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Doctors’ poor handwriting may be an old joke, but the latest report from the United States Pharmacopeia (USP) shows that scrawl is no laughing matter.
That represented 3 percent of the total number of medication errors reported voluntarily that year to the USP. About 10 perfect of medication errors each year can be attributed to factors related to nursing shortages.
Physicians’ use of abbreviations in prescriptions caused another 7,400 medication errors in 2003. These trends are important, explains Diane Cousins, RPh, vice president of the USP’s Center for the Advancement of Patient Safety, because physicians often want to see evidence of a problem before they are willing to consider making a change in how they practice.
These trends have been compiled and analyzed in the “Medmarx 5th Anniversary Data Report,” which was released in December. There were 24 patient deaths associated with a medication error reported to the USP in 2003.
Just as importantly, the percentage of errors that were made but caught and fixed before they reached patients has jumped dramatically over the past five years. By focusing on near misses, she adds, health care organizations can design and reinforce existing safety nets—or create new ones. Another interesting statistic: Over the years, the percentage of errors that can be tracked back to the prescription-writing process has jumped from 11 percent to 23 percent. Despite those concerns, the number of facilities reporting medication errors to the USP over the last five years has skyrocketed from 54 to 580. And while she acknowledges that medication errors are still underreported, she says that the USP is “learning a lot from the records we are able to pull together each year for this study. Only about half of the time, in fact, do staff who made the error hear about the problem, and that type of notification—not any kind of broader system change—is the most common action taken after an error is found. Nonetheless, she says, there were more reports of hospitals instituting “systems changes” in 2003 than in previous years. For instance, patients and caregivers were informed of an error more often (5.5 percent) in 2003 than in the preceding years (4 percent). Finally, the most common types of medication errors have remained steady over the last five years, with improper dose and omission both being reported about a quarter of the time. A list of the abbreviations considered “dangerous” by the Joint Commission on Accreditation of Healthcare Organizations is online.
You no who you aer: the person who thinks its her job too catch every typo or gramatical errur? This behavior is partly the result of personality traits that influence how people react to written errors, according University of Michigan linguistics experts. Extroverted people are likely to overlook typos and grammatical errors that would cause introverted people to judge the person who makes such errors more negatively.


At the end of the experiment, participants were asked if they noticed any grammatical errors in the responses.
As expected, participants who reported grammar being important at the beginning of the experiment were more likely to be bothered by grammatical errors at the end, said study co-author Robin Queen, the Arthur F. In addition, less agreeable people are more sensitive to grammatical errors, while more conscientious and less open people are sensitive to typos, the researchers said.
Right-wing media have responded to the Supreme Court's decision that the Affordable Care Act is constitutional by claiming the act's revenue-generating provisions will be the "biggest tax hike in the history of the universe." But those provisions are significantly smaller than many previous revenue-enhancement acts and are focused on high-income earners and corporations. Depending on your rounding, that would mean the tax increases resulting from the health care law would be about the size of tax increases proposed and passed in 1980 by President Jimmy Carter, in 1990 by President George H.W. The health care-related tax increases are smaller than the tax increase signed into law by President Ronald Reagan in 1982 and a temporary tax signed into law in 1968 by President Lyndon B. Let's be fair: When Republicans talk about ACA's tax increases, most of them are talking about all the taxes in the bill, not just the penalty.
Our research section features in-depth media analysis, original reports illustrating skewed or inadequate coverage of important issues, thorough debunking of conservative falsehoods that find their way into coverage and other special projects from Media Matters' research department.
Right-Wing Media Attempt To Hide Trump’s Attacks On Family Of Fallen Soldier With Bogus Benghazi ComparisonRight-wing media criticized the coverage Khizr Khan’s speech at the Democratic National Convention, comparing it to the lack of coverage  given to Patricia Smith’s speech at the Republican National Convention. More than 6,000 times in 2003, in fact, medication errors were due, at least in part, to illegible or unclear handwriting.
Such “dangerous” abbreviations, which were misinterpreted by pharmacists, nurses and patients, accounted for 4 percent of medication errors in that year, a number that has increased over the last five years. The USP has been collecting data on medication errors since 1998, and its most recent report includes analysis of more than 235,000 medication errors.
The drugs most likely to cause harm or death when errors occurred and failed to be intercepted are opioid analgesics, anticoagulants and types of insulin. While the technology can help reduce errors, data from the USP shows that CPOE may need its own set of safety nets, because incomplete patient names, drug doses and laboratory test results are all making their way into systems and are contributing to drug errors. At the same time, the percentage of errors originating in the administering phase has decreased from 40 percent to 31 percent. Cousins cautions against reading too much into these data, noting that they may reflect a change in the definition of medication errors.
Cousins says that the USP is heartened by the fact that so many more health care organizations have decided that reporting medication errors outweighs any potential cost. Perhaps even more encouragingly, the number of reports coming from those organizations has increased at a much greater pace. Cousins says, they would follow up after identifying a medication error by making changes in various processes and systems. Between 10 percent and 13 percent of medication errors each year can be attributed to factors Ms.


Cousins says the data show that while errors of omission happen most frequently, the types of errors that are most likely to end up causing patient harm are mistakes related to “wrong administration technique.” An example is crushing a sustained release tablet or pushing a medication rapidly that is supposed to be given over a minimum of an hour. They rated the email writers in terms of perceived intelligence, friendliness and other attributes, as well as provided information about themselves.
The post pointed out that although the law does generate revenue, the amount is significantly smaller than previous revenue-generating provisions passed in other administrations.
But Republican presidential nominee Donald Trump directly attacked Khizr and Ghazala Khan with anti-Muslim and personal attacks, fueling widespread outrage and blacklash.
About 10 percent of all health care institutions nationwide—typically those caring for inpatients—voluntarily and anonymously report errors to the Medmarx database. Cousins notes that more near misses are being intercepted by pharmacists and nurses before they reach patients.
In 2003, in fact, prescribing problems related to CPOE were the fourth leading cause of medication errors.
Until recently, she explains, medication errors were typically viewed as any deviation from a prescriber’s order, because it was generally presumed that orders were correct. Hospitals and other organizations have often worried about the increased malpractice exposure or bad publicity of reporting problems.
The five-year data, for example, show little change in how hospitals react to the news that an error occurred, even one that was caught and fixed before it had a chance to reach and harm a patient. If You're House Is Still Available, Send Me an Email: Personality Influences Reactions to Written Errors in Email Messages, PLOS ONE (2016). And they are significantly smaller than two tax increases passed during World War II and a tax increase passed in 1961. Most of them fall on high earners and corporations, not the middle class, but they're still taxes. They include everything from insufficient, inexperienced, temporary and floating staff to cross coverage and increased workloads.
However, the "biggest tax increase in history" nonsense is crazy, and no news outlet interested in accuracy should let it pass without challenge.
In more than 40 percent of the cases reported to Medmarx, “distractions” were blamed the most for contributing to the error.



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