Medication Errors in Hospitals–-It’s Everyone’s Fault

JAMA Performance Improvement: Do No Harm

English - June 20, 2017 15:00 - 18 minutes - 17.2 MB - ★★★★ - 23 ratings
Medicine Health & Fitness Science medicine jama jamanetwork performanceimprovement Homepage Download Apple Podcasts Google Podcasts Overcast Castro Pocket Casts RSS feed

Previous Episode: Retained Foreign Body From a Sheared Off Lumbar Drain

Next Episode: Avoiding Wrong-Site Surgery

A patient was admitted to the hospital and got three times their normal dose of phenytoin resulting in phenytoin toxicity and a long hospital stay. Analysis of the error revealed problems with hospital organization, supervision issues and having an environment that facilitates errors. Errors don’t occur simply because one clinician makes a mistake—rather they occur because the hospital system fails to prevent them.