International Journal for Quality in Health Care, 2018, 1 doi: 10.1093/intqhc/mzy109 Editorial Editorial Monitor, reduce and prevent the adverse outcomes for ensuring patient safety Despite the considerable efforts and initiatives about patient’s safety, documentation was the most procedural errors. It can provide useful medical errors are major causes of in- and out-patients’ morbidity information to make more effective policy to avoid medication and mortality. Healthcare providers, policymakers are trying to errors. From data to knowledge, it is easily ﬁgured out the most improve patient’s safety but medical errors still become the third important risk for AE or medication errors. Implementation of leading cause of death in the USA. It is estimated 230 000 knowledge into practice such as create a better system would help to medication-related hospital admission a year that could be pre- increase patient safety. However, special attention must be taken to vented by proper planning and the use of modern technology. effectiveness and usability of CDSS and collect feedback to modify it. Therefore, it is high time to implement a series of measures to reduce the number of medical errors, fostering sophisticated technology, References ensuring transparency rather than blame. Walter et al. conducted 1. Mendes W, Pavão ALB, Martins M, Travassos C. The application of a study to assess the prevalence of adverse events (AE) and to exam- Iberoamerican study of adverse events (IBEAS) methodology in ine its association with factors related to the patients and hospital Brazilian hospitals. International Journal for Quality in Health Care admission. Their methodology was based on the Iberoamericand 2018;30:00–00. study of AEs, reported that the prevalence of AE was 12.8%, and 2. Risør BW, Lisby M, Sørensen J. Complex automated medication systems 43% of AE were preventable. However, urgent admission, submis- reduce medication administration errors in a Danish acute medical unit. sion to a surgical procedure and immunosuppressive therapy had International Journal for Quality in Health Care 2018;30:00–00. positive association with AE occurrence. It is known that AE would 1 1,2 result in unnecessary hospitalization or extended hospital stay. To HSUAN-CHIA YANG , MD. MOHAIMENUL ISLAM , 1,2,3 avoid all AE, more attention should be paid to high-risk factors. and YU-CHUAN (JACK) LI Medication errors are among the most common medical errors. International Center for Health Information Technology, Due to the complexity of the drug treatment process, it can occur in Taipei Medical University, Daan Campus, 15F., No. 172-1, writing or type the prescription, manufacturing the formulation, dis- Sec. 2, Keelung Rd., Da’an Dist., Taipei City 106, Taiwan, pensing the formulation, administration and so on. The rapid Graduate Institute of Biomedical Informatics, College of improvement in the computerized physician order entry and clinical Medicine Science and Technology, Taipei Medical University, decision support system (CDSS) to prevent medication errors. 250-Wuxing Street, Xinyi District, Taipei 11031, Taiwan, and Bettina et al. evaluated the effectiveness of complex automated Department of Dermatology, Wan Fang Hospital, Xinglong mediation system (cAMS) which including automated dispensing Road,Wenshan District,TaipeiCity116,Taiwan cabinet, automated unit-dose dispensing and barcode medication Address reprint requests to: Yu-Chuan (Jack) Li, College of administration. During 20-month follow-up, the paper is similar to Medicine Science and Technology (CoMST), Taipei Medical the most paper of CDSS that cAMS contributed to reducing the risk University; Chair, Department of Dermatology, Wan Fang of administration errors in the intervention unit. More, they also Hospital, 250-Wuxing Street, Xinyi District, Taipei 11031, observed the different type of medication errors in this paper, for Taiwan. Tel: +886-2-6636-2530 Ext. 7601; Fax: +886-2-6638- but the omission of the dose was the most clinical error and lack of 7537; E-mail: email@example.com, firstname.lastname@example.org © The Author(s) 2018. Published by Oxford University Press in association with the International Society for Quality in Health Care. All rights reserved. For permissions, please e-mail: email@example.com 1 Downloaded from https://academic.oup.com/intqhc/advance-article-abstract/doi/10.1093/intqhc/mzy109/5005842 by Ed 'DeepDyve' Gillespie user on 07 June 2018
International Journal for Quality in Health Care – Oxford University Press
Published: May 22, 2018
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