Title Medication safety during anesthesia and the perioperative period / Alan Merry, Joyce Wahr

Published Cambridge, United Kingdom ; New York, NY : Cambridge University Press, 2021 ©2021

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Description 1 online resource (xiii, 288 pages) : illustrations Contents Introduction to Medication Safety in Anesthesia and the Perioperative Period -- Frequency and Nature of Failures in Medication Safety During Anesthesia and the Perioperative Period -- Frequency and Nature of Failures in Medication Safety in the Intensive Care Unit and Ward -- Impact of Medication Errors on the Patient and Family : Managing the Aftermath -- Consequences for the Practitioner -- Why Failures Occur in the Safe Management of Medications -- Errors in the Context of the Perioperative Administration of Medications -- Violations and Medication Safety Interventions to Improve Medication Safety -- Medication Safety in Special Contexts -- Legal and Regulatory Responses to Avoidable Adverse Medication Events in Anesthesia and the Perioperative Period. Part I: General Principles -- Appropriate Legal and Regulatory Responses to Avoidable Adverse Medication Events in Anesthesia and the Perioperative Period. Part II: Practical Examples -- Barriers to Improving Medication Safety : Why is Patient Safety So Hard? -- Conclusions Summary "Medication errors are the most common of all medical errors and pose a tremendous emotional and physical cost to patients and economic burden to our health system. The most reliable estimates of medication error in anesthesia place the rate at 1-2 in every 10 administrations, or 1 in every anesthetic. Most of the errors are harmless but other wreak devastation. These errors are a failure to plan well, or to carry out a well-designed plan; less talked about but perhaps more important are routine violations of best practices. Errors arise through fast and slow thinking; violations arise from a myriad of causes. There is an extensive body of expert consensus on how to improve medication safety, starting with an institutional commitment to improving medication safety, and ending with an individual practitioner committing to doing the right thing every time. Technical solutions, pharmacy solutions, standardization, and a safety culture are major themes in medication safety. Despite knowledge of what would make us safer, economic costs, a perceived lack of urgency, human resistance to change all conspire to medication safety difficult to achieve. Low-income countries face particular challenges in medication safety. Despite these challenges, we must dedicate ourselves anew to this goal - our patients deserve no less"-- Provided by publisher Bibliography Includes bibliographical references and index Notes Description based on online resource; title from digital title page (viewed on April 22, 2021) Subject Anesthetics -- Side effects. Medication errors. Anesthesia. Anesthesia -- Complications. Anesthetics -- adverse effects Medication Errors -- prevention & control Anesthesia -- methods Anesthesia -- adverse effects Perioperative Period Medication Errors Anesthesia -- Complications Anesthesia Anesthetics -- Side effects Medication errors Form Electronic book Author Wahr, Joyce, 1952- author. LC no. 2020026695 ISBN 9781108151702 1108151701

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