Medical errors

23 slides

1. Medical errors Pharmacy seminar 2 nd Raghad almehmadi Senior year Pharmacy school KAU 10/19/16 1

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4. Another study was conducted in 2013, in order to determine the pattern of medical errors and litigations in saudi arabia . The study analyzed 642 cases, mostly by MOH hospitals, it showed that: 20.4% of the cases was in the operating room, the emergency room by 18%, surgery and obstetric by 25% (highest), other medical specialties by 17 %, It also showed that 46.5% of the cases involved patients aged 20-50 yrs. 10/19/16 4

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6. A medical error is an adverse effect of care, whether or not it is evident or harmful to the patient. This might include an inaccurate or incomplete diagnosis or treatment of a disease, injury, syndrome, behavior, infection, etc. Failure to complete a planned action as intended or the use of a wrong plan to achieve an aim. 10/19/16 6

7. Types of medical errors: 10/19/16 7

8. Mistakes in the clinics: Surgery departments The “NEVER EVENTS” Wrong site, wrong procedure, wrong patient 10/19/16 8

9. Mishaps due to low level of care Nurses “…A newspaper, published a statistic from the forensic medicine department, said most of the mistakes were committed by nurses, because the doctors were not given correct information and there was no proper follow-up of the cases…” 10/19/16 9

10. Medication errors Rheumatoid arthritis Patient died after receiving an overdose of methotrexate a 10-milligram Daily Dose Of The Drug Rather Than The Intended 10-milligram Weekly Dose. 10/19/16 10

11. One patient died because 20 units of insulin was abbreviated as (20 U) but the "U" was mistaken for a " zero” As a result, a dose of 200 units of insulin was accidentally injected. Severe hypoglycemia and death 10/19/16 11

12. Look-Alike, Sound-Alike Medication Names. 10/19/16 12

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14. Do you remember what is the 5Rs rule? 10/19/16 14

15. So ? 10/19/16 15

16. Prevention: “There is no single medical intervention, that will save as many lives, as patients safety improvement” -D. berwick Administrator of the Centers for Medicare and Medicaid Services, USA. 10/19/16 16

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18. JCAHO Bill 10/19/16 18

19. ANA The ANA supports policies that eliminate manual patient lifting. Safe patient-handling techniques involve the use of such equipment as full-body slings, stand-assist lifts, lateral transfer devices, and friction-reducing devices. 10/19/16 19

20. Advanced trauma life support(ATLS) 10/19/16 20

21. Last word 10/19/16 21

22. REFERENCES http://www.medscape.com/features/slideshow/med- errors https://www.uthsc.edu/GME/ psqi.php http://www.arabnews.com/saudi-arabia/news/ 830371 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3748654 / https://psnet.ahrq.gov/primers/primer/ 3 http:// www.al-madina.com /node/614493 10/19/16 22

23. THANK YOU FOR LISTENING ANY QUISTION? 10/19/16 23