Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Sociotechnical Aspects: Clinicians and Technology
Lecture:Medical errors
Patient safety
Slide content:Example: Medication Errors Unintended changes in medications occur in 33% of patients at the time of transfer from one unit to another within a hospital 14% of patients have unintended changes in their medications when they are discharged from the hospital More than half of patients have at least one unintended medication discrepancy at hospital admission ( Boockvar , et al., 2004) 15
Slide notes:Medication errors are one example of organizational system and process errors. It has been estimated that unintended changes in medications occur in about one-third of all patients at the time of transfer from one unit of a hospital to another. About fourteen percent of patients have unintended changes in their medications when they are discharged from the hospital, and more than half of all patients have at least one unintended medication discrepancy at hospital admission. Medication errors are therefore an enormous problem. 15