Medication Error Safety
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Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco medication errors statistics 2015 Products Drugs Home Drugs Resources for You Information for Consumers (Drugs) Strategies medication error statistics to Reduce Medication Errors: Working to Improve Medication Safety Share Tweet Linkedin Pin it More sharing options Linkedin medication error definition 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
Medication Errors In Nursing
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 medication errors statistics 2014 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 wer
Home Food Drugs Medical Devices Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary preventing medication errors Cosmetics Tobacco Products Drugs Home Drugs Drug Safety and Availability Medication
Medication Errors In Hospitals
Errors Medication Errors Related to Drugs Share Tweet Linkedin Pin it More sharing options Linkedin Pin it
Examples Of Medication Errors
Email Print Within the Center for Drug Evaluation and Research (CDER), the Division of Medication Error Prevention and Analysis (DMEPA) reviews medication error reports on marketed human drugs http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm including prescription drugs, generic drugs, and over-the-counter drugs. DMEPA uses the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP) definition of a medication error. Specifically, a medication error is "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health http://www.fda.gov/drugs/drugsafety/medicationerrors/ care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use."DMEPA includes a medication error prevention program staffed with healthcare professionals. Among their many duties, program staff review medication error reports sent to MedWatch, evaluate causality, and analyze the data to provide solutions to reduce the risk of medication errors to industry and others at FDA.Additionally, DMEPA prospectively reviews proprietary names, labeling, packaging, and product design prior to drug approval to help prevent medication errors.Although DMEPA encourages manufacturers to perform their due diligence when naming their drug products and we strive to avoid approving confusing proprietary names for drug products, there are cases of adverse events where a name of a marketed product is identified as a source of confusion and error. Therefore, we continue to encourage healthcare providers, patients and consumers to report all medication errors to MedWatch so that
Lessons Learned from an Emergency Department (ED) PharmacistWednesday, November 9, 2016Click here for more information December 2 and http://www.ismp.org/ 3, 2016 Las Vegas, NVMarch 23 and 24, 2017 Austin, http://www.nccmerp.org/consumer-information TXSeptember 21 and 22, 2017 Hackensack, NJDecember 1 and 2, 2017 Orlando, FLClick here for details SITE SURVEY What length needles are primarily used on your hospital’s insulin PENS?4 mm6 mm (1/4 inch)8 mm12.7 mm (1/2 inch)We carry medication error multiple lengths of needles Newsletters Professional Development Consulting Services Self Assessments Educational Programs ISMP Guidelines Let ISMP be your PSO QuarterWatch Featured Tools New standards for healthcare connectors - the "Stay Connected" program" The Root Cause Analysis Workbook for Community/ Ambulatory Pharmacy National Patient Safety Foundation Guidelines on Root medication errors statistics Cause Analysis Special Error Alerts Targeted Medication Safety Best Practices for Hospitals ISMP Guidelines High-Alert Medications Confused Drug Name List Community Pharmacy Medication Safety Tools and Resources Error-Prone Abbreviation List Names with Tall Man Letters View all tools... Upcoming Events Press Room News Releases ISMP Cheers Awards ISMP Positions and Viewpoints Trademark, Package and Label Safety Testing Technology/Device Safety Evaluations FDA Medication Safety Alerts 50mm 0.2 Micron Filters by Baxter: Recall - Potential for Missing Homeopathic Teething Tablets and Gels: FDA Warning - Risk to Infa Fluoroquinolone Antibacterial Drugs for Systemic Use: Drug Safety Oral Liquid Docusate Sodium by PharmaTech : Recall - Contaminated Alere to Initiate Voluntary Withdrawal of the Alere INRatio and I View more.... FDA Medication Safety Videos New Pediatric Dosing Recommendations for ValcyteNew Precaution when Calculating Carboplatin DosesRecall of Actavis Fentanyl PatchesMedical Errors from Misreading Letters and NumbersShortage of EPINEPHrine Syringes Can Cause Erro
Drug Event AlgorithmRecommendations / StatementsFor Consumers Consumer Information for Safe Medication Use Experts estimate that as many as 98,000 people die in any given year from medical errors that occur in hospitals. A significant number of those deaths is due to medication errors. That is more than die from motor vehicle accidents, breast cancer, or AIDS— three causes that receive far more public attention. Indeed, more people die annually from medication errors than from workplace injuries. Add the financial cost to the human tragedy, and medical error easily rises to the top ranks of urgent, widespread public problems. The National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP) defines medication error as "any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer. Such events may be related to professional practice, health care products, procedures, and systems, including prescribing; order communication; product labeling, packaging, and nomenclature; compounding; dispensing; distribution; administration; education; monitoring; and use." In an ongoing effort to decrease the number of adverse events due to medication errors, NCC MERP has developed the following listing of resources to provide consumers with information on safe medication use. This listing is by no means an all-encompassing list, but should serve as a starting point for gathering information. AARP Agency for Healthcare Research and Quality American Hospital Association American Pharmacists Association American Society of Health System Pharmacists Be MedWise Food and Drug Administration Food and Drug Administration – MedWatch Program Institute for Safe Medication Practices The Joint Commission National Council on Patient Information and Education Medication Use Safety Training Medicine Safety National Institutes of Health National Patient Safety Foundation Partnership for Prescription Assistance Pharmaceutical Research and Manufacturers of America SeniorCarePharmacist.com United States Pharmacopeia NAN Alert The National Alert Network (NAN) publishes the alerts from the National Medication Errors