| Drug errors: consequences, mechanisms, and avoidance. | |
| | |
MedLine Citation:
|
PMID: 20507858 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Medication errors are common throughout healthcare and result in significant human and financial cost. Prospective studies suggest that the error rate in anaesthesia is around one error in every 133 anaesthetics. There are several categories of medication error ranging from slips and lapses to fixation errors and deliberate violations. Violations may be more likely in organizations with a tendency to blame front-line workers, a tendency to deny the existence of latent conditions, and a blinkered pursuit of productivity indicators. In these organizations, borderline-tolerated conditions of use may occur which blur the distinction between safe and unsafe practice. Latent conditions will also make the error at the 'sharp end' more likely to result in actual patient harm. Several complementary strategies are proposed which may result in fewer medication errors. At the organizational level, developing a safety culture and promoting robust error reporting systems is key. The individual anaesthetist can play a part in this, setting an example to other members of the team in vigilance for errors, creating a safety climate with psychological safety, and reporting and learning from errors. |
| | |
Authors:
|
R J Glavin |
Related Documents
:
|
17493058 - Approaches to the development of medications for the treatment of methamphetamine depen... 17957418 - The impact of medical interpretation method on time and errors. 12117128 - Computerized physician order entry systems in hospitals: mandates and incentives. 11008438 - Medication error reporting: a survey of nursing staff. 2057968 - North american symptomatic carotid endarterectomy trial. methods, patient characteristi... 15990498 - The use of medication for relapse prevention in substance dependence disorders. |
Publication Detail:
|
Type: Journal Article; Review Date: 2010-05-27 |
Journal Detail:
|
Title: British journal of anaesthesia Volume: 105 ISSN: 1471-6771 ISO Abbreviation: Br J Anaesth Publication Date: 2010 Jul |
Date Detail:
|
Created Date: 2010-06-16 Completed Date: 2010-07-20 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0372541 Medline TA: Br J Anaesth Country: England |
Other Details:
|
Languages: eng Pagination: 76-82 Citation Subset: IM |
Affiliation:
|
Victoria Infirmary, Glasgow G42 9TY, UK. ronnie.glavin@ggc.scot.nhs.uk |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Anesthesia
/
adverse effects* Attitude of Health Personnel Humans Medication Errors / prevention & control* Prospective Studies Risk Management / methods |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Standards for simulation in anaesthesia: creating confidence in the tools.
Next Document: Molecular characterization of addiction systems of plasmids encoding extended-spectrum {beta}-lactam...