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"Medical error"

Johannes Lourens du Pisanie, Robert Dixon
Safety in medicine is a pressing issue. It has been shown that deaths due to medical error range from 98,000 to 400,000 per year in the United States. Since this issue was broached in 1999, a variety of clinical and institutional safety interventions have been pioneered; however, the medical community has realized that without a strong institutional safety culture, the efficacy of these interventions is limited. Changing culture is often a long and difficult process. Just as the wider medical community slowly moves towards the practice of safety culture, interventional radiology must uphold a culture of safety along with its other core tenets throughout its continued evolution...
December 2018: Techniques in Vascular and Interventional Radiology
Vincent Leroy, Marine Lazaro, Bastien Raymond, Agnès Henry
Insulin is a high-risk medication, and even slight changes in blood levels can lead to serious side effects or can even result in death. Error in administering drugs is one of the main causes of over- or under-dosing, and the recent introduction of concentrated insulins (CI) has increased this risk. We assessed nurses’ knowledge of these CI, their beliefs about the “insulin unit” (IU), and the impact that this knowledge had on the risk of making medication errors. A direct interview survey was conducted in eight departments of medicine and surgery in a university hospital...
September 2018: Recherche en Soins Infirmiers
Yu V Voskanyan
The article deals with the analysis of retrospective and prospective studies dedicated to examining patient safety regarding epidemiology, frequency and severity of adverse events associated with rendering medical care. Electronic retrieval was carried out over the period from 1990 to 2017 using the following databases: MEDLINE, Cochrane Collaboration, EMBASE, SCOPUS, ISI Web of Science. The carried out meta-analysis made it possible to determine that cases of doing harm (adverse events) while rendering medical care are registered in 10...
2018: Angiologii︠a︡ i Sosudistai︠a︡ Khirurgii︠a︡, Angiology and Vascular Surgery
Denise Campbell, Katherine Dontje
INTRODUCTION: Handoff in the emergency department is considered a high-risk period for medical errors to occur. In response to concerns about the effectiveness of the nursing handoff in the emergency department of a Midwestern trauma center, a practice improvement project was implemented. The process change required nursing handoff at shift changes to be conducted at the bedside, using an adapted situation, background, assessment, recommendation (SBAR) communication tool. METHODS: For this project, the intervention effectiveness was measured using pre- and post-implementation scores on a nursing handoff questionnaire, selected items on the Hospital Survey on Patient Safety Culture, and handoff observations documented by nursing leadership...
October 24, 2018: Journal of Emergency Nursing: JEN: Official Publication of the Emergency Department Nurses Association
Michael W Temple, Blake Sisk, Lisa A Krams, Joseph H Schneider, Eric S Kirkendall, Christoph U Lehmann
OBJECTIVES: To determine the prevalence and functionalities of electronic health records (EHRs) and pediatricians' perceptions of EHRs. STUDY DESIGN: An 8-page self-administered questionnaire sent to 1619 randomly selected nonretired US American Academy of Pediatrics members in 2016 was completed by 709 (43.8%). Responses were compared with surveys in 2009 and 2012. RESULTS: The percent of pediatricians who were using EHRs increased from 58% in 2009 and 79% in 2012 to 94% in 2016...
December 5, 2018: Journal of Pediatrics
Moninne M Howlett, Brian J Cleary, Cormac V Breatnach
BACKGROUND: The use of health information technology (HIT) to improve patient safety is widely advocated by governmental and safety agencies. Electronic-prescribing and smart-pump technology are examples of HIT medication error reduction strategies. The introduction of new errors on HIT implementation is, however, also recognised. To determine the impact of HIT interventions, clear medication error definitions are required. This study aims to achieve consensus on defining as medication errors a range of either technology-generated, or previously unaddressed infusion-related scenarios, common in the paediatric intensive care setting...
