See below
On 5/5/06, Ruben Safir <[EMAIL PROTECTED]> wrote:
I was reading this today:
While these numbers are impressive, ....
What numbers? Did you mean to include a link to an article?
they are likely to be a significant
underestimation of the problem. First, the two studies from which the
statistics are extracted are believed to offer conservative figures
because they were limited to injuries of a specified level of harm, they
required a high threshold to determine whether an adverse event was
preventable or negligent, and they included only those errors documented
in patient records.2 Second, these statistics represent errors in
hospitals only. More recently, Barker and colleagues observed a
persistence of the problem in defining 19% of doses administered in
health care facilities to be in error and 7% rated as potentially
harmful.3
20% of the doses is impressive.
Reuben, I am always very skeptical of these studies. Does 20% of all
doses make any sense to you? I have a hard time believing it. A
typical patient may well be on 8 drugs in the hospital, and TID --> 24
doses a day. So 20%=5 erroneous does a day? I bet this is a
statistacal aberration. Or else I am very nieve. Perhaps the bigger
the numbers quoted, the more likely that one will get one's paper
published?
Who was working with he Pharmacy
modules? Was that Kevin? Is there a means for error reporting and
tracking?
I haven't seen anything about error tracking, but I am very focused on
a small part of the pharmacy package right now ... drug
classifications with the VA classes. What a headache! I thought I
was done, and then found 5,000 more drugs in the FDA database that
were completely new to the VA database, so there are no potential
matches that can be used to suggest drug classes for the new drugs.
Also, I have never seen so many drugs that I have never heard of in my
life. All kinds of combination tablets with unfamiliar tradenames....
Kevin
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