The adverse events Medical errors Injur ies Accidents
The adverse events Medical errors Injuries Accidents
Quiz o Please give me some examples of the adverse events. which could occur in hospitals
Quiz Please give me some examples of the adverse events, which could occur in hospitals
Table B. 1. 2. Some adverse events reported in Australia and the USA [19] Type of adverse event USA Australia ( of 1 579 total events)(% of 175 total events Suicide of inpatient or within 72 hours of discharge 13 Surgery on wrong patient or body site 29 47 Medication error leading to death Rape/assault/homicide in an inpatient setting NA Incompatible blood transfusion 3863 Maternal death(labour, delivery) Infant abduction/wrong- family discharge Retained instrument after surgery 21 Unanticipated death of a full-term infant NA Severe neonatal hyperbilirubinaemia NA Prolonged fluoroscope NA Intravascular gas embolism NA Source: Runciman B, Merry A, Walton M. Safety and ethics in health care: a guide to getting it right, 2007(24 N/A indicates that this category is not on the official list of reportable sentinel events for that country
tw Harmfu/ factors in hospital 1. Hospital profess ional factors (iatrogenic factors) O Technical factors (inadequate profess i onaI competence, Inexper ience operation…) @2 Drug-induced factors: inadequate use of medication
Harmful factors in hospital 1. Hospital professional factors (iatrogenic factors): ① Technical factors (inadequate professional competence, inexperience operation …) ② Drug-induced factors: inadequate use of medication