Overview of medical errors and adverse events. - Inserm - Institut national de la santé et de la recherche médicale Access content directly
Journal Articles Annals of Intensive Care Year : 2012

Overview of medical errors and adverse events.

Abstract

ABSTRACT: 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.
Fichier principal
Vignette du fichier
2110-5820-2-2.pdf (200.39 Ko) Télécharger le fichier
2110-5820-2-2.xml (89.37 Ko) Télécharger le fichier
Origin : Publisher files allowed on an open archive
Format : Other
Loading...

Dates and versions

inserm-00681935 , version 1 (22-03-2012)

Identifiers

Cite

Maïté Garrouste-Orgeas, François Philippart, Cédric Bruel, Adeline Max, Nicolas Lau, et al.. Overview of medical errors and adverse events.. Annals of Intensive Care, 2012, 2 (1), pp.2. ⟨10.1186/2110-5820-2-2⟩. ⟨inserm-00681935⟩
275 View
275 Download

Altmetric

Share

Gmail Facebook Twitter LinkedIn More