medical errors driving the need to build a safer health system

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Medical Errors Driving the Need to Build a Safer Health System Sowmya Rajagopalan, Senior Research Analyst Healthcare August 24, 2010 Frost & Sullivan’s Growth Consulting can assist with your growth strategies

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It is estimated that 8-12% of the patients admitted in hospitals suffer from adverse events while receiving health care. This presentation describes the different reasons for medical errors and global preventation initiatives.

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Page 1: Medical Errors Driving the Need to Build a Safer Health System

Medical Errors Driving the Need to Build a Safer Health System

Sowmya Rajagopalan, Senior Research Analyst

Healthcare

August 24, 2010

Frost & Sullivan’s Growth Consulting can assist with your growth strategies

Page 2: Medical Errors Driving the Need to Build a Safer Health System

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Today’s Presenter

Sowmya Rajagopalan, Senior Research Analyst

Frost & Sullivan

Page 3: Medical Errors Driving the Need to Build a Safer Health System

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Table Of Contents

Medical Errors -Introduction

Hospital Acquired Infection (HAI) –Trends

Prevalence of HAI in Europe

Medication Errors

Surgical Errors

Medical Device Failures

Statistics on Patient Safety

Reasons for Medical Errors and Global Prevention Initiatives

About Frost & Sullivan

Page 4: Medical Errors Driving the Need to Build a Safer Health System

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Medical Errors -Introduction

� It is estimated that 8-12% of the patients admitted in hospitals suffer from adverse events while receiving health care.

� Adverse events include

– Healthcare associated infections

– Medication related errors

– Surgical errors

– Medical device failures

– Errors in diagnosis

– Failure to act on results of tests

Adverse events are medical errors

caused during the treatment

procedures that are harmful.

Medical Errors are errors caused during

the treatment procedures which are not harmful.

Page 5: Medical Errors Driving the Need to Build a Safer Health System

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Hospital Acquired Infection (HAI) -Trends

Healthcare Associated Infections: Percentage Split by

Type, (Europe), 2008

�Biggest and most threatening form of Adverse Event in healthcare.

�According to studies conducted by ECDC in 2008:

�The average prevalence of Healthcare associated Infections in Europe was 7.1%.

�There were approximately 4,131, 000 affected patients.

�Healthcare associated infection lead to 16 million extra days of hospital stay in Europe.

�Mortality due to Healthcare associated infection was high and almost attributed to 37 000 deaths (and contribution to an additional 110 000).

�The impact of healthcare associated infection on the economy was high as well. It accounted for about Euro 7 billion per year (including direct costs only).

9.9%25.4%

11.0%

23.8%

23.5%6.4%

SkinLower Respiratory TractSurgical WoundUrinary TractBloodOther

Page 6: Medical Errors Driving the Need to Build a Safer Health System

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Prevalence of HAI in Europe

Source: ECDC, 2008

U.K 9.0 %

France 6.6%

Italy 4.9%

Norway 6.8 %

Slovenia 4.6%

Switzerland 8.1%

Greece 9.3%

Scotland 9.5%

Average in Europe: 7.1%

Slovenia 4.6%

Page 7: Medical Errors Driving the Need to Build a Safer Health System

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Medication Errors

�Second highest in terms of medical error incidence.

�5% of all hospital admissions are due to an adverse drug reaction (ADR)

�ADR is the fifth most common cause of hospital death

�197,000 deaths per year in the EU are caused by ADR.

�The possible errors due to medication are

� Multiple formulations of the same drug leading to confusion

� Confusion caused by packaging and labelling;

� Dosing errors

� Drug administration errors

� Errors in preparing medicines

�Medication errors account for 11% of hospital admissions in the U.K.

� There is an extra annual expenditure of £1.1bn on drug related adverse events, up to 70% of which are preventable.

�The recently created National Patient Safety Agency (NPSA) has been tasked to reduce medication errors by 40%.

