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Overview of medical errors and adverse events

Safety is a global concept that encompasses efficiency, security of care, reactivity of caregivers, and satisfaction of patients and relatives. Patient safety has emerged as a major target for healthcare improvement. Quality assurance is a complex task, and patients in the intensive care unit (ICU)...

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Autores principales: Garrouste-Orgeas, Maité, Philippart, François, Bruel, Cédric, Max, Adeline, Lau, Nicolas, Misset, B
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310841/
https://www.ncbi.nlm.nih.gov/pubmed/22339769
http://dx.doi.org/10.1186/2110-5820-2-2
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author Garrouste-Orgeas, Maité
Philippart, François
Bruel, Cédric
Max, Adeline
Lau, Nicolas
Misset, B
author_facet Garrouste-Orgeas, Maité
Philippart, François
Bruel, Cédric
Max, Adeline
Lau, Nicolas
Misset, B
author_sort Garrouste-Orgeas, Maité
collection PubMed
description Safety is a global concept that encompasses efficiency, security of care, reactivity of caregivers, and satisfaction of patients and relatives. Patient safety has emerged as a major target for healthcare improvement. Quality assurance is a complex task, and patients in the intensive care unit (ICU) are more likely than other hospitalized patients to experience medical errors, due to the complexity of their conditions, need for urgent interventions, and considerable workload fluctuation. Medication errors are the most common medical errors and can induce adverse events. Two approaches are available for evaluating and improving quality-of-care: the room-for-improvement model, in which problems are identified, plans are made to resolve them, and the results of the plans are measured; and the monitoring model, in which quality indicators are defined as relevant to potential problems and then monitored periodically. Indicators that reflect structures, processes, or outcomes have been developed by medical societies. Surveillance of these indicators is organized at the hospital or national level. Using a combination of methods improves the results. Errors are caused by combinations of human factors and system factors, and information must be obtained on how people make errors in the ICU environment. Preventive strategies are more likely to be effective if they rely on a system-based approach, in which organizational flaws are remedied, rather than a human-based approach of encouraging people not to make errors. The development of a safety culture in the ICU is crucial to effective prevention and should occur before the evaluation of safety programs, which are more likely to be effective when they involve bundles of measures.
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spelling pubmed-33108412012-03-23 Overview of medical errors and adverse events Garrouste-Orgeas, Maité Philippart, François Bruel, Cédric Max, Adeline Lau, Nicolas Misset, B Ann Intensive Care Review Safety is a global concept that encompasses efficiency, security of care, reactivity of caregivers, and satisfaction of patients and relatives. Patient safety has emerged as a major target for healthcare improvement. Quality assurance is a complex task, and patients in the intensive care unit (ICU) are more likely than other hospitalized patients to experience medical errors, due to the complexity of their conditions, need for urgent interventions, and considerable workload fluctuation. Medication errors are the most common medical errors and can induce adverse events. Two approaches are available for evaluating and improving quality-of-care: the room-for-improvement model, in which problems are identified, plans are made to resolve them, and the results of the plans are measured; and the monitoring model, in which quality indicators are defined as relevant to potential problems and then monitored periodically. Indicators that reflect structures, processes, or outcomes have been developed by medical societies. Surveillance of these indicators is organized at the hospital or national level. Using a combination of methods improves the results. Errors are caused by combinations of human factors and system factors, and information must be obtained on how people make errors in the ICU environment. Preventive strategies are more likely to be effective if they rely on a system-based approach, in which organizational flaws are remedied, rather than a human-based approach of encouraging people not to make errors. The development of a safety culture in the ICU is crucial to effective prevention and should occur before the evaluation of safety programs, which are more likely to be effective when they involve bundles of measures. Springer 2012-02-16 /pmc/articles/PMC3310841/ /pubmed/22339769 http://dx.doi.org/10.1186/2110-5820-2-2 Text en Copyright ©2012 Garrouste-Orgeas et al; licensee Springer. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Garrouste-Orgeas, Maité
Philippart, François
Bruel, Cédric
Max, Adeline
Lau, Nicolas
Misset, B
Overview of medical errors and adverse events
title Overview of medical errors and adverse events
title_full Overview of medical errors and adverse events
title_fullStr Overview of medical errors and adverse events
title_full_unstemmed Overview of medical errors and adverse events
title_short Overview of medical errors and adverse events
title_sort overview of medical errors and adverse events
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3310841/
https://www.ncbi.nlm.nih.gov/pubmed/22339769
http://dx.doi.org/10.1186/2110-5820-2-2
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