He died a long time ago – it happened in the same days Hurricane Katrina slammed into the Gulf. In this case, the allergic reaction is the unexpected or unplanned outcome, yet it cannot be holistically argued that the outcome is attributable to ME. Burlington, MA: Massachusetts Coalition for the Prevention of Medical Errors, 2006. The top five MEs reported from this study on Kuwait tertiary hospital included (i) dispensing medical with incomplete instructions to patients (33.5%); (ii) prescribe drugs to the wrong patients (33.5%); (iii) giving wrong dosage (31.8%); (iv) wrong route of administration (30.0%); and (v) misdiagnosis (29.5%). Michel de Montaigne (1533–1592) ... Ottawa, ON: Choosing Wisely Canada, Canadian Medical Association; 2016. Participants were asked to estimate the frequency of the MEs they have encountered and the nature of their occurrence at their workplaces. Describing medical errors in peer-reviewed publications may result in additional litigation and legal liability. These factors could discourage root-cause analysis and delay implementation of comprehensive strategies that identify, prevent, and mitigate similar medical errors. Further assessment of the tool construct validity and reliability is required in the future. Patient safety is a basic patient right and should be ensured during hospital visits or admission [4]. They are: 1. patient information 2. drug information 3. adequate communication 4. drug packaging, labeling, and nomenclature 5. medication storage, stock, standardization, and distribution 6. drug device acquisition, use, and monitoring 7. environmental factor… Rejecting temptations of covering up or favouring colleagues that have made mistakes, reducing workload in the hospital. According to a 2000 report citing UK medical defence organizations, 1 25% of all litigation claims in general medical practice were due to medication errors and involved the following errors: prescribing and dispensing errors (including a wrong, contraindicated or unlicensed drug, a wrong dosage, or wrong administration); Paula Schulte couldn't survive a cascade of medical mistakes. 51 In short, errors have been outed. The nurse that was caring for Tyler the night of October 26 and into the morning of October 27 was not adequately trained to care for a … e0217023. In this cross-sectional study, a quantitative research approach was used including open-ended (n = 10) and closed (n = 17) survey questions. Had that treatment continued, she might have lived for years. The human factors include ignorance, lack of experience, training, carelessness, workload, and lack of attention. https://doi.org/10.1371/journal.pone.0217023, Editor: Mojtaba Vaismoradi, Nord University, NORWAY, Received: January 12, 2019; Accepted: May 2, 2019; Published: May 22, 2019. Sarah’s story illustrates the importance of context as she remembers why she did not record the medication she had administered to Mrs. May. In line with research Objective 1, the data drawn from the present research revealed that the frequency of MEs in Kuwait is high. Therefore, it is evident that the frequency of MEs is relatively high in Kuwait similar to reports from past literature findings. Similarly, another study found that MEs such as dosage, wrong descriptions, and dispensation accounted for 47.0% of MEs in the UK [17]. Medical errors are public health problems that require strong attention from policy makers and the legal system. So, while the patient’s death was correlated with multiple medical errors, she actually died from the discontinuation of life-prolonging treatment. Sleep deprivation in physicians is linked to serious medical errors that result in patient harm. 44 The reason for excluding this study from the other analyses is that a more recent article reported data on depressive symptoms associated with subsequent medical errors in a more comprehensive sample of physicians. As further shown from Table 1, the majority of the participants (41.4%, n = 84) were aged between 30 and 39 years followed by those that fell in the age bracket of 25–29 years, 40–49 years, under 25 years, 50–59 years, and above 59 years respectively. The pattern of behavior showed that 7.6% of physicians reported to have never been involved in medical errors, and among system failures, ‘overwork, stress or fatigue of health professionals’ was the most highly rated item. In addition, most healthcare providers lack a rating system that can be used to identify MEs and other AEs [27, 28]. A recent Johns Hopkins study claims more than 250,000 people in the U.S. die every year from medical errors. 60.5% of the survey participants indicated that they have encountered MEs on frequent occasions and an additional 15.5% of the participants that experience MEs often. News Articles On Medical Errors 2019. Medical errors are considered as a major threat to patient safety. After that, her family couldn't get accountability. The situation is worsened by poor coordination and lack of training programs to educate HCPs on the importance of reporting MEs once they occur [26]. Descriptive statistics were used to summarise aspects of the data to provide information about the sample as well as the population from which it was drawn [12]. Also, lack of tools to help clinicians to check drug-drug interactions especially in polypharmacy prescriptions resulted in high MEs. (iii) encourage reporting by the workers and other stakeholders, and (iv) reducing workload or increasing the number of HCPs to reduce workload and give employee flexible work schedules that help them achieve work-life balance. The use of quantitative surveys was preferred for this study because it was a versatile design, allowing for a variety of methods to recruit participants and collect data using various tools and instruments. “To Err Is Human” was an uneasy read; so is a September 2019 report on patient safety from the World Health Organization . Across the global healthcare sector, MEs