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
Medication Error Definition
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 medication errors statistics 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 e
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help
Medication Errors In Nursing
Journal ListProc (Bayl Univ Med Cent)v.17(3); 2004 JulPMC1200672 Proc (Bayl
What Percentage Of Medication Errors Occur In Neonatal Intensive Care Units?
Univ Med Cent). 2004 Jul; 17(3): 357–361. PMCID: PMC1200672A baseline study of medication error rates types of medication errors at Baylor University Medical Center in preparation for implementation of a computerized physician order entry systemChristina E. Seeley, MPH, MT(ASCP),1 David Nicewander, MS,2 Robert Page, MPA,1 https://www.nap.edu/read/11623/chapter/15 and Peter A. Dysert, II, MD1,31From the Baylor Information Services, Baylor Health Care System, Dallas, Texas.2From the Institute for Health Care Research and Improvement, Baylor Health Care System, Dallas, Texas.3From the Department of Pathology, Baylor University Medical Center, Baylor Health Care System, Dallas, Texas.Corresponding author.Corresponding author: Christina E. Seeley, MPH, MT(ASCP), Baylor https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1200672/ Information Services, Baylor Health Care System, 3500 Gaston Avenue, Dallas, Texas 75246 (email: ude.htlaeHrolyaB@estsirhc).Author information ► Copyright and License information ►Copyright © 2004, Baylor University Medical CenterSee commentary "Invited commentary" on page 361.This article has been cited by other articles in PMC.AbstractObjective: To determine baseline levels of medication errors and their root causes so as to highlight areas of potential process improvements and serve as a ruler against which to measure future improvements.Design: A prospective pharmacist intervention study determining errors in 1014 medication orders at Baylor University Medical Center. Only errors in the process of medication ordering were documented; errors in drug administration were not considered. Root causes of errors were examined.Results: The baseline medication error rate was 111.4 per 1000 orders (n = 1014). Most common were dosing errors (43.4 per 1000 orders), followed by frequency errors (19.7 per 1000 orders) and unavailable drug errors (12.8 per 1000 orders). Of the 113 total err
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310841/ SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListAnn http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm Intensive Carev.2; 2012PMC3310841 Ann Intensive Care. 2012; 2: 2. Published online 2012 Feb 16. doi: 10.1186/2110-5820-2-2PMCID: PMC3310841Overview of medical errors and adverse eventsMaité Garrouste-Orgeas,1,2 François Philippart,1,3,4 Cédric Bruel,1 Adeline Max,1 Nicolas Lau,1 and B Misset1,31Réanimation médico-chirurgicale, medication error Groupe Hospitalier Paris Saint Joseph, Paris, France2Université Joseph Fourier, Unité INSERM, Epidémiologie des cancers et des maladies sévères, Institut Albert Bonniot, La Tronche, France3Medicine Faculty, Université Paris Descartes, Paris, France4Infection and Epidemiology department Pasteur Institut, Paris, FranceCorresponding author.Maité Garrouste-Orgeas: rf.jsph@etsuorragm; François Philippart: rf.jsph@trappilihpf; Cédric Bruel: medication error rate rf.jsph@leurbc; Adeline Max: rf.jsph@xama; Nicolas Lau: rf.jsph@ualn; B Misset: rf.jsph@tessimb Author information ► Article notes ► Copyright and License information ►Received 2011 Sep 30; Accepted 2012 Feb 16.Copyright ©2012 Garrouste-Orgeas et al; licensee Springer.This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.This article has been cited by other articles in PMC.AbstractSafety is a global concept that encompasses efficiency, security of care, reactivity of caregivers, and satisfaction of patients and relatives. Patient safety has emerged as a major target for healthcare improvement. Quality assurance is a complex task, and patients in the intensive care unit (ICU) are more likely than other hospitalized patients to experience medical errors, due to
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. Some exampl