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14 - Conclusions

Published online by Cambridge University Press:  09 April 2021

Alan Merry
Affiliation:
University of Auckland
Joyce Wahr
Affiliation:
University of Minnesota
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Summary

We have presented many facts, exhortations, editorials, and regulatory efforts about medication safety. We begin this conclusion and call to arms by recalling all of the very real patients who have died or suffered from medicaiton harm, and whose families grieve their loss everyday. At times the enormity of the data, theories and regulations obscure that patients every day suffer and die due