Secondary Iatrogenic Harm: Claims for Psychiatric Damage Following a Death Caused by Medical Error

2004 ◽  
Vol 67 (4) ◽  
pp. 561-587 ◽  
Author(s):  
Paula Case
Keyword(s):  
Medical Error ◽  
Iatrogenic Harm

Incidence of paediatric 10-fold medication errors in Wales

2020 ◽  
pp. archdischild-2020-319130
Author(s):  
Yincent Tse ◽  
David Tuthill
Keyword(s):  
Medication Errors ◽  
Reporting System ◽  
Patient Characteristics ◽  
Population Based ◽  
Population Surveillance ◽  
Near Miss ◽  
Surveillance Study ◽  
High Resource ◽  
Improvement Strategies ◽  
Iatrogenic Harm

ObjectivesTo estimate the incidence, characteristics and outcomes of 10-fold or greater or a tenth or less medication errors in children aged <16 years in Wales.DesignPopulation-based surveillance study July 2017 to June 2019. Cases were identified by paediatricians and hospital pharmacists using monthly electronic Welsh Paediatric Surveillance Unit (WPSU) reporting system.Patients‘Definite’ incident occurred when children received all or any of the incorrect dose of medication. ‘Near miss’ was where the prescribed, prepared or dispensed medication was not administered to the child.Main outcome measuresIncidence, patient characteristics, setting, drug characteristics, outcome, harm and enabling or preventive factors.ResultsIn total, 50 10-fold errors were reported; 20 definite and 30 near miss cases. This yields a minimum annual incidence of 1 per 3797 admissions, or 4.6/100 000 children. Of these, 43 were overdoses and 7 underdoses. 33 incidents occurred in children <5 years of age. Overall, 37 different medications were involved with the majority, 31 cases, being administered enterally. Of these 31 enteral medication errors, all definite cases (10) had received liquid preparations. Temporary harm occurred in 5/20 (25%) definite cases with one requiring intensive care; all fully recovered.ConclusionsIn this first ever population surveillance study in a high-resource healthcare system, 10-fold errors in children were rare, sometimes prevented and uncommonly caused harm. We recommend country-wide improvements be made to reduce iatrogenic harm. Understanding the enabling and preventive factors may help national improvement strategies to reduce these errors.

scholarly journals Medical error: the second victim

BMJ ◽  
2000 ◽  
Vol 320 (7237) ◽  
pp. 726-727 ◽  
Author(s):  
A. W Wu
Keyword(s):  
Medical Error ◽  
Second Victim

Medical error reduction: the effect of employee satisfaction with organizational support

2011 ◽  
Vol 31 (8) ◽  
pp. 1311-1325 ◽  
Author(s):  
DonHee Lee ◽  
Sang M. Lee ◽  
Marc J. Schniederjans
Keyword(s):  
Organizational Support ◽  
Medical Error ◽  
Employee Satisfaction ◽  
Error Reduction

Simulation-Based Medical Error Disclosure Training for Pediatric Healthcare Professionals

2007 ◽  
Vol 29 (4) ◽  
pp. 12-19 ◽  
Author(s):  
Karen I. Wayman ◽  
Kimberly A. Yaeger ◽  
Paul J. Sharek ◽  
Sandy Trotter ◽  
Lisa Wise ◽  
...  
Keyword(s):  
Medical Error ◽  
Healthcare Professionals ◽  
Error Disclosure ◽  
Simulation Based ◽  
Pediatric Healthcare

Reducing the burden of iatrogenic harm in children

The Lancet ◽  
2015 ◽  
Vol 385 (9978) ◽  
pp. 1593-1594 ◽  
Author(s):  
Andrew Carson-Stevens ◽  
Adrian Edwards ◽  
Sukhmeet Panesar ◽  
Gareth Parry ◽  
Philippa Rees ◽  
...  
Keyword(s):  
Iatrogenic Harm
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