Medication errors history

HIT can enhance patient safety in three ways it can help prevent medical errors and adverse events it can initiate rapid responses to any event and it can enable the tracking of events, if they occur, and provide feedback on them to learn from [30]. But it is the first of these which is of most interest when it comes to proactively reducing the risk of harm. If we can identify the conditions in which dangerous scenarios occur we have a vital window of opportunity to intervene in the natural history of a hazard (see Sect. 2.6). 

Physician Brief history Medications error prevention,... 

We begin with a case history unlike those in most other texts about medical errors. In the case of CH, a person of our acquaintance, everything went well—in large part because she felt empowered to speak up at the right moment. 

In the following medical case history, identify (at the risk of activating your own hindsight bias) the cognitive biases that may be implicated in the decision errors ... 

Insulin loiu is take within 15 minutes following a workout, then consume a high carbohydrate drink immediately This product has no room for error, if you can t maintain stick compliance with how it is administered and with a high carbohydrate drink, DON T USE IT If your medically diagnosed with diabetes or have a family history of diabetes, DON T USE IT BLINDNESS and DEATH... 

A careful analysis of the medical history including family background, pregnancy, first days of life, history of present illness, and clinical condition of the patient, backed up with the interpretation of basic biochemical test results, often allows for establishing the reasonable initial suspicion of an inborn error of metabolism and directs further diagnostic and therapentic actions [13-15] (Table 5.2). 

The nature of the book, xi Inspiration, acknowledgements and thanks, xiii SECTION ONE The Evolution of Patient Safety Chapter 1 Medical harm a brief history, 3 Chapter 2 The emergence of patient safety, 14 Chapter 3 Integrating safety and quality, 31 SECTION TWO The Hazards of Healthcare Chapter 4 The nature and scale of error and harm, 49 Chapter 5 Reporting and learning systems, 75 Chapter 6 Measuring safety, 96... 

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