According to a 2019 report, medical errors are preventable in 50% of cases. And these mistakes should not be confused with intentional mistakes. 1/3 of medical errors are drug-related. To avoid them, it would be enough to have a double verification of the dosages and that the preparation is made in central pharmacy as well as to combat the interruption of tasks during the preparation. It would also be wise for the patient to have a medication report at various stages of their care pathway.
Most are due to surgical or invasive procedures.
The third cause is the one that should be the easiest to deal with, and that is hygiene. Although today, fortunately, we are no longer in the time of Ignace Philippe Semmelweis and the many deaths of pregnant women, there is still a problem of disinfection of professionals, equipment and premises.
A little, more than half of these events occurred at night, on a holiday or on the weekend.
France has been equipped for 15 years with many tools for reporting adverse events related to care. EIAS is the term that was created to take into account all the risks faced by patients and define a satisfactory methodology (somewhat curious word) to analyze them.
EIGS is used for serious adverse events following care, but risk prevention in medicine is still ineffective. To this 2 reasons: not only does it imply a profound change of mentality, culture or habit as we could see for asepsis, but then you have to spend a minimum amount of time that the teams, or more particularly managers don't always want to exempt.
Some professionals have the illusion of being infallible, but in this profession, as everywhere else, human errors are frequent with preventable incidents. I remember this famous surgeon in Nantes, who, during an audit on the certification of risks, spent his time during the entire operation to be offended by this control. However, when counting the compresses after the surgery, his face went through all the colors when he missed one! Fortunately, this time, nothing serious happened, the missing compress was not inside the patient, but it was glued to the protective arch. It is unfortunately part of human nature to see the faults of others, but never his own. Which motorist will recognize that he forgets to put on his blinker or others? For many people, it is very painful to admit that one could be wrong.
The person or team who admits to having made a mistake must not be condemned, punished, reprimanded and considered vulnerable. This would lead inevitably hide a future accident and prevent any discussion of the causes and origins of the error.
The main individual factors are: fatigue, stress, difficulty memorizing many data, managing emotions, personal worries, hunger and oversized ego. The main team factors are: the work of people who are not accustomed to working together, the problem of new coaching in lack of experience, pressures related to productivity, and therefore to time, and sometimes being overwhelmed by certain events such as COVID.
The certification is valid for 5 years. This point is very important because, as soon as the health establishment has been followed and obtained its sesame for 5 years, it's the "party".
A 2013 survey of city medical care found that patients or those around them identified 1/3 of the errors.
But, many patients do not dare to report a problem, for fear of reprisals (fear of being treated less well afterwards) or out of kindness, not wanting to disturb the caregivers. It must be acknowledged that some “lizards” still regret the time when patients only wisely and passively underwent appropriate or inappropriate care without daring to ask for any explanation.
3 million adverse events occur each year during hospitalization and are associated with the care patients receive. 1.3 million should not take place.