Medical errors in hospitalized patients

Carvalho, Manoel de; Vieira, Alan Araújo

doi:10.2223/jped.859

Cited by 14 publications

(12 citation statements)

References 28 publications

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“…Errors must be accepted as evidences of a system failure and viewed as an opportunity to review the system and improve the care provided to patients. (5) Hence the importance of assessing the perception and knowledge of undergraduate students in nursing and medicine in the sphere of patient safety because they will be the future professionals working in healthcare to the population.…”

Section: Discussionmentioning

confidence: 99%

“…(4) Many times during their training, healthcare professionals are not introduced to the topic of patient safety, generating situations of crisis both in the universities and in healthcare settings, challenging education institutions in search of a new conceptual standard for the practice and teaching of these professionals. (2,5,6) In medical schools, teaching is totally focused on the diagnosis and management of the disease, thus having little attention dedicated to patient safety and a system of error analysis. (7) For a change to occur in the safety culture of healthcare institutions, new professionals have to show knowledge and skills to indentify and realize what do when they witness or commit an error.…”

Section: Introductionmentioning

confidence: 99%

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Compreensão de alunos de cursos de graduação em enfermagem e medicina sobre segurança do paciente

et al. 2013

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OBJETIVO: Identificar a compreensão de alunos de graduação em enfermagem e medicina de uma universidade pública do Município de São Paulo sobre erro humano e segurança do paciente. MÉTODOS: Estudo prospectivo e exploratório no qual foram investigadas variáveis relativas à caracterização dos alunos e aos aspectos atitudinais e conceituais sobre o tema. A amostra constituiu-se de 109 alunos que responderam ao formulário eletrônico. RESULTADOS: A maior parte dos alunos obteve aprendizado formal sobre esse tema e apresentou atitudes que demonstraram incerteza no que seria correto em relação a algumas práticas. CONCLUSÃO: Os alunos demonstraram serem capazes de relacionar alguns dos aspectos pesquisados sobre segurança do paciente com a experiência vivida nos estágios curriculares.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Compreensão de alunos de cursos de graduação em enfermagem e medicina sobre segurança do paciente

et al. 2013

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“…This may have resulted in staff becoming more familiar with their patients’ medication and may also have reduced staff stress levels, possibly confounding the results in favour of the AMS 25 26. Changes in length of stay were minor and were therefore considered to have little influence on the final results.…”

Section: Discussionmentioning

confidence: 99%

An automated medication system reduces errors in the medication administration process: results from a Danish hospital study

2015

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ObjectivesImprovements in a hospital's medication administration process might reduce the prevalence of medication errors and improve patient safety. The objective of this study was to evaluate the success of an automated medication system in reducing medication administration errors.MethodsA controlled before-and-after study with follow-up after 4 months was conducted in two Danish haematological hospital wards. The occurrence of administration errors was observed in two 3-week periods. The error rate was calculated by dividing the number of doses with one or more errors by the number of doses (opportunities for errors). Logistic regression was used to assess changes in error rates after implementation of the automated medication system with time, group, and interaction between time and group as independent variables. The estimated parameter for the interaction term was interpreted as the incremental change (‘difference-in-difference’) caused by the new dispensing system.ResultsA total of 697 doses with one or more errors were identified out of 2245 doses. The error rate decreased from 0.35 at baseline to 0.17 at follow-up in the intervention ward and from 0.37 to 0.35 in the control ward. The overall risk of errors was reduced by 57% in the intervention ward compared with the control ward (OR 0.43; 95% CI 0.30 to 0.63).ConclusionsThe automated medication system reduced the error rate of the medication administration process and thus improved patient safety in the medication process.

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“…These data obtained are important for determining the total working time and break times between shifts. Carvalho & Vieira (2002) reviewed the literature to analyze medical errors. Although barely mentioned in the scientific literature, the statistics indicate that many incidences of medical errors are due to fatigue and sleepiness; this rate increases according to the level of complexity and frequency of the procedure.…”

Section: Shift Workers and Sleepinessmentioning

confidence: 99%

Fatigue, Sleep Disorders, and Excessive Sleepiness: Important Factors for Nuclear Power Shift Workers

Paim¹,

Tufik²,

Mello³

2010

Nuclear Power

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In current urban societies, it is estimated that approximately 20% of the population does not work traditional working hours, and this percentage is tending to increase due to economic, demographic, and technological changes that have occurred in the last decades (Presser, 1999;Rajaratnam, 2001). From the middle of last century, researchers have reported (Bjerner, 1948;Andersen, 1970;Akerstedt, 1981) that working in shifts affects the health of workers; even then, it was shown that shift workers complained about fatigue and sleepiness. Around 81% of the workers complained about night shifts in contrast to only 4% for afternoon shifts (Bjerner, 1948). Production and distribution of electrical power from nuclear stations requires 24 h operation. Therefore, as in other sectors, the security of the whole operational system depends on the efficiency and the ability of the worker to execute tasks with remarkable accuracy and attention. However, because this type of energy is government-controlled, access to research in this area is mostly difficult; therefore, there is a scarcity of scientific publications related to the health of these shift workers. The objective of this chapter is to describe aspects related to sleepiness, particularly excessive day sleepiness, with respect to its origins and consequences as well as the forms of minimization and preventive strategies that can be adopted by companies that use shifts and night work. Such practices may reduce the number of accidents related to fatigue and sleepiness that occur inside and outside the work environment. Sleep and shift workAlthough sleep functions are not completely known yet, it was assumed for several decades that brain activity was widely reduced or absent during sleep (Saper, 2005;Tufik et al. 2009). However it is important to emphasize that even during sleep, the brain is 80% active, such 16 www.intechopen.com Nuclear Power 338that sleep is an active process of neuronal reorganization rather than just a process of diminishing wakefulness (Hobson, 2007). Currently, it is accepted that the wakefulness-sleep cycle in human beings is coordinated by two processes that interact among themselves: the homeostatic process (process S) and the circadian process (process C) (Borbely, 1982; Borbely, 1999). The homeostatic process reflects the duration of wakefulness and can be monitored by slow-wave activity (Dijk, 1990), while the circadian process occurs during a 24-hour time frame and sets the rhythms of several physiological activities. Both processes interact to consolidate sleep (Czeisler, 1980). The first systematic classification of sleep stages was described in the Standard Manual organized by Rechtschaffen and Kales (1968), where sleep was divided into NREM sleep (stages 1, 2, 3, and 4) and REM sleep. REM sleep alternates with NREM in intervals of 70 to 110 minutes that are repeated 4 to 6 times a night, depending on the total time slept (Silva, 1996). The duration of REM sleep episodes in humans progressively increases over a sleeping period, with lo...

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Medical errors in hospitalized patients

Cited by 14 publications

References 28 publications

Compreensão de alunos de cursos de graduação em enfermagem e medicina sobre segurança do paciente

Compreensão de alunos de cursos de graduação em enfermagem e medicina sobre segurança do paciente

An automated medication system reduces errors in the medication administration process: results from a Danish hospital study

Fatigue, Sleep Disorders, and Excessive Sleepiness: Important Factors for Nuclear Power Shift Workers

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