TIPS FOR SUCCESS Three Simple Rules to Improve Medication Safety Vincent Barba, MD, FACP, FHM, CPPS medical error is defined as the ‘‘failure of a planned action to be completed as intended or the use Aof a wrong plan to achieve an aimIincluding problems in practice, products, procedures and systems.’’ Even after more than 10 years of national effort, medical errors persist at alarming rates. One group of investigators reported there were approximately 18 million adverse events in the United States every year. There are 37,600,000 annual admissions to about 5,000 U.S. hospitals. Using the IHI Global Trigger Tool methodology, they estimated that there were 49 adverse events per 100 admissions. That amounts to 18,424,000 adverse events annually in the United States. This astonishing number alone should motivate us to action. However, productive improvements in this area have been slow to arise. In 2000, The Institute of Medicine calculated up to 98,000 U.S. deaths annually because of medical errors. The monetary cost of patient safety events has been estimated at 17.1 billion dollars per year. Pressure ulcers are the most common adverse event. Medication related adverse events are reported to occur over 38,000 times annually resulting in approximately 778,000
Journal of Patient Safety – Wolters Kluwer Health
Published: Sep 1, 2016
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