Book contents
- Medication Safety during Anesthesia and the Perioperative Period
- Medication Safety during Anesthesia and the Perioperative Period
- Copyright page
- Dedication
- The Snow Vaporizer, Mark II
- Contents
- Foreword
- Acknowledgments
- 1 Introduction to Medication Safety in Anesthesia and the Perioperative Period
- 2 Failures in Medication Safety during Anesthesia and the Perioperative Period
- 3 Failures in Medication Safety in the Intensive Care Unit and Ward
- 4 Impact of Medication Errors on the Patient and Family
- 5 Consequences for the Practitioner
- 6 Why Failures Occur in the Safe Management of Medications
- 7 Errors in the Context of the Perioperative Administration of Medications
- 8 Violations and Medication Safety
- 9 Interventions to Improve Medication Safety
- 10 Medication Safety in Special Contexts
- 11 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part I: General Principles
- 12 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part II: Practical Examples
- 13 Barriers to Improving Medication Safety
- 14 Conclusions
- Index
- References
5 - Consequences for the Practitioner
Published online by Cambridge University Press: 09 April 2021
Book contents
- Medication Safety during Anesthesia and the Perioperative Period
- Medication Safety during Anesthesia and the Perioperative Period
- Copyright page
- Dedication
- The Snow Vaporizer, Mark II
- Contents
- Foreword
- Acknowledgments
- 1 Introduction to Medication Safety in Anesthesia and the Perioperative Period
- 2 Failures in Medication Safety during Anesthesia and the Perioperative Period
- 3 Failures in Medication Safety in the Intensive Care Unit and Ward
- 4 Impact of Medication Errors on the Patient and Family
- 5 Consequences for the Practitioner
- 6 Why Failures Occur in the Safe Management of Medications
- 7 Errors in the Context of the Perioperative Administration of Medications
- 8 Violations and Medication Safety
- 9 Interventions to Improve Medication Safety
- 10 Medication Safety in Special Contexts
- 11 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part I: General Principles
- 12 Legal and Regulatory Responses to Avoidable Adverse Medication Events, Part II: Practical Examples
- 13 Barriers to Improving Medication Safety
- 14 Conclusions
- Index
- References
Summary
Some adverse medication events will occur, including some that were preventable. These events may have serious consequences for the practitioners and it seems sensible to provide support for these clinicians. The term “second victim” has been used, but its use tends to absolve the clinician of any responsibility and equates the suffering of the clinician who erred with the suffering of the patient and their loved ones. An appropriate response to avoidable harm should include emotional support for the clinician. While some programs exist, very few institutions currently provide this type of support. An institutional willingness to relieve staff from clinical duties when the emotional response to an adverse event might create an ongoing risk to patients is also important. Support needs to be offered within a just culture whose ultimate goal is to improve patient safety: practitioners should be expected to engage actively. There is potential restorative and therapeutic value of learning from adverse events and continuously improving medication safety. It may be that we do need some resilience to the “heat of the kitchen”, but it is also important to keep that heat as low as possible. Reducing the likelihood of harm to patients is the best support that can be provided.
Keywords
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- Information
- Publisher: Cambridge University PressPrint publication year: 2021
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