NSE 407 Chapter Notes -Organizational Culture, Moveon.Org, Hierarchical Organization
Document Summary
Week 8 - adverse effects and error reporting. 1 out of 13 adult patients admitted to a canadian hospital encounter an adverse event. 1 out of 9 adults will potentially be given the wrong medication or wrong medication dosage. Between 9,000 and 24,000 patients die per year due to adverse events. 24% of preventable adverse events are related to medication error. 1. 1 million added days in hospital and million in extra healthcare spending. 185,000 adverse events per 2. 5 million hospital admissions in canada per year of which close to. More canadians die due adverse events in hospitals than from breast cancer, motor vehicle accidents or aids. Most errors do not result in harm (latent error) Errors of omission (neglecting to do something) are most common. Lucian leape - grandfather of medical error, other quotes: The vast majority of errors in medicine (and elsewhere) are not due to laziness, inattention, or incompetence.