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Medical Errors Driving the Need to Build a Safer Health System


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It is estimated that 8-12% of the patients admitted in hospitals suffer from
adverse events while receiving health care. This presentation describes the different reasons for medical errors and global preventation initiatives.

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Medical Errors Driving the Need to Build a Safer Health System

  1. 1. Medical Errors Driving the Need to Build a Safer Health System Sowmya Rajagopalan, Senior Research Analyst Healthcare August 24, 2010 Frost & Sullivan’s Growth Consulting can assist with your growth strategies
  2. 2. Today’s Presenter Sowmya Rajagopalan, Senior Research Analyst Frost & Sullivan 2
  3. 3. Table Of Contents Medical Errors -Introduction Hospital Acquired Infection (HAI) –Trends Prevalence of HAI in Europe Medication Errors Surgical Errors Medical Device Failures Statistics on Patient Safety Reasons for Medical Errors and Global Prevention Initiatives About Frost & Sullivan 3
  4. 4. Medical Errors -Introduction Adverse events are Medical Errors are medical errors errors caused during caused during the the treatment treatment procedures which procedures that are are not harmful. harmful. It is estimated that 8-12% of the patients admitted in hospitals suffer from adverse events while receiving health care. Adverse events include – Healthcare associated infections – Medication related errors – Surgical errors – Medical device failures – Errors in diagnosis – Failure to act on results of tests 4
  5. 5. Hospital Acquired Infection (HAI) - Trends Biggest and most threatening form of Adverse Event in healthcare. Healthcare Associated Infections: Percentage Split by According to studies conducted by ECDC in Type, (Europe), 2008 2008: The average prevalence of Healthcare associated Infections in Europe was 7.1%. 25.4% 9.9% 23.8% There were approximately 4,131, 000 affected patients. Healthcare associated infection lead to 16 million extra days of hospital stay in Europe. 6.4% 23.5% 11.0% Mortality due to Healthcare associated Skin Lower Respiratory Tract infection was high and almost attributed to Surgical Wound 37 000 deaths (and contribution to an Urinary Tract additional 110 000). Blood Other The impact of healthcare associated infection on the economy was high as well. It accounted for about Euro 7 billion per year (including direct costs only). 5
  6. 6. Prevalence of HAI in Europe Norway 6.8 % Scotland 9.5% Switzerland 8.1% U.K 9.0 % Slovenia 4.6% France 6.6% Average in Europe: 7.1% Greece 9.3% Italy 4.9% Source: ECDC, 2008 6
  7. 7. Medication Errors Second highest in terms of medical error incidence. 5% of all hospital admissions are due to an adverse drug reaction (ADR) ADR is the fifth most common cause of hospital death 197,000 deaths per year in the EU are caused by ADR. The possible errors due to medication are Multiple formulations of the same drug leading to confusion Confusion caused by packaging and labelling; Dosing errors Drug administration errors Errors in preparing medicines Medication errors account for 11% of hospital admissions in the U.K. There is an extra annual expenditure of £1.1bn on drug related adverse events, up to 70% of which are preventable. The recently created National Patient Safety Agency (NPSA) has been tasked to reduce medication errors by 40%. 7
  8. 8. Surgical Errors Surgical Errors are errors caused either during surgery or immediately after surgery. Patients injured as a result of operation are 7 times more likely to die while hospitalized and are likely to be readmitted to hospital within 3 months of being discharged. According to the NHS National Patient Safety Agency, in 2007 there were 129,000 reported surgical errors, which resulted in severe harm to more than 1,000 patients and the deaths of 271. 1 of every 10 patients who died within 90 days of surgery did so because of a preventable error. Types of Surgical Errors Anesthesia errors Medication errors Surgical fire Wrong site surgery Unnecessary surgery Injury during surgery 8
  9. 9. Medical Device Failures Medical Device Failure accounts for 13 % of all type of adverse events and is the 3rd largest category. Device Failure Types 1. Product Defects Design defect Manufacturing defect 2. Misuse/abuse Greater loads than expected, finite shelf life, poor healing, maintenance, adherence to instructions for use (IFU) – hospital, surgeon, technician Among major causes of medical mistakes there are: 15-20% mechanical failure and 60-80% human error 80,000 to 85,000 reports on device problems annually 9
  10. 10. Statistics on Patient Safety A survey on Medical Errors showed: – 23% of European Union citizens claim to have been directly affected by medical error, – 18% claim to have experienced a serious medical error in a hospital – 11% to have been prescribed wrong medication. Evidence on medical errors shows that 50% to 70.2% of such harm can be prevented through comprehensive systematic approaches to patient safety Strategies to reduce the rate of adverse events in the European Union alone would lead to the prevention of more than 750 000 harm-inflicting medical errors per year, leading in turn to over 3.2 million fewer days of hospitalization, 260 000 fewer incidents of permanent disability, and 95 000 fewer deaths per year. 10
  11. 11. Reasons for Medical Errors and Global Prevention Initiatives A survey conducted amongst surgeons revealed that lack of enough resources( surgeons, nursing staff), exhaustions and packaging errors, irregularity in following necessary procedures of prescriptions, lack of proper communication cause these errors that can cost an individual his life. Global Initiatives by WHO: In May 2009, a list of 50 global priority areas for patient safety research was compiled by WHO Patient Safety Areas of Prime importance: – Maternal and new born care – Hospital acquired Infection – Coordination and communication – Unsafe injection practices – Unsafe blood products – Adverse drug events The world is tomorrow is expected to become safe for Patients. 11
  12. 12. Next Steps Request a proposal for a Growth Partnership Service or Growth Consulting Service to support you and your team to accelerate the growth of your company. ( +44 (0)20 7343 8383 Join us at our annual Growth, Innovation and Leadership 2011: A Frost & Sullivan Global Congress on Corporate Growth ( Register for the next Chairman’s Series on Growth: The “GIL” Culture: A Critical Element to Long-term Success 25 August 2010 10:00 AM BST ( Register for Frost & Sullivan’s Growth Opportunity Newsletter and keep abreast of innovative growth opportunities ( 12
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  15. 15. For Additional Information Katja Feick Noel Anderson Corporate Communications European Vice President Healthcare New Business Development 0049 (0) 69 7703343 +44 (0)207 343 8389 Siddharth Saha Director of Research Healthcare + 44 (0) 207 343 8374 15