Significant event reporting in veterinary practice

Tivers, Mickey; Adamantos, Sophie

doi:10.1136/vr.l1212

Cited by 3 publications

(3 citation statements)

References 29 publications

(41 reference statements)

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“…There may be important contextual and practical reasons why a particular decision was made. Exploration of these factors may be used to refine future decision making, including policies and protocols, as occurs in root cause analysis of medical errors (70,71). All veterinary team members have a role in steering away from a culture of blame -which acts as a barrier to reporting and appropriate debriefing, and promoting a culture of learning from errors (72).…”

Section: What Can Veterinary Teams Do To Prepare For Ethical Challenges?mentioning

confidence: 99%

Frequency, Stressfulness and Type of Ethically Challenging Situations Encountered by Veterinary Team Members During the COVID-19 Pandemic

et al. 2021

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Ethically challenging situations (ECS) are common in veterinary settings and can lead to moral stress. However, there is no published information about how a global pandemic affects the frequency and types of ECS encountered by veterinary team members. An online mixed methods survey was developed to determine the frequency, stressfulness and types of ECS experienced by veterinarians, animal health technicians and veterinary nurses since the advent of the global COVID-19 pandemic in March 2020. Responses from 540 veterinary team members from 22 countries were analyzed. With the advent of the COVID-19 pandemic, the median frequency of ECS encountered by respondents increased from several times per month to several times per week (Spearman Rank Correlation 0.619, P < 0.0001). The most common ECS (encountered at least several times per week) were: challenging decisions about how to proceed when clients have limited finances (64.4%), conflict between personal well-being and professional role (64.3%), conflict between the interests of clients and the interests of their animals (59.6%). These were followed by challenging decisions about what counts as an essential veterinary service (48.1%); conflict between well-being of family/household members and professional role (46.3%); and challenging decisions about whether to perform non-contact veterinary visits (46.3%). The most stressful ECS (reported to be very or maximally stressful) were: conflicts between the interests of clients and the interests of their animals (50.2%), other (42.9%), conflicts between the interests of my employer and my own interests (42.5%), challenging decisions about how to proceed when clients have limited finances (39.4%), conflict between personal well-being and professional role (38.0%), and conflict between well-being of family/household members and professional role (33.6%). Thematic analysis of free-text responses revealed biosecurity, client financial limitations, animal welfare, working conditions, and client relations as prominent themes. This is, to the best of our knowledge, the first study to describe the impacts of the pandemic on ECS experienced by veterinary teams globally. It identifies an increase in the frequency of ECS associated with the COVID-19 pandemic, and a number of stressors unique to the pandemic. We identified a number of resources and strategies that may help veterinary team members navigate ethical challenges that may emerge in their daily work, as well as in the context of global crises.

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Section: What Can Veterinary Teams Do To Prepare For Ethical Challenges?mentioning

confidence: 99%

Frequency, Stressfulness and Type of Ethically Challenging Situations Encountered by Veterinary Team Members During the COVID-19 Pandemic

et al. 2021

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“…and many of the publications on the subject are editorials or studies focusing more on the second patient effect and less on the specific details of the errors. [7][8][9][10][11][12][13] Only 3 studies report rates and types of medical errors within veterinary hospitals, and only 1 study describes errors in large animal practice. 7,11,14 No studies to date have focused solely on errors associated with medications in large animal practice.…”

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confidence: 99%

Error reporting in a large animal veterinary teaching hospital identifies medication errors occur most often in the prescribing phase of therapy

Hepworth-Warren,

Maynard-Swift,

Prange

et al. 2023

javma

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OBJECTIVE To identify the rate at which medication errors occurred over a 2-year period in a large animal veterinary teaching hospital and describe the types of errors that occurred. SAMPLE 226 medication errors over 6,155 large animal visits occurred during the study period. Multiple errors may have affected the same patient. METHODS Medication error reports from March 1, 2021, to March 31, 2023, were reviewed retrospectively and classified by species, type of drug, and month and day of the week the error occurred. Errors were categorized according to multiple previously developed systems to allow for comparison to other studies. RESULTS 226 medication errors occurred over 6,155 patient visits in a 2-year period: 57.5% (130/226) were identified by a dedicated large animal pharmacist, and 64.2% (145/226) of errors were identified and corrected before reaching the patient. Prescription/medication order errors (58.4% [132/226]) occurred significantly more often than errors in medication preparation (21.7% [49/226]; P < .001) and administration (19.6%; P < .001). Antibiotics (48.7% [110/226]) and NSAIDs (17.7% [40/226]) were the drug classes most involved in errors. CLINICAL RELEVANCE Most medication errors in this study occurred in the ordering/prescribing phase. This is similar to reports in human medicine, where standardized medication error reporting strategies exist. Developing and applying similar strategies in veterinary medicine may improve patient safety and outcome.

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“…By capturing the details of incidents, we have the opportunity to learn from what has gone wrong and make changes to avoid the same issues happening again. 12 However, while voluntary incident reporting systems are widespread in human healthcare, relatively few are available for use in veterinary practice. One of the most well known of these is the UK's VetSafe system, 13 which the Veterinary Defence Society has operated since 2018.…”

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confidence: 99%

Learning from patient safety event reporting in veterinary practice

Blackie¹

2022

Veterinary Record

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Learning from patient safety event reporting in veterinary practiceNOBODY working in a veterinary practice comes to work intending that something they do, or fail to do, will injure a patient. Despite this, the care we provide is not always as safe as it should be, and patients are harmed, sometimes fatally. No matter how great our knowledge and skill, how hard we work or how much we care, we are all human and will make mistakes; 'to err is human' after all.These mistakes matter because patient safety events can have a significant impact. Beyond

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Significant event reporting in veterinary practice

Cited by 3 publications

References 29 publications

Frequency, Stressfulness and Type of Ethically Challenging Situations Encountered by Veterinary Team Members During the COVID-19 Pandemic

Frequency, Stressfulness and Type of Ethically Challenging Situations Encountered by Veterinary Team Members During the COVID-19 Pandemic

Error reporting in a large animal veterinary teaching hospital identifies medication errors occur most often in the prescribing phase of therapy

Learning from patient safety event reporting in veterinary practice

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