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Reducing preventable adverse drug events in hospital settings

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dc.contributor.advisor Christopher Caplice. en_US
dc.contributor.author Ramos, Gregg (Gregg Allen) en_US
dc.contributor.other Massachusetts Institute of Technology. Engineering Systems Division. en_US
dc.date.accessioned 2008-02-04T20:47:35Z
dc.date.available 2008-02-04T20:47:35Z
dc.date.copyright 2007 en_US
dc.date.issued 2007 en_US
dc.identifier.uri http://hdl.handle.net/1721.1/40113
dc.description Thesis (M. Eng. in Logistics)--Massachusetts Institute of Technology, Engineering Systems Division, 2007. en_US
dc.description Includes bibliographical references (leaves 51-53). en_US
dc.description.abstract It has been estimated that on average, every patient admitted to a hospital is subject to at least one medication error per day (IOM, 2006). Errors may occur during various stages of the Medication Use System; a system composed of various tasks performed from the point of prescribing medication to the point in which a patient is monitored for adverse effects. Studies have shown that a majority of the errors that occur during the Medication Use System have little if any adverse effect on patients. However, there are classes of medication errors known as Adverse Drug Events (ADE's) which can cause significant harm to a patient. ADE's are not only dangerous but they have been estimated to cost the health care industry and the public in excess of $3.5 billion dollars per year (IOM, 2007). While extensive, current literature that exists on preventable ADE's varies greatly in regards how prevalent the issue is. The lack of a nationwide information system for identifying and defining ADE's only exacerbates the problem. In addition, when significant errors do occur, the repercussions for clinicians and hospitals are far from proportional. Several studies suggest that over one quarter of all medication related injuries are preventable (IOM, 2007). en_US
dc.description.abstract (cont.) Many industry observers have long touted computerized information systems as the Holy Grail for reducing medication errors. While there is little question that computerized systems can reduce ADE's, hospitals and clinicians frequently ignore other solutions that can offer greater impact in improving the level of care that is being provided. The health care industry has long been touted as fostering a culture that supports at risk behavior and shuns the use of standardized processes. The lack of transparency into the health care industry coupled with an unwillingness to embrace cultural change continues to be one of the largest barriers in reducing the number of preventable ADE's. This paper recommends 4 different solutions that will change the culture of the health care industry, incent hospitals to focus on reducing preventable ADE's, improve the processes already in place for providing patient care and provide clinicians with the most up to date health care information available. en_US
dc.description.statementofresponsibility by Gregg Ramos. en_US
dc.format.extent 61 leaves en_US
dc.language.iso eng en_US
dc.publisher Massachusetts Institute of Technology en_US
dc.rights M.I.T. theses are protected by copyright. They may be viewed from this source for any purpose, but reproduction or distribution in any format is prohibited without written permission. See provided URL for inquiries about permission. en_US
dc.rights.uri http://dspace.mit.edu/handle/1721.1/7582
dc.subject Engineering Systems Division. en_US
dc.title Reducing preventable adverse drug events in hospital settings en_US
dc.type Thesis en_US
dc.description.degree M.Eng.in Logistics en_US
dc.contributor.department Massachusetts Institute of Technology. Engineering Systems Division. en_US
dc.identifier.oclc 185041598 en_US


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