10 Most Common Medical Mistakes

7/28/2019 10 Most Common Medical Mistakes

1/30

10 Most Common MedicalMistakes


2/30

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


3/30

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.


4/30

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.)


5/30

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.


6/30

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.


7/30

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.


8/30

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.


9/30

1. WHAT SURGEONS FORGET


10/30

Scissors

Gauze

Screws

Forceps Towels

Metal clamps


11/30

2. COSMETIC GOOF-UP


12/30

Breast augmentation

Plastic surgery of nose

Facelifts


13/30

3. REMOVING WRONG PARTS


14/30

Amputation of wrong foot.

Removal of wrong kidney.

Removal of wrong testicle.

Open heart invasive procedure. on wrong pt.

Wrong sided brain surgery.


15/30

4. NOT ENOUGH ANAESTHESIA


16/30

Waking during surgery andfeeling pain,pressure,discomfirtwithout being able to cry out.Known asAnestheticawareness


17/30

5. DANGEROUS DELAY


18/30

Not mobilised to provide timely care topatients.


19/30

6. UNNECESSARY DRUGS


20/30

Overuse and misuse of drugs.


21/30

7. ENDLESS TEST


22/30

The days of the doctorwho detects disease in thepatient appearance, gait

and pulse are almostgone.


23/30

8. SECONDARY INFECTION


24/30

Infection spread from hospital

is rampant in the country.


25/30

9. BAD HANDWRITING


26/30

The risk of getting a similar-sounding but

wrong drugs is far too real.

Arkamine for Artamine

Isoprine for isoptine

Digene for Digoxine


27/30

10. DRUG DEPENDENCY


28/30

.

Sleeping pills and Anti depressantsare heavily over-prescribed across

the country.

Alprazolam in perticular.


29/30

So, please take care and do n0tcommit any one of them.

MORAL

FAIR PRACTICE


30/30

Thank you

10 Most Common Medical Mistakes

Documents