Reducing Medical Errors and Adverse Events

被引：122

作者：

Pham, Julius Cuong ^{[1
,2
]}

Aswani, Monica S. ^{[2
]}

Rosen, Michael ^{[2
]}

Lee, HeeWon ^{[2
]}

Huddle, Matthew ^{[2
]}

Weeks, Kristina ^{[2
]}

Pronovost, Peter J. ^{[2
,3
,4
]}

机构：

[1] Johns Hopkins Univ, Sch Med, Qual & Safety Res Grp, Dept Emergency Med, Baltimore, MD 21231 USA

[2] Johns Hopkins Univ, Sch Med, Qual & Safety Res Grp, Dept Anesthesiol & Crit Care Med, Baltimore, MD 21231 USA

[3] Johns Hopkins Univ, Sch Med, Dept Surg, Baltimore, MD 21231 USA

[4] Johns Hopkins Bloomberg Sch Publ Hlth, Baltimore, MD 21231 USA

来源：

ANNUAL REVIEW OF MEDICINE, VOL 63 | 2012年 / 63卷

关键词：

adverse events; medication errors; hospital-acquired infection; falls; handoff errors; diagnostic errors; surgical errors; VENTILATOR-ASSOCIATED PNEUMONIA; INTENSIVE-CARE UNITS; BLOOD-STREAM INFECTIONS; URINARY-TRACT-INFECTION; PREVENTING WRONG SITE; PROVIDER ORDER ENTRY; PATIENT SAFETY; HEALTH-CARE; DRUG EVENTS; MULTIFACTORIAL INTERVENTION;

D O I：

10.1146/annurev-med-061410-121352

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

Medical errors account for similar to 98,000 deaths per year in the United States. They increase disability and costs and decrease confidence in the health care system. We review several important types of medical errors and adverse events. We discuss medication errors, healthcare-acquired infections, falls, handoff errors, diagnostic errors, and surgical errors. We describe the impact of these errors, review causes and contributing factors, and provide an overview of strategies to reduce these events. We also discuss teamwork/safety culture, an important aspect in reducing medical errors.

引用

页码：447 / 463

页数：17

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