Cause Error In Medication Operating Room
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Karen Nanji Md
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Medication Errors Statistics 2015
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Obituaries On Campus Staff & Administration Staff News Arts & Culture Art & Photography Harvard Bound History, Language & Culture Literature & Poetry Music Theater, Film & Dance Science & Health Culture & Society Engineering anesthesiology journal & Technology Environments & Sustainability Health & Medicine Life Sciences National & World Affairs google scholar Business Economics Education Government & Politics International Law National Public Service Religion Athletics All Teams Awards Games/Events Harvard Events Events Calendar Studies Calendar Ongoing Events Gazette Topics Commencement 2016 Inequality Experience Harvard Houses Global Harvard: Mexico Global Harvard: Latin America Global Harvard: Asia Subscribe to the Daily Gazette harvard.edu Photographic Services Resources for Journalists http://www.massgeneral.org/News/pressrelease.aspx?id=1859 HPAC Find Harvard on: Facebook | Twitter | LinkedIn Instagram | YouTube | iTunes U About | Privacy | RSS | Trademark | Print Gazette Archives | Powered by WordPress.com VIP © 2016 The President and Fellows of Harvard College Medication errors found in 1 out of 2 surgeries Email Twitter Facebook Science & Health > Health & Medicine Medication errors found in 1 out of 2 surgeries http://news.harvard.edu/gazette/story/2015/10/medication-errors-found-in-1-out-of-2-surgeries/ Adverse drug events included in the study of 277 operations at MGH October 25, 2015 | Editor's Pick Credit: Wikipedia “Prior to our study, the literature on perioperative medication error rates was sparse and consisted largely of self-reported data, which we know under-represents true error rates. Now that we have a better idea of the actual rate and causes of the most common errors, we can focus on developing solutions to address the problems," said Karen C. Nanji of the MGH Department of Anaesthesia, Critical Care, and Pain Medicine, lead author of the report. Show more By Sue McGreevey, MGH Public Affairs Email Twitter Facebook The first study to measure the incidence of medication errors and adverse drug events during the perioperative period — immediately before, during and right after a surgical procedure — has found that some sort of mistake or adverse event occurred in every second operation and in 5 percent of observed drug administrations. The study of more than 275 operations at Harvard-affiliated Massachusetts General Hospital (MGH), which will appear in Anesthesiology, also found that a third of the errors resulted in adverse drug events or harm to patients. The report is being published online to coincide with a presentation
March 6, 2007; 12:00 AM TUESDAY, March 6 (HealthDay News) -- Medication errors that occur during the course of a surgical procedure are three times more likely to harm http://www.washingtonpost.com/wp-dyn/content/article/2007/03/06/AR2007030601334.html a patient than errors committed during other types of hospital care, a http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2933474/ new report shows. Some 5 percent of such errors resulted in harm, said Diane Cousins, vice president of the department of Healthcare Quality and Information at the United States Pharmacopeia (USP), which conducted the survey. The nonprofit group sets safety standards for pharmaceutical care that are used worldwide. medication errors The report analyzed 11,000 errors reported by 500 hospitals between 1998 and 2005. This is the largest known analysis of medical errors related to surgery, according to the USP. Overall, there were about 500 harmful errors, including four fatalities, one of which involved a child. Errors were most common in the operating room and were most likely to affect children. Almost cause error in 13 percent of pediatric errors resulted in harm, proportionately higher than any other group studied. The most common medication errors in the surgery setting were receiving the wrong drug, the wrong amount of a drug, receiving the drug at the wrong time or not receiving the drug at all. Antibiotics and painkillers were most frequently found to be involved in errors. The report focused on four parts of the "surgical continuum" -- outpatient surgery, the preoperative holding area, the operating room, and the post-anesthesia care unit. There were 2,437 reported errors in outpatient surgery, 3.3 percent of them resulting in harm. In the pediatric population, 3.6 percent of errors resulted in harm, vs. 5.1 percent in adults and 5.1 percent in geriatric patients. Problems most commonly involved central nervous system medications and antimicrobials, with central nervous system drugs most likely to result in harm. In the preoperative holding area, there were 779 errors, with 2.8 percent resulting in harm. For children, 4.2 percent of errors resulted in harm, compared to 7.1 percent for adults and 2.6 percent for elde
Health Search databasePMCAll DatabasesAssemblyBioProjectBioSampleBioSystemsBooksClinVarCloneConserved DomainsdbGaPdbVarESTGeneGenomeGEO DataSetsGEO ProfilesGSSGTRHomoloGeneMedGenMeSHNCBI Web SiteNLM CatalogNucleotideOMIMPMCPopSetProbeProteinProtein ClustersPubChem BioAssayPubChem CompoundPubChem SubstancePubMedPubMed HealthSNPSRAStructureTaxonomyToolKitToolKitAllToolKitBookToolKitBookghUniGeneSearch termSearch Advanced Journal list Help Journal ListIndian J Anaesthv.54(3); May-Jun 2010PMC2933474 Indian J Anaesth. 2010 May-Jun; 54(3): 187–192. doi: 10.4103/0019-5049.65351PMCID: PMC2933474Medication error in anaesthesia and critical care: A cause for concernDilip Kothari, Suman Gupta, Chetan Sharma, and Saroj Kothari1Department of Anaesthesiology, G. R. Medical College, Gwalior, Madhya Pradesh, India1Pharmacology, G. R. Medical College, Gwalior, Madhya Pradesh, IndiaAddress for correspondence: Dr. Dilip Kothari, 2-A, J. A. Hospital Campus, Lashkar, Gwalior, Madhya Pradesh, India. E-mail: ni.oc.oohay@irahtok_pilidrdAuthor information ► Copyright and License information ►Copyright © Indian Journal of AnaesthesiaThis is an open-access article distributed under the terms of the Creative Commons Attribution License, 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.AbstractMedication error is a major cause of morbidity and mortality in medical profession, and anaesthesia and critical care are no exception to it. Man, medicine, machine and modus operandi are the main contributory factors to it. In this review, incidence, types, risk factors and preventive measures of the medication errors are discussed in detail.Keywords: Adverse drug event, drug error, medication errorINTRODUCTION“The error of one moment becomes the sorrow of whole life”- A Chinese proverbThe management of anaesthesia and critical patients has become safe with the advent of newer safe anaesthesia drugs, good quality equipments and high standards of monitoring, but the practice of poly-pharmacy, complex working conditions and involvement of multilevel medical and paramedical staff expose these areas to potentially life threatening medication error at some point of the treatment process.Although majority of these errors are without any serious adverse outcome but some of them are associated with increased morbidity and mortality leading to prolonged hospital stay, high cost o