Page 8: Medical Errors Driving the Need to Build a Safer Health System

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Surgical Errors

� Surgical Errors are errors caused either during surgery or immediately after

surgery.

� Patients injured as a result of operation are 7 times more likely to die while

hospitalized and are likely to be readmitted to hospital within 3 months of

being discharged.

� According to the NHS National Patient Safety Agency, in 2007 there were

129,000 reported surgical errors, which resulted in severe harm to more

than 1,000 patients and the deaths of 271.

� 1 of every 10 patients who died within 90 days of surgery did so because of

a preventable error.

� Types of Surgical Errors

Anesthesia errors Medication errors

Surgical fire Wrong site surgery

Unnecessary surgery Injury during surgery

Page 9: Medical Errors Driving the Need to Build a Safer Health System

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Medical Device Failures

� Medical Device Failure accounts for 13 % of all type of adverse events and

is the 3rd largest category.

� Device Failure Types

� 1. Product Defects

� Design defect Manufacturing defect

� 2. Misuse/abuse

Greater loads than expected, finite shelf life, poor healing,

maintenance, adherence to instructions for use (IFU) – hospital,

surgeon, technician

� Among major causes of medical mistakes there are: 15-20% mechanical

failure and 60-80% human error

� 80,000 to 85,000 reports on device problems annually

Page 10: Medical Errors Driving the Need to Build a Safer Health System

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Statistics on Patient Safety

� A survey on Medical Errors showed:

– 23% of European Union citizens claim to have been directly affected by medical error,

– 18% claim to have experienced a serious medical error in a hospital

– 11% to have been prescribed wrong medication.

� Evidence on medical errors shows that 50% to 70.2% of such harm can be

prevented through comprehensive systematic approaches to patient safety

� Strategies to reduce the rate of adverse events in the European Union alone

would lead to the prevention of more than 750 000 harm-inflicting medical

errors per year, leading in turn to over 3.2 million fewer days of

hospitalization, 260 000 fewer incidents of permanent disability, and 95 000

fewer deaths per year.

Page 11: Medical Errors Driving the Need to Build a Safer Health System

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Reasons for Medical Errors and Global Prevention Initiatives

� A survey conducted amongst surgeons revealed that lack of enough

resources( surgeons, nursing staff), exhaustions and packaging errors,

irregularity in following necessary procedures of prescriptions, lack of

proper communication cause these errors that can cost an individual his life.

� Global Initiatives by WHO: In May 2009, a list of 50 global priority areas for

patient safety research was compiled by WHO Patient Safety

� Areas of Prime importance:

– Maternal and new born care

– Hospital acquired Infection

– Coordination and communication

– Unsafe injection practices

– Unsafe blood products

– Adverse drug events

The world is tomorrow is expected to become safe for Patients.

Page 12: Medical Errors Driving the Need to Build a Safer Health System

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Next Steps

� Request a proposal for a Growth Partnership Service or Growth Consulting Service to support you and your team to accelerate the growth of your company.

([email protected]) +44 (0)20 7343 8383

� Join us at our annual Growth, Innovation and Leadership 2011: A Frost & Sullivan Global Congress on Corporate Growth (www.gil-global.com)

� Register for the next Chairman’s Series on Growth:

The “GIL” Culture: A Critical Element to Long-term Success

25 August 2010 10:00 AM BST (www.frost.com/growthEU)

� Register for Frost & Sullivan’s Growth Opportunity Newsletter and keepabreast of innovative growth opportunities (www.frost.com/news)

Page 13: Medical Errors Driving the Need to Build a Safer Health System

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For Additional Information

Katja Feick

Corporate Communications

Healthcare

0049 (0) 69 7703343

[email protected]

Noel Anderson

European Vice President

New Business Development

+44 (0)207 343 8389

[email protected]

Siddharth Saha

Director of Research

Healthcare

+ 44 (0) 207 343 8374

[email protected]