| Inpatient medical errors involving glucose-lowering medications and their impact on patients: review of 2,598 incidents from a voluntary electronic error-reporting database. | |
| | |
MedLine Citation:
|
PMID: 18753094 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
OBJECTIVE: To describe characteristics of inpatient medical errors involving hypoglycemic medications and their impact on patient care. METHODS: We conducted a cross-sectional analysis of medical errors and associated adverse events voluntarily reported by hospital employees and staff in 21 nonprofit, nonfederal health-care organizations in the United States that implemented a Web-based electronic error-reporting system (e-ERS) between August 1, 2000, and December 31, 2005. Persons reporting the errors determined the level of impact on patient care. RESULTS: The median duration of e-ERS use was 3.1 years, and 2,598 inpatient error reports involved insulin or orally administered hypoglycemic agents. Nursing staff provided 59% of the reports; physicians reported <2%. Approximately two-thirds of the errors (1,693 of 2,598) reached the patient. Errors that caused temporary harm necessitating major treatment or that caused permanent harm accounted for 1.5% of reports (40 of 2,598). Insulin was involved in 82% of reports, and orally administered hypoglycemic agents were involved in 18% of all reports (473 of 2,598). Sulfonylureas were implicated in 51.8% of reports involving oral hypoglycemic agents (9.4% of all reports). CONCLUSION: An e-ERS provides an accessible venue for reporting and tracking inpatient medical errors involving glucose-lowering medications. Results are limited by potential underreporting of events, particularly by physicians, and variations in the reporter perception of patient harm. |
| | |
Authors:
|
Renee E Amori; Anastassios G Pittas; Richard D Siegel; Sanjaya Kumar; Jack S Chen; Suneel Karnam; Sherita H Golden; Deeb N Salem |
Related Documents
:
|
8544014 - Jungle medicine revisited: an oklahoma medical team visits bolivia. 16035634 - Managing medication errors--a qualitative study. 16320094 - Validation of glutathione quantitation from steam spectra against edited 1h nmr spectro... 15287234 - Reported medication errors associated with methotrexate. 15075684 - Comparison of heart mass in seizure patients dying of sudden unexplained death in epile... 11423684 - The expurgation of medical books in sixteenth-century spain. |
Publication Detail:
|
Type: Journal Article |
Journal Detail:
|
Title: Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists Volume: 14 ISSN: 1934-2403 ISO Abbreviation: Endocr Pract Publication Date: 2008 Jul-Aug |
Date Detail:
|
Created Date: 2008-08-28 Completed Date: 2009-01-14 Revised Date: 2010-02-23 |
Medline Journal Info:
|
Nlm Unique ID: 9607439 Medline TA: Endocr Pract Country: United States |
Other Details:
|
Languages: eng Pagination: 535-42 Citation Subset: IM |
Affiliation:
|
Division of Endocrinology, Diabetes, and Metabolism, Tufts-New England Medical Center, Boston, Massachusetts, USA. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adverse Drug Reaction Reporting Systems
/
statistics & numerical data* Cross-Sectional Studies Drug Toxicity / epidemiology, etiology Humans Hypoglycemic Agents / adverse effects* Incidence Insulin / adverse effects Medical Errors / statistics & numerical data* Sulfonylurea Compounds / adverse effects United States / epidemiology |
| Chemical | |
Reg. No./Substance:
|
0/Hypoglycemic Agents; 0/Sulfonylurea Compounds; 11061-68-0/Insulin |
| Comments/Corrections | |
Comment In:
|
Endocr Pract. 2010 Jan-Feb;16(1):134-5 |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Distribution of capillary glycated hemoglobin among adolescents of high school age.
Next Document: Determinants of long-term outcome after radioiodine therapy for solitary autonomous thyroid nodules.