The Institute of
Medicine's Quality Chasm series examines the mortality from avoidable medical errors and came up with between 40,000 and 98,000 annually in the US. HealthGrades estimates that it is double: 195,000 deaths.
Forbes:
In any given year, between 40,000 and 98,000
people die from preventable medical errors [and a newer study estimates up to 200,000 Americans]. These mistakes account for
as much as $38 billion in direct health care costs due to repeat tests,
disability and death. And that's not even considering further costs
arising from lawsuits and malpractice insurance. Incorrectly administered medicine is one of the
most common errors. According to a recent study by researchers at
Auburn University in Alabama, patients in the hospital may get the wrong
drug 20% of the time.
Due to confusing names, similar packaging and
complicated procedures, a handful of drugs are responsible for a
surprisingly large share of the errors.... According to [MedMarx], five drugs were responsible for a quarter of all harmful [drug] errors...
|
Generic Name | Possible Complications | Indication | Percent Of Reported Errors |
Insulin | Coma, death | Diabetes | 9.2% |
Morphine | Unconsciousness, death | Pain | 6 |
Heparin | Bleeding, rashes, death | Blood thinner | 5.5 |
Warfarin (Coumadin) | Bleeding, stroke, death | Blood thinner | 3.8 |
Potassium Chloride | Stopped heart, death | Heart disease | 2.2 |
|
Sources: U.S. Pharmacopeia MedMarx, Forbes |
The solution? Moving medicine into the digital age might be the best hope for reducing drug errors.
This article was from 2003, but surprisingly little has changed and we still have worse electronic medical records than most developed countries.
Interns are routinely kept awake for 24hr shifts
which also
leads to
deaths. There is no medical or educational rationale for making the least experienced doctors work while fatigued and sleep deprived. Doctors
rarely even wash their hands in between touching different infectious patients and avoidable infections kill another 100,000 Americans. You would think that malpractice cases would be enough to get doctors to make common-sense changes, but it is not.
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