Drug errors in obstetric anaesthesia: a national survey

Yentis, Steve; Randall, Kathi Salley

doi:10.1016/s0959-289x(03)00009-8

Cited by 39 publications

(25 citation statements)

References 11 publications

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“…Yentis and Randall [17] conducted a survey of lead obstetric anesthetists in all consultant led maternity units in UK about drug errors and the measures taken to reduce or prevent them. Of the 179 out of 240 (75%) who responded, 70 (39%) knew of at least one drug error in their unit during the last year, with 28 of them (40%) experiencing more than one.…”

Section: Discussionmentioning

confidence: 99%

An Assessment of High Delivery Load Facilities under the Dakshata Program

Parasher¹,

Kumar²,

Gupta³

et al. 2017

Int J Waste Resour

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IntroductionGoal 3 of Sustainable Development Goals (SDGs) which include the older version of Millenium Development Goals (MDGs) maternal health (MDG-5) and child health and survival (MDG-4) are prime focused themes under the National Health Mission (NHM) of Government of India (GoI) [1]. Reduction in the maternal mortality of the country to achieve SDG goal is far away. On the further analysis, there has been a significant change with steady decline found in Infant Mortality Rate (IMR) in last decade, while Early Neonatal Mortality Rate (ENMR) and Perinatal Mortality Rate (PNMR) remained steady since last decade [2].Considering the fact that institutional deliveries raised significantly up to 73% across India after implementing Janani Suraksha Yojana (JSY) scheme, the major proportion of maternal mortality (44%) and neonatal mortality (40%) is still high on the period around child birth [2]. The majority of causes of maternal and newborn mortality are preventable through appropriate care to mother and newborn at the time of birth despite of having many strategies like Reproductive Maternal Neonatal Child and Adolescent Health (RMNCH+A). With the objective of improving the quality of care during child birth, GoI institutionalized 21 days training program of Skill Birth Attendance (SBA) for in-services Auxillary Nurse Midwives (ANMs) and staff nurses but results were not as according to expectations [2]. Subsequently, GoI introduced "Dakshata" which means adroitness, to improve intra partum and immediate post partum care with the training competency based and focusing on the highest impact practices during child birth, specifically shorter in duration for 3 days, post training follows up with support component by rolling out safe child birth checklist for doctors, staff nurses and ANMs The present investigation is an attempt to the assess the available infrastructure and services in the labor room, i.e., intra partum AbstractGoal 3 of the Sustainable Development Goals which use to be United Nations Millenium Development Goals (Goals 4 and 5) had focused on child survival and maternal health. These are the focused theme of the Government of India's public health programs under National Health Mission. It was Dakshata Program initiated in 2016 by GoI in 31 districts of the populous state of India, i.e., Uttar Pradesh. The investigation was carried out for these districts for the 124 high delivery load facilities selected from Health Management Information System data 2015-16. The random observations were undertaken for 2½ months (15 Sep -30 Nov 2016). The quality of the services was assessed using indicators in form of human resource, infrastructure, availability of drugs and trays, staff practices and knowledge and documentation processes. It was observed that human resource was inadequate for the investigated facilities. Despite of designated delivery rooms in all districts, the infrastructural setup was in poor state. The availability of the drugs and trays was in worst state. The labor room staff hardly follow...

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Section: Discussionmentioning

confidence: 99%

An Assessment of High Delivery Load Facilities under the Dakshata Program

Parasher¹,

Kumar²,

Gupta³

et al. 2017

Int J Waste Resour

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“…Medication errors constituting 8.3%. 20 21 The high rate of omission of drugs on admission to hospital could have significance for patients in the perioperative period.…”

Section: Discussionmentioning

confidence: 99%

Medication Errors in Anesthesia and Critical Care

Reddy¹

2015

jemds

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Medication errors are common throughout healthcare system and result in significant morbidity and mortality. Medication related incidents are a common form of reported medical errors. In theory they should never occur. These mistakes are also called "Never events". Some of these are avoidable and preventable events. 50% of these mistakes are preventable. "India records 5.2 million medical injuries a year". 1 The UN body quantified the number of surgeries taking place every year globally-234 million. It said surgeries had become common, with one in every 25 people undergoing it at any given time. China conducted the highest number of surgeries followed by Russia and India. In developing countries, the death rate was nearly 10% for a major surgery. 1 All surgeries need one or other form of anaesthesia. Anaesthetic practice is unique because anaesthetists are personally responsible for all the steps from drug preparation to drug administration. Therefore, they need to have heightened awareness of the risk factors which create conditions for drug errors to occur. 2 Anaesthesia is unusual in requiring the administration of several potent, dangerous, rapidly acting drugs in a relatively brief timeframe. These drugs would be harmful if given without considerable care and attention to dose, timing and order of administration. These drugs are almost exclusively administered by Anaesthetists and the drugs are rarely checked by anyone other than the anaesthetist before administration. Drug error in relation to anaesthesia may therefore be of particular interest both to the specialty and the wider population. 3

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“…Some of the problems with thiopental ought to be surmountable: we can teach our trainees better; and we can mix it more safely -though the risk of drug error will always remain [24]. Other issues, such as availability and cost, are outside our control [27].…”

Section: Maternal Mortality: Moody Skiesmentioning

confidence: 99%

“…No evidence that propofol has more adverse neonatal effects than propofol [17] Risk of thiopental-antibiotic syringe-swap [24] Thiopental requires pre-mixing before administration Thiopental more expensive (£5.75 (€7.36; $8.72)) than propofol (£3.07 (€3.93; $4.65))…”

Section: Well-known To Generations Of Anaesthetistsmentioning

confidence: 99%