Bold Voices - August 2016 - (Page 7)

AT THE BEDSIDE Medication Errors Still Occur With Computerized Systems This survey underscores the need for hospitals and patients to be vigilant when it comes to overseeing medications. S the computerized approach; some find it difficult to use and time-intensive. No software fits the needs of all facilities, so software that works well in one facility may have to be adapted for another. This survey, although not peer-reviewed, "underscores the need for hospitals and patients to be vigilant when it comes to overseeing their medications. For hospitals, that means instituting 'checks and balances' - system-wide initiatives like requiring manual reviews of a patient's drugs, on top of the computer checks." The article concludes that while the survey may be flawed (some Leapfrog surveys have been criticized for their methodology and metrics), there is room for improvement in prescription software safety. Is the Data on Deaths From Medical Errors Correct? A n opinion piece in STAT finds fault with the methodology for a study that estimates annual U.S. deaths from medical errors, proclaiming them the third-leading cause of death. In "Don't Believe What You Read on New Report of Medical Error Deaths," Vinay Prasad, assistant professor of medicine at Oregon Health & Science University, Portland, criticizes a report in BMJ for making headlines with uncertain data. "If the researchers had really wanted to update the estimate for the modern age," Prasad writes, "they should have dug into patient records and made tough decisions about which deaths were truly due to errors - in other words, they should have done their own analysis." "Medical Error - The Third Leading Cause of Death in the US," the report in BMJ, attempts to determine what the Centers for Disease Control and Prevention's statistics neither account for nor standardize - which deaths are attributable to medical errors and what defines them. The report estimates 251,454 deaths in 2013 due to medical error, after reviewing four previous studies. Observing that the report in BMJ defines medical error vaguely, and therefore "the sensational figure is imprecise and may be wrong by a large magnitude," Prasad cautions that it could lead to harm if patients become afraid and avoid treatment. The authors of the report argue that heart disease and cancer - the leading causes of death - receive their due attention, but medical errors elude policymakers and receive less funding, because they are not properly tracked. "We focus on preventable lethal events," they write," to highlight the scale of potential for improvement." REFERENCE: Makary MA, Daniel M. Medical error-the third leading cause of death in the US. BMJ. 2016;353:i2139. doi:10.1136/bmj.i2139. 7 AACN BOLD VOICES AUGUST 2016 oftware programs developed to prevent in-hospital medication errors are not catching as many mistakes as expected. "Hospital Software Often Doesn't Flag Unsafe Drug Prescriptions, Report Finds," in KHN: Kaiser Health News, states that a voluntary survey of about 1,800 hospitals' software systems by The Leapfrog Group did not catch "potentially harmful drug errors" almost 40 percent of the time. In 13 percent of the cases, the errors could have resulted in death. Prescription drug errors included the wrong dosages, possible drug interactions or the wrong drug for the illness or condition. To perform the survey, prescriptions for "dummy patients" were entered into the system, with errors the software should flag. Electronic health records, including computer-based medication ordering systems, are seen as a way to improve patient safety and quality of care. It is believed that these systems improve safety by incorporating patient information, such as diagnosis, test results and current medications, with the new prescriptions, flagging users if something appears incorrect or inconsistent. However, not all users are pleased with http://www.khn.org/news/hospital-software-often-doesnt-flag-unsafe-drug-prescriptions-report-finds/?utm_medium=nl&utm_source=internal&mrkid=709495&mkt_tok=eyJpIjoiTVdWaFptUmtPREUzTTJKbCIsInQiOiI5TVVrTDJVYmZCOExEVTJNU0doTWtqN2Rmc2E5T3lwSE5QdlF2Z0dlSURvUzdNbkxcL1NcL2tsMmdQXC9HXC8xbDhtUGxtREdFNDlKeGQ1UTEwT3FcL1dCQXBnYUl0OTd4REV0dDU0azY2dHAyN0hnPSJ9 http://www.khn.org/news/hospital-software-often-doesnt-flag-unsafe-drug-prescriptions-report-finds/?utm_medium=nl&utm_source=internal&mrkid=709495&mkt_tok=eyJpIjoiTVdWaFptUmtPREUzTTJKbCIsInQiOiI5TVVrTDJVYmZCOExEVTJNU0doTWtqN2Rmc2E5T3lwSE5QdlF2Z0dlSURvUzdNbkxcL1NcL2tsMmdQXC9HXC8xbDhtUGxtREdFNDlKeGQ1UTEwT3FcL1dCQXBnYUl0OTd4REV0dDU0azY2dHAyN0hnPSJ9 https://www.statnews.com/2016/05/09/medical-errors-deaths-bmj/ https://www.statnews.com/2016/05/09/medical-errors-deaths-bmj/ http://www.bmj.com/content/353/bmj.i2139 http://www.bmj.com/content/353/bmj.i2139

Table of Contents for the Digital Edition of Bold Voices - August 2016

Another Angle
Pres Note Front Teaser
Masthead
FDA Approves Black Box Warnings for IR Opioids
Recall: Error in 2016 Cardiac Medications Pocket Card
CCRN Certification Supports Advanced Practice Nursing Excellence
Celebrating 40 years of CCRN at NTI
Medication Errors Still Occur With Computerized Systems
Is the Data on Deaths From Medical Errors Correct?
Helmet Ventilation Effective for Patients With ARDS
Persistent Critical Illness Extends ICU Stay
Microchip Helps Paralyzed Man Regain Control of Hand
Headset and Smartphone App Turn Thoughts Into Speech
Common Medications Associated With Cognitive Decline
Older Population Increasing at Unprecedented Rate
AACN Resources to Care for Older Adults
Overcoming Incivility in the Workplace
Strategies to Address Workplace Violence
To Choose Love in the ICU
Key Concepts of the Go-Live Process
Program Reduces Hospital-Acquired Pressure Ulcers
High-Flow Oxygen After Extubation Reduces Reintubation Rates
Ventricular Assist Device Helps Patients With AMI
Silent Myocardial Infarctions May Go Unnoticed
3-D Heart Modeling Predicts Sudden Cardiac Death Risk
Combat Cancer With Healthy Lifestyle
FDA Approves New Drug for Urothelial Carcinoma
Neurologic Disorders Make ICU Care More Likely for Children With CAP
Depression in Caregivers Can Be Long-Term
Oct. 13 Deadline to Apply for AACN Research Grants
I Am a Critical Care Nurse
Letters
Prompt Care Reduces Risk of Serious Stroke
Scans May Help Reduce Risky Operations
In Our Journals
Transitions
President’s Note

Bold Voices - August 2016

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