December 7, 2018: BMC Medical Informatics and Decision Making
Sharon Ragau, Rebecca Hitchcock, Judy Craft, Martin Christensen
Medication errors can have deleterious effects on patient safety and care. Interruptions, patient acuity and time pressures have all been cited as contributing factors in the incidence of medication errors. Yet, despite the number of different strategies that can be taken to reduce the incidence of medication errors, they still occur. The strategies often focus on refining systems and processes, depending on the root cause of the error. However, less recognised as contributory elements are human factors such as anger, hunger or tiredness...
December 13, 2018: British Journal of Nursing: BJN
Sujit Balodiya, Ashwin Kamath
BACKGROUND: Advances in the clinical management of diseases have been accompanied by increasing complexity of treatment regimens. The complexity of medication regimen is of concern for patients as well as doctors as it may adversely affect patient compliance and treatment outcomes. It may result in medication errors, increased utilization of health resources owing to a reduction in treatment effectiveness, and increased risk of therapeutic failure. OBJECTIVE: To assess the complexity of medication regimen prescribed to patients on hospital discharge using the medication regimen complexity index (MRCI)...
December 6, 2018: Current Drug Safety
Joanne E Taylor, Lesley V Campbell, Lulu Zhang, Jerry R Greenfield
We conducted three single-day point type 2 diabetes prevalence surveys of all inpatient clinical records in November 2013, 2014 and 2016. The prevalence of diabetes was 19.7-25.3%. The majority (63.4-76%) had type 2 diabetes. Twenty-one percent (n = 21) in 2013, 12% (n = 9) in 2014 and 22.6% (n = 21) in 2016 were diagnosed with diabetes during hospital admission; 41.8% (n = 41) in 2013, 46.7% (n = 35) in 2014 and 51.6% (n = 48) in 2016 required insulin. The high prevalence of diabetes among inpatients mandates active detection and specialist management of diabetes during the admission...
December 2018: Internal Medicine Journal
Amany Farag, Daniel Lose, Amalia Gedney-Lose
Medication errors are common in health care settings. Safety motivation, such as willingness to report error, is needed to contain medication errors. Limited evidence exists about measures to enforce nurses' safety motivation. The purpose of this study was to test a proposed model explaining the mechanism by which organizational and social factors influence nurses' safety motivation. Survey for this cross-sectional study was mailed to a random sample of 500 acute care nurses. Data collection started in January 2014 and lasted 6 months...
December 5, 2018: Western Journal of Nursing Research
Samer Ellahham
No abstract text is available yet for this article.
December 5, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
Siddhant Palekar, Pavan Kumar Nukala, Saurabh M Mishra, Thomas Kipping, Ketan Patel
Pediatric population is a sensitive sector of the healthcare and pharmaceutical field with additional needs compared to the adult population. Extemporaneous formulations for children are generally prepared by manipulating adult formulations, but medication errors can result in suboptimal efficacy and with significant safety concerns. The aim of proposed project was to explore a 3D printing technology for the development of customized minicaplets of baclofen for the pediatric population. Based on results of 3-point bend test, polyvinyl alcohol (PVA) with sorbitol (10% w/w) were selected for preparation of baclofen loaded filaments using hot melt extrusion (HME)...
December 1, 2018: International Journal of Pharmaceutics
Quentin Eichbaum, Brian Adkins, Laura Craig-Owens, Donna Ferguson, Daniel Long, Aaron Shaver, Charles Stratton
Background Heuristics and cognitive biases are thought to play an important role in diagnostic medical error. How to systematically determine and capture these kinds of errors remains unclear. Morbidity and mortality rounds (MMRs) are generally focused on reducing medical error by identifying and correcting systems failures. However, they may also provide an educational platform for recognizing and raising awareness on cognitive errors. Methods A total of 49 MMR cases spanning the period 2008-2015 in our pathology department were examined for the presence of cognitive errors and/or systems failures by eight study participant raters who were trained on a subset of 16 of these MMR cases (excluded from the main study analysis) to identify such errors...
December 4, 2018: Diagnosis
Andreas Menke
Mental disorders account for around one-third of disability worldwide and cause enormous personal and societal burden. Current pharmacotherapies and nonpharmacotherapies do help many patients, but there are still high rates of partial or no response, delayed effect, and unfavorable adverse effects. The current diagnostic taxonomy of mental disorders by the Diagnostic and Statistical Manual of Mental Disorders and the International Classification of Diseases relies on presenting signs and symptoms, but does not reflect evidence from neurobiological and behavioral systems...
2018: Pharmacogenomics and Personalized Medicine
Anna-Riia Holmström, Riina Järvinen, Raisa Laaksonen, Timo Keistinen, Persephone Doupi, Marja Airaksinen
BACKGROUND: Medication errors are common in healthcare. Medication error reporting systems can be established for learning from medication errors and risk prone processes, and their data can be analysed and used for improving medication processes in healthcare organisations. However, data reliability testing is crucial to avoid biases in data interpretation and misleading findings informing patient safety improvement. OBJECTIVE: To assess the inter-rater reliability of medication error classifications in a voluntary patient safety incident reporting system (HaiPro) widely used in Finland, and to explore reported medication errors and their contributing factors...
November 28, 2018: Research in Social & Administrative Pharmacy: RSAP
Chinwe Okpoko, Justina Ifeoma Ofuebe, Uchenna Cosmas Ugwu
OBJECTIVE: To ascertain the awareness level and demographic differences of the consequences of medical errors on patients' health, safety, resources and survival by healthcare professionals. METHODS: The descriptive study was conducted at five different public hospitals in Nigeria from August to October 2017, and comprised healthcare professionals who were permanent staff members. Awareness of medical errors questionnaire was used for data collection. Dimensions assessed were safety, health, resources and survival...
December 2018: JPMA. the Journal of the Pakistan Medical Association
Leyin Zhou, Heng Li, Chong Li, Guohong Li
AIM: Infantile cerebral palsy (CP) severely affects the survival and quality of life of infants. CP is typically caused by multiple factors, leading to causal uncertainty of the role of medical errors in CP and resulting in frequent medical disputes. No relevant research exists on risk management and malpractice liabilities in CP, including in China. METHOD: A retrospective analysis of 400 CP malpractice litigation cases from 18th June 1999 to 23rd November 2017, collected from China Judgments Online, included basic case information, CP risk factors, medical errors, medical malpractice liability determination, and compensation...
November 25, 2018: Journal of Forensic and Legal Medicine
Kati L Wijdenes, Terry A Badger, Kate G Sheppard
OBJECTIVE: This study evaluated the prevalence and severity of compassion fatigue (CF) risk among nurses employed in a large southwestern hospital system. BACKGROUND: Compassion fatigue is defined as multifaceted exhaustion stemming from untreated distress that leads to physical and emotional problems. Low morale, increased medication errors, and higher turnover can result. METHODS: A descriptive design was used to identify: 1) the prevalence and severity of CF risk among a sample of registered nurses; and 2) the differences in demographic characteristics correlated with CF risk...
November 28, 2018: Journal of Nursing Administration
Alec Xander Hardenbol, Bram Knols, Mathijs Louws, Marjan Askari, Michiel Meulendijk
In this study, we evaluated the usability aspects of medication-related clinical decision support systems in the outpatient setting. Articles published between 2000 and 2016 in Scopus, PubMed and EMBASE were searched and classified into three usability aspects: Effectiveness, Efficiency and Satisfaction. Using Van Welie et al.'s usability model, we categorized usability aspects in terms of usage indicators and means. Out of the 1999 articles, 24 articles met the selection criteria of which the main focus was on reducing inappropriate medication, prescription rate and prescription errors...
November 30, 2018: Health Informatics Journal
Andreea Farcas, Madalina Huruba, Cristina Mogoșan
Risk minimization measures (RMMs) represent an essential tool for preventing the occurrence of safety related outcomes. RMMs effectiveness evaluation is essential to prove their success and protection of public health. The aim of this qualitative review was to assess the design, process and outcome indicators used for attesting successful implementation of RMMs. We searched the EU Post-Authorization Studies Register until June 30, 2018, for studies having the scope defined as 'effectiveness evaluation'. Study titles and objectives were screened to select the ones evaluating the effectiveness of RMMs...
November 29, 2018: British Journal of Clinical Pharmacology
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