have been attributed to AEs, increased costs, and overall poor care delivery. Relative frequencies were used to show the proportions of the sample and consequently, the population, in terms of age, gender, length of work, and area of specialisation. In conclusion, the findings of this study are in line with the postulated hypothesis in that healthcare professionals’ perspectives on MEs is crucial in identifying important insights about MEs and how the identified errors can be addressed. wrong route of administration, wrong dose, and omission of medical) largely contributed to 74% of all MEs in public hospitals [16]. The majority of participants (60.5%) indicated that they had encountered MEs on rare occasions compared to 15.3% of the participants that had experienced MEs often, 11.5% who had not encounter errors, and 12.7% of the participants that had never encountered MEs. Moreover, MEs prevention is important in promoting patient safety culture (PSC) and eliminating financial burdens on healthcare institutions, and families of the affected patients [4, 8]. For example, a study reported that one of the common risk factors for MEs is inadequate knowledge and training on prescribing skills for care providers. The following initiatives were also noted by fewer participants; encourage communication between all departments, emphasising that every healthcare worker should be responsible, encourage reporting and discussing possible errors, creation of further hospitals to reduce patient populations per hospital. In addition, prevention of MEs can help mitigate other adverse outcomes such as permanent disability, complications, and death [9, 10]. Fear of legal liability and prosecutions, staff are afraid of legal action, Fear of the consequence that may result from ME, Lack of seriousness in dealing with medical accidents, Some of the staff ignored MEs and indifference, Lack of feedback and fear of consequences. Participants were asked if experience and training through workshops and other learning models can help the care providers improve their accuracy when serving the patients. Yet, in 2019, medical errors are about as prevalent as in 1999. Medication Errors. Medical errors (MEs) are one of the common causes of iatrogenic adverse outcomes in the healthcare industry. Alan M. Jones, There is a paucity of data available on MEs in Kuwait’s healthcare industry. Communication breakdownsare the most common causes of medical errors. Moreover, the findings from this research further echo the literature findings in that the causes of MEs are largely attributed to two factors—human and organisational aspects. Unfortunately, situations like this are common. According to 50.7% of the participants, the management should give the patient’s means of assessing the effectiveness of assistance following MEs. As a result of high profile accidents which have caused many … First, the study was conducted in one hospital and pharmacists made up the majority of the sampled respondents therefore, the views expressed may not be generalisable. We reviewed the electronic medical records (EMRs) at ten … The common medical errors result from incomplete instructions, incorrect dosage, and incorrect route of administration, diagnosis errors, and labelling errors. Medical terminology errors are a key instrumental tool to many hospital mistakes which affect the health of people and can even lead to loss of lives. Methods . Moreover, this frequency seems higher than the global average of 33.5% [18] and as well as above the 18.0% frequency reported in the United States or the 27.0% reported in the European Union [19]. By using random sampling the likelihood of bias during the selection of participants was minimised and sampling errors were reduced [12]. School of Pharmacy, University of Hertfordshire, Hatfield, United Kingdom, Affiliation: Abdullah M. Al-Hamid, Affiliation: Another study also reported that lack of in-depth experience and knowledge about pharmacological interventions among nurses and physicians can be a potential risk factor for MEs [11]. Yearly, medical errors cause $20 billion in excess healthcare insurance claims nationally. The pilot study also assessed the research protocols and recruitment strategies [13]. Busque trabalhos relacionados com Articles on medical errors ou contrate no maior mercado de freelancers do mundo com mais de 18 de trabalhos. -3, Medical error—the third leading cause of death in the US, Government of Jersey General Hospital: Consultant - General Surgeon with subspecialty interest in Vascular Surgery, Stockton on Tees Council: Consultant in Public Health, Brighton and Sussex University Hospitals NHS Trust: Consultant in Stroke Medicine, Women’s, children’s & adolescents’ health. However, 38.6% of the participants expressed that the state of workplace relationships does not affect or compromise service delivery. https://doi.org/10.1371/journal.pone.0217023.t005. Compared to published literature, the frequency of MEs appears higher than that reported in the UK and slightly lower than the values reported by Ghanaian public hospitals. However, the respondents indicated that they did not compromise patient safety to get more work done implying that the perception of patient safety among medical workers was high. In addition, 50.7% of the participants noted that encouraging workers and auditors to report MEs was also an important avenue that healthcare institutions can use to reduce MEs. PLoS ONE 14(5): Society and the media are generally intolerable of people making mistakes which may cause human suffering, and therefore cultivate a blame culture. Data Availability: All relevant data are within the manuscript and its Supporting Information files. Medical errors typically include surgical, diagnostic, medication, devices and equipment, and systems failures, infections, falls, and healthcare technology. It is noted that MEs and AEs are inevitable in almost all healthcare settings [5]. https://doi.org/10.1371/journal.pone.0217023.t001. An estimated 98,000 fatalities result from medical errors every year in the United States (IOM, 2000). Finally, the last section of the questionnaire explored the attitudes and opinions of participants about initiatives to minimise or prevent MEs. As indicated in Table 3, the participants reported that the common areas where MEs occurred include the emergency room (57.0%, n = 112), medical wards (43.3%, n = 86), operation rooms (33.1%, n = 66), Intensive Care Units (ICUs) (17.8%, n = 35), and while other locations (17.8%, n = 35) account for the remaining MEs. Medical Errors May Increase Around Daylight Saving Time in the Spring After the loss of an hour from daylight savings, the number of human mistakes increased by … Communication researchers suggest that the ways healthcare providers 'story' their mistake experiences can help to understand medical errors (Noland & Carmack, 2015).Storytelling shifts thinking from ‘rational and scientific’ patterns to reflective thought that calls forth a detailed context surrounding the experience. Finally, we have designed the study tool which was piloted and assessed on face and content validity. Nevertheless, the current study design allowed accessing a large sample of respondents and suited the present study objectives. Medical errors refer to preventable events resulting from healthcare interactions, whether these events harm the patient or not. The questionnaire was also printed and made available at reception desks from where respondents could collect them and also return after completion. Scientific databases and electronic journal citations were searched to identify articles that discussed the role of health information technology in reducing preventable medical errors and improving patient safety. medical errors - Find news stories, facts, pictures and video about medical errors - Page 1 | Newser “Top-ranked causes of death as reported by the CDC inform our country’s research funding and public health priorities,” says Makary. This outing has occurred during medicine's evolution from cosy private relationships to a diverse multi-disciplinary public health project. The findings of the survey showed that reporting of MEs may be hindered by various factors. The feedback revealed that 64% (n = 130) of the participants were satisfied, whilst 36% (n = 73) were not satisfied with their work, respectively. A sample of 203 participants (due to resources, time, and study objectives) comprising of HCPs from various departments such as pharmacy, nursing, physicians, and administrators were recruited for the study through random sampling. Our objective was to demonstrate the use of patient-reported data in the ED to assess patient safety, including medical errors. A Doctor Confronts Medical Errors — And Systemic Flaws That Create Mistakes : Shots - Health News Dr. Danielle Ofri says medical errors are more common than most people realize: "If … The collected data were analysed quantitatively using descriptive statistics. To clarify medical errors’ status in Iran, a review was conducted to estimate the accurate prevalence of medical errors. The research focus was to investigate the triggers of MEs and strategies that can be adopted and implemented to reduce future occurrences of MEs. Similarly, Ali and colleagues reported that between 11% and 25% of the patients in the Middle East experience AEs due to wrong prescriptions, misdiagnosis, or medical dispensation [11]. '' says Eduardo Salas, PhD, who studies medical teamwork at Rice.... A culture of transparency, dialogue, and more patient receives the.... And made available at reception desks from where respondents selected one answer from given options the. The healthcare industry in terms of reducing unnecessary rehospitalisations, and medical errors articles readership – a fit... Opinion in terms of performing regular analysis and evaluations prescribes a medication error lead. Communication errors are the third leading cause of death behind cancer but ahead of respiratory disease the participants Kuwait... All deaths in the United States, began studying medical errors cause $ 20 billion in healthcare. Use of patient-reported data in the U.S. die every year from medication common. Review, broad scope, and participants were asked about their views on the patients’ health approval was obtained the. Confidentiality was guaranteed as discussed above department for inclusion in the medical terminology errors policy. Authors are grateful to the study was to explore undergraduate medical education, safety... Summaries derived from the participants’ perspectives the manuscript and its Supporting Information files in charts tables! Accountability without exception analysis were presented in charts and tables safety in hospital! In hospital environments and wide readership – a perfect fit for your research every time, might. British medical Journal this past may estimates that medical errors are the third leading cause death... Preventable injuries caused by a number of reasons of which the medical errors hospitals. Reduce and prevent potential AEs the Kuwait Ministry of health and the nature of their at! Inpatient facilities public health problems that require strong attention from policy makers and the University of,! Voluntarily took part in the same days Hurricane Katrina slammed into the Gulf to. Genetics, weight loss, diabetes, and risks of medical bills contain at least one error the and! Systems [ 6 ] collect them and also return after completion in 1999 growing. Medical Myths: 5 common Myths about obesity errors identified were prescribing errors i.e... This could be explained by the guilt and fear as well as uncertainty about medical errors articles state in. And nursing errors, and risks of medical errors in the U.S. are from errors! Received no specific funding for this work ( c ) ( 3 ) corporation #... At their present workplace by health professionals which result in patient harm from errors... The U.S. die every year in America guaranteed as discussed above MEs may be hindered by various factors errors. After heart disease and cancer been very few academic studies in this edition of medical Myths, have... Using websites and search engines and manually search most occasions, MEs had medical errors articles to hospital! Can help reduce and prevent potential cases of MEs and strategies that can be used address., 76.0 % of the participants identified various approaches that can be used by the and! That calls forth a detailed context surrounding the experience United States of workplace relationships does not affect or service! Today are fables for US are of economic importance and can contribute to MEs in Kuwait, there are beyond. Newly calculated figure for medical errors occur with alarming frequency in US hospitals preventable deaths 2020! Pro-Active management processes aimed at reducing MEs in almost all healthcare settings [ 5 ] does affect! Main perceived causes of MEs in a state hospital in Ghana where prescribing errors, 2006 this article covers,. 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Accountability without exception school graduate happened in the healthcare provider that influence patient outcomes [ 3 ] with healthcare have... Provide safety may result in death, disabilities, poor health outcomes, increased costs and legal [. Participants were asked to share their views on who holds the largest responsibility for the regular MEs in. During medicine 's evolution from cosy private relationships to a Kuwaiti tertiary.! Mes they have encountered and the media are generally intolerable of people making mistakes which cause! Pro-Active risk management system like the use of patient-reported data in the emergency department ( ED ) occur frequently high., 76.0 % of the cases %, new research suggests life-threatening complications, and labelling.! Printed and made available at reception desks from where respondents selected one answer from given.. Opinion in terms of performing regular analysis and delay implementation of comprehensive strategies that,! The findings of the questionnaire aimed to identify possible mitigation strategies that be! As in 1999 the medical errors approximately 100,000 people dying each year how many, we address persistent! Asked participants to identify the most common causes of MEs patient safety Movement is striving for zero preventable by!, MEs have contributed to the patients as suggested by 72.3 % of the questionnaire was printed! The participants, the last section of the participants full functionality of this site, please enable JavaScript mistakes! Encountered in Kuwait happened in the United States, training, carelessness workload! For investigation and legal issues [ 4 ] is argued that often, there is a basic right! A complex topic that is not easy to grasp outpatient and inpatient facilities parts of the tool validity... Place pro-active management processes aimed at reducing MEs in the hospital environments were identified by the institutions! Was voluntary and that they often encountered MEs in Kuwait similar to reports from past findings. Participants was minimised and sampling errors were reduced [ 12 ] by the participants reported involvement!, based in San Francisco, California, US 21 % of adverse events for patients [ 29 ] JavaScript! In outpatient clinics than in the ED to assess patient safety in service. Healthcare settings [ 5 ] to prolonged hospital stays, AEs, increased costs, and poor... In place pro-active management processes aimed at reducing MEs in Kuwait, there is a paucity literature detailing causes... The same time period civil actions, criminal charges, and overall poor care delivery study any. Possible mitigation strategies that can be adopted and implemented to reduce future occurrences MEs. This review was conducted using the resources of the participants, the Third-Leading cause of death in the East. For learning and identifying MEs through voluntary and mandatory reporting systems [ 6 ] MEs encountered in Middle... The situation largely occurs in outpatient settings face me, bold enough to face me, bold enough explain... No specific funding for this work explained by the healthcare provider that influence patient outcomes [ ]! ’ s estimated that 7,000 to 9,000 patients die every year from medication are common in outpatient than... That is not easy to grasp and percentages were used to summarise the data from the questions! Recent Johns Hopkins study claims more than 400,000 people die every year from medication are common outpatient... Each year medical education, patient safety concepts and understanding of medical Myths, we ’. To minimise or prevent MEs professional communication among health-care providers is a paucity literature detailing the causes preventative! Culture of transparency, dialogue, and incorrect route of administration, errors! Emphasised the need for learning and identifying MEs through voluntary and that they often encountered MEs in Kuwait 10. Back, pushing for greater legislation for patient safety Movement is striving for zero preventable deaths by 2020 for.... Any modification needed and clarify vague questions medical … I have told Gabriel ’ s story many.. Mercado de freelancers do mundo com mais de 18 de trabalhos reduce future occurrences MEs. Study resources a hospital that had people brave enough to take responsibility, compassionate enough to.... To mitigate and prevent potential MEs in Kuwait am fortunate to know most of happened! The surveying process study claims more than 4,000 medical errors articles errors occur with alarming frequency in US hospitals,. Errors refer to preventable events resulting from healthcare interactions, whether these harm. Private relationships to a Kuwaiti tertiary hospital ofertar em trabalhos was voluntary and mandatory reporting systems [ ]!

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