10 Most Common Medical Mistakes
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Transcript of 10 Most Common Medical Mistakes
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10 Most Common MedicalMistakes
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Definition
"The failure of a planned action to be completed as intended or
the use of a wrong plan to achieve an aim. Errors can includeproblems in practice, products, procedures, and systems.
Briefly It is preventable adverse event
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Startling statistics
In United States about 48,000 to 98,000 deaths per year.
8 th leading cause of mortality, surpassing RTA (43,000), Cancer
(42,000),AIDS (16000 ).
2.4 million prescriptions per year were incorrect in Massachuettes stateout of 50.
Medical errors cost about 37 billion $ per year,which about half this sumpay for direct health care.
In UK about 40,000 deaths per year.
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Five different classification schemes
1. Type of health care given.( medical.Surgical,Diagnostic)
2.Severity of injury.
(Minor dis comfirt. severe injury, death) 3.Legal definition. (Negligence, malpractice.)
4.Setting. (Nursing home, ER, ICU, hospital, )
5.Person involved. ( Physician, nurse, pharmacist.)
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Causes of Medical Errors
1. Communicatiion error.
2. Increasing Specialization & fragmentation of health care.
3. Human errors resulting from overwork & burnout.
4. Manufacturing errors.
5. Equipment failure.
6. Diagnostic error.
7. Poorly designed buildings & facilities.
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Praposals for Improvement
1. Standardize medical equipments & build in mechanical safe gaurdagainst human error.
2. Improve the working condition for nurses & hospital staff.
3. Make use of new technology to improve accuracy in medicationdosage & recording patients Vital sings.
4. Develop a nationwide database for error reporting & analysis.
5. Encourage the patient to become more active participant in their ownhealth care.
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Praposals for Improvement
6.Both patients & physician have emotional as wellas knowledge related needs on this issue.
A report of Journal of American MedicalAssociation in Feb 2003, says patients clearlywants emotional support from their doctors in
case of error including an apology.They also foundthe doctors are also upset & need an emotionalsupport.
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What patient can do ?
Five steps to safer Health care
1.Do not hesitate to ask questions about your health care.
2. Keep list of all medication .
3. Ask the result of all tests & procedure.
4. Find out what choices are available to you.5. In case of surgery-ask for procedure itself,reason for it,exactly what will happen during the operation.
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1. WHAT SURGEONS FORGET
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Scissors
Gauze
Screws
Forceps Towels
Metal clamps
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2. COSMETIC GOOF-UP
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Breast augmentation
Plastic surgery of nose
Facelifts
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3. REMOVING WRONG PARTS
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Amputation of wrong foot.
Removal of wrong kidney.
Removal of wrong testicle.
Open heart invasive procedure. on wrong pt.
Wrong sided brain surgery.
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4. NOT ENOUGH ANAESTHESIA
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Waking during surgery andfeeling pain,pressure,discomfirtwithout being able to cry out.Known asAnestheticawareness
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5. DANGEROUS DELAY
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Not mobilised to provide timely care topatients.
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6. UNNECESSARY DRUGS
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Overuse and misuse of drugs.
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7. ENDLESS TEST
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The days of the doctorwho detects disease in thepatient appearance, gait
and pulse are almostgone.
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8. SECONDARY INFECTION
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Infection spread from hospital
is rampant in the country.
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9. BAD HANDWRITING
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The risk of getting a similar-sounding but
wrong drugs is far too real.
Arkamine for Artamine
Isoprine for isoptine
Digene for Digoxine
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10. DRUG DEPENDENCY
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.
Sleeping pills and Anti depressantsare heavily over-prescribed across
the country.
Alprazolam in perticular.
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So, please take care and do n0tcommit any one of them.
MORAL
FAIR PRACTICE
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Thank you