Download Patient Safety in Obstetrics and Gynecology: Improving by Paul Gluck PDF

By Paul Gluck

The subject of sufferer protection is reviewed during this factor of Obstetrics and Gynecology Clinics of North the USA, visitor edited by means of Dr. Paul A. Gluck. specialists within the box have come jointly to pen articles on issues together with The historical past of sufferer protection; mistakes thought; functional ideas to enhance protection within the OB/GYN workplace atmosphere and within the working Room; drugs defense; Transparency, Apology, and Disclosure of difficult results; digital well-being documents and digital Prescribing; crew functionality in Obstetrics to minimize blunders and increase results; Simulation in Obstetrics and Gynecology; OB/GYN sufferer security and possibility administration; and caliber evaluation instruments: ACOG Voluntary overview for caliber of Care application.

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Extra resources for Patient Safety in Obstetrics and Gynecology: Improving Outcomes, Reducing Risks, An Issue of Obstetrics and Gynecology Clinics (The Clinics: Internal Medicine)

Sample text

This IOM Committee also examined the costs associated with medication errors. 6 days, with additional hospitalization costs of $5,857 [9]. Adjusting for the 2006 increase in expenditures, researchers estimate the additional hospitalization costs at $8,750. 5 billion [8]. MEDICATION SAFETY 39 Defining medication errors and the medication use process There are many factors that contribute to the complexity of the medication use process. When a medication error happens, it is often multifaceted in nature and can involve a combination of human factors and systems issues.

A medication error was defined as any error occurring in the medication-use process [11]. Examples include wrong dosage prescribed, wrong dosage administered, or failure to give (by provider) or take (by patient) a medication. An ADE was defined as any injury caused by a medication [5]. The Committee on Data Standards states that ‘‘an adverse event results in unintended harm by the patient by an act of commission or omission rather than by the underlying disease or condition of the patient’’ [8].

In the labor and delivery setting, the types of errors most common were errors of omission and administration of improper dose or quantity. The drugs most associated with these errors were cefazolin, ampicillin, magnesium sulfate, oxytocin, insulin, and penicillin G. In particular, magnesium sulfate, oxytocin, and insulin are known to be high-alert medications associated with a high frequency of serious adverse effects [13]. This analysis also noted recurring practice issues including misprogramming of infusion pumps, misconnected or disconnected intravenous tubing, erroneous administration of peripheral intravenous medications through epidural catheters, unavailable drug allergy information, and incomplete communication and documentation [13].

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