Iatrogenic Diseases as a Reason for Admission to the Intensive Care Unit

Darchy, B; Mière, E Le; Figueredo, Belinda; Bavoux, E; Domart, Y.

doi:10.1001/archinte.159.1.71

Cited by 87 publications

(61 citation statements)

References 51 publications

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“…4 Classen states that, although adverse events seem to occur in a small proportion of antibiotic courses, the frequency of antibiotic use makes them account for 23% of all adverse events recorded. 5 The overall incidence of ADRs to antimicrobials in our study was 6.12%.…”

Section: Discussionmentioning

confidence: 99%

Monitoring and Analysis of Adverse Drug Reactions in A Private Tertiary Care Hospital

Deolekar¹,

Yadav²,

Attrey³

et al. 2016

jmscr

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Section: Discussionmentioning

confidence: 99%

Monitoring and Analysis of Adverse Drug Reactions in A Private Tertiary Care Hospital

Deolekar¹,

Yadav²,

Attrey³

et al. 2016

jmscr

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“…26 An iatrogenic event was caused by drugs or by medical and/or surgical acts performed in accordance with standards of care during a patient's ICU stay. 28 Infections were considered nosocomial if they first appeared 48 hours or more after hospital admission or within 30 days after previous discharge. An event was considered preventable when the MMC discussion led to the consensus conclusions that it could have been avoided because it was the consequence of acts or prescriptions made without respecting state-of-the-art medical and nursing standards of practice or that it was caused by equipment failure.…”

Section: Definitionsmentioning

confidence: 99%

“…An event was considered preventable when the MMC discussion led to the consensus conclusions that it could have been avoided because it was the consequence of acts or prescriptions made without respecting state-of-the-art medical and nursing standards of practice or that it was caused by equipment failure. 28,29 Preventability was assessed as an "error in management due to failure to follow accepted practice at an individual or system level." Accepted practice was taken to be "the current level of expected performance for the average practitioner or system that manages the condition in question."…”

Section: Definitionsmentioning

confidence: 99%

Impact of Morbidity and Mortality Conferences on Analysis of Mortality and Critical Events in Intensive Care Practice

Ksouri

Balanant

Tadié

et al. 2010

American Journal of Critical Care

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Background Morbidity and mortality conferences are a tool for evaluating care management, but they lack a precise format for practice in intensive care units. Objectives To evaluate the feasibility and usefulness of regular morbidity and mortality conferences specific to intensive care units for improving quality of care and patient safety. Methods For 1 year, a prospective study was conducted in an 18-bed intensive care unit. Events analyzed included deaths in the unit and 4 adverse events (unexpected cardiac arrest, unplanned extubation, reintubation within 24–48 hours after planned extubation, and readmission to the unit within 48 hours after discharge) considered potentially preventable in optimal intensive care practice. During conferences, events were collectively analyzed with the help of an external auditor to determine their severity, causality, and preventability. Results During the study period, 260 deaths and 100 adverse events involving 300 patients were analyzed. The adverse events rate was 16.6 per 1000 patient-days. Adverse events occurred more often between noon and 4 pm (P = .001).The conference consensus was that 6.1% of deaths and 36% of adverse events were preventable. Preventable deaths were associated with iatrogenesis (P = .008), human errors (P < .001), and failure of unit management factors or communication (P = .003). Three major recommendations were made concerning standardization of care or prescription and organizational management, and no similar incidents have recurred. Conclusion In addition to their educational value, regular morbidity and mortality conferences formatted for intensive care units are useful for assessing quality of care and patient safety.

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“…Numerous studies in the United States, the United Kingdom, and European countries have demonstrated that patients are frequently hospitalized as a result of medication-related problems that were preventable. [1][2][3][4][5][6][7][8] Studies have also shown that pharmacists are able to identify, resolve, prevent, and reduce medication errors. [9][10][11] The Institute of Medicine (IOM) has stated, "Health care has safety and quality problems because it relies on outmoded systems of work.…”

Section: Introductionmentioning

confidence: 99%

Application of Quality Assurance Principles: Teaching Medication Error Reduction Skills in a “Real World” Environment

Jackson¹

2004

Am J Pharm Educ

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Objectives. To create an instructional sequence that would encourage students to acquire the knowledge, skills, and abilities required to decrease medication errors in the pharmacy practice setting. Methods. A course on medication error reduction was developed for third professional year pharmacy students. Students (N=157) were divided into 30 project teams and assigned to a preceptor in a community or health-system pharmacy. Teams met with their preceptors and, using concepts learned in class, developed site-specific medication error reduction projects. Students collected, analyzed, and evaluated data to measure plan impact, presented their results at a poster forum, and self-evaluated their knowledge, skills, and abilities. Results. Students demonstrated improvement in the following areas: (1) awareness of medication error impact on patient health, (2) motivation to implement methods to decrease errors, (3) knowledge of methods to reduce errors, (4) ability to identify errors, and (5) ability to implement methods to reduce errors. Conclusion. The increased student awareness of the pharmacist's role in medication error reduction and the actual use of error reduction skills will enable them to improve future patient outcomes.

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Iatrogenic Diseases as a Reason for Admission to the Intensive Care Unit

Cited by 87 publications

References 51 publications

Monitoring and Analysis of Adverse Drug Reactions in A Private Tertiary Care Hospital

Monitoring and Analysis of Adverse Drug Reactions in A Private Tertiary Care Hospital

Impact of Morbidity and Mortality Conferences on Analysis of Mortality and Critical Events in Intensive Care Practice

Application of Quality Assurance Principles: Teaching Medication Error Reduction Skills in a “Real World” Environment

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