Medication error in anaesthesia and critical care: A cause for concern

Kothari, Dilip; Gupta, Suman Lata; Sharma, Chetan; Kothari, Saroj

doi:10.4103/0019-5049.65351

Cited by 42 publications

(36 citation statements)

References 45 publications

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“…The rate of preventable ordering ADEs decreased by 66% from 10.4 per 1000 patient-days (95% con idence interval [CI], [7][8][9][10][11][12][13][14] before the intervention to 3.5 (95% CI, 1-5; P<0.001) after the intervention. In the control unit, the rate was essentially unchanged during the same time periods: 10.9 (95% CI, 6-16) and 12.4 (95% CI, [8][9][10][11][12][13][14][15][16][17] per 1000 patient-days.…”

Section: Methodsmentioning

confidence: 92%

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Intensive Care Units (ICU): The clinical pharmacist role to improve clinical outcomes and reduce mortality rate- An undeniable function

Luisetto¹

2017

J Clin Intensive Care Med

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Section: Methodsmentioning

confidence: 92%

“…Man, medicine, machine and modus operandi are the main contributory factors to it. In this review, incidence, types, risk factors and preventive measures of the medication errors are discussed in detail" [16]. Eric Moyen et al, "Pharmacists, similarly, have a crucial role to play in medication safety.…”

Section: Methodsmentioning

confidence: 99%

Intensive Care Units (ICU): The clinical pharmacist role to improve clinical outcomes and reduce mortality rate- An undeniable function

Luisetto¹

2017

J Clin Intensive Care Med

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“…Even though the majority of the patients did not suffer any harm, the three deaths reported are considered avoidable. The Chinese proverb "the error of one moment becomes the sorrow of a whole [19]" is apt. The long-term complications of the other patients may also not be known to the anaesthetists.…”

Section: Resultsmentioning

confidence: 99%

Medication Errors among Physician-Assistants Anaesthesia

Amponsah

Antwi-Kusi

Addison

et al. 2016

Advances in Anesthesiology

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Background. Safety issues in anaesthesia are currently being discussed widely. Anaesthetists have a unique cross-specialty opportunity to influence the safety and quality of patient care. Anaesthetists administer very potent drugs, in rapid succession, during the course of one anaesthesia event. Methodology. The study was done in April 2013 at the annual refresher course of the Physician-Assistants Anaesthesia using a questionnaire which was completed by the participants on the course. The data was analysed using IBM SPSS Statistics software version 20. Results. There were 164 completed questionnaires, with 92 (62.2%) males and 56 (37.8%) females with a mean age of 32.3 years. The majority of them (66.5%) work in government hospitals. One hundred and seven (65.3%) have had an episode of medication error with 101 (94.4%) experiencing it between 1 and 5 times. The incident occurred in the afternoon or at night in 73 (71.7%) cases. The commonest type of incident was the administration of wrong drug which occurred on 64 (71.9%) occasions resulting in 3 deaths. The contributing factors included distraction, tiredness, and overreliance on vial/ampoule colour. Conclusion. Medication errors among Physician-Assistants Anaesthesia are not uncommon leading to harm and even death of patients. The rate of medication errors can be minimised by addressing some of the contributory factors raised by the respondents.

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“…Historically, system redesign in anaesthesia has been successful in eliminating error, for example in the elimination of problems with the delivery of oxygen to patients. 24 Medication error is a major cause of morbidity and mortality in medical profession, and anaesthesia and critical care are no exception to it. Man, medicine, machine and modus operandi are the main contributory factors to it.…”

Section: Studies Involving Anaesthetic Adverse Drug Eventsmentioning

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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Medication error in anaesthesia and critical care: A cause for concern

Cited by 42 publications

References 45 publications

Intensive Care Units (ICU): The clinical pharmacist role to improve clinical outcomes and reduce mortality rate- An undeniable function

Intensive Care Units (ICU): The clinical pharmacist role to improve clinical outcomes and reduce mortality rate- An undeniable function

Medication Errors among Physician-Assistants Anaesthesia

Medication Errors in Anesthesia and Critical Care

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