Medication Error Stats
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Medication Errors Statistics 2014
CEU Training Catalog Info Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial Team medication errors articles Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Patient Safety Primer Last Updated: March 2015 Medication Errors Topics Resource Type medication errors in hospitals Patient Safety Primers 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 armamentarium of more than 10,000 prescription medications, and nearly one-third of adults in the
Preventing Medication Errors
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 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
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 examples of medication errors Linkedin Pin it More sharing options Linkedin Pin it Email Print When Jacquelyn Ley shattered her medication errors in nursing 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
Medication Error Definition
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 https://psnet.ahrq.gov/primers/primer/23/medication-errors 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 http://www.fda.gov/Drugs/ResourcesForYou/Consumers/ucm143553.htm 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 examples:A physician ordered a 260-millig
Radiation-Emitting Products Vaccines, Blood & Biologics Animal & Veterinary Cosmetics Tobacco Products Drugs Home Drugs Drug Safety and Availability http://www.fda.gov/Drugs/DrugSafety/MedicationErrors/ucm080629.htm Medication Errors Section Contents Menu Drug Safety and Availability Medication Errors medication error https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748543/ reports Medication errors cause at least one death every day and injure approximately 1.3 million people annually in the United States. Medication mishaps can occur anywhere in the distribution system: prescribing, repackaging, dispensing, administering, or monitoring. Common causes of such errors include: poor communication, ambiguities in product names, directions for use, medical abbreviations medication error or writing, poor procedures or techniques, or patient misuse because of poor understanding of the directions for use of the product. In addition, job stress, lack of product knowledge or training, or similar labeling or packaging of a product may be the cause of, or contribute to, an actual or potential error. CDER began receiving reports of medication errors in January 1992, when the U.S. Pharmacopeia medication errors statistics began forwarding reports to the FDA. To evaluate and recommend appropriate action on these reports, the Medication Errors Subcommittee was formed in June 1992. In November 1993, the Agency began evaluating and coding MedWatch reports for medication errors and publicly stated that physicians and other health care professionals could report medication errors directly to the FDA through the MedWatch program. CDER responsibilities are not completed when the safety and effectiveness of a drug product are determined. The Center also has the responsibility for helping to ensure the safe use of the drugs it approves by identifying and avoiding proprietary names that contribute to problems in the prescribing, dispensing, or administration of the product. Because early identification of a potential confusing proprietary name is crucial, CDER reviews these proposed names, prior to approval of a new drug application, by means of the Office of Postmarketing Drug Risk Assessment (OPDRA) CDER's approach to medication errors is as follows: Prevent medication errors prior to a drug's approval; After approval, evaluate, monitor, and take appropriate action on reports of medication errors; Educate and provide feedback to health professionals; and Share information with outside organizations involved in preventing medication errors. For
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSparcleSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListIran J Nurs Midwifery Resv.18(3); May-Jun 2013PMC3748543 Iran J Nurs Midwifery Res. 2013 May-Jun; 18(3): 228–231. PMCID: PMC3748543Types and causes of medication errors from nurse's viewpointMohammad Ali Cheragi, Human Manoocheri,1 Esmaeil Mohammadnejad,2 and Syyedeh R. Ehsani1Nursing and Midwifery Care Research Center, Tehran Nursing and Midwifery Faculty, Tehran University of Medical Sciences, Tehran, Iran1Department of Nursing Management, Shahid Beheshti Nursing and Midwifery Faculty, Shahid Beheshti University of Medical Sciences, Tehran, Iran2Nursing Office, Imam Khomeini Clinical and Hospital Complex, Tehran University of Medical Sciences, Tehran, IranAddress for correspondence: Mr. Esmaeil Mohammadnejad, First Floor, No. 9, Kavusi Alley, Urmia St, South Eskandari St, Tehran, Iran. E-mail: moc.oohay@8531onersaAuthor information ► Copyright and License information ►Copyright : © Iranian Journal of Nursing and Midwifery ResearchThis is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, 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.AbstractBackground:The main professional goal of nurses is to provide and improve human health. Medication errors are among the most common health threatening mistakes that affect patient care. Such mistakes are considered as a global problem which increases mortality rates, length of hospital stay, and related costs. This study was conducted to evaluate the types and causes of nursing medication errors.Materials and Methods:This cross-sectional study was conducted in 2009. A total number of 237 nurses were randomly selected from nurses working in Imam Khomeini Hospital (Tehran, Iran). They filled out a questionnaire including 10 items on demographic characteristics and 7 items about medication errors. Data were analyzed using descriptive and inferential statistics in SPSS for Windows 16.0.Results:Medication errors had been made by 64.55% of the nurses. In addition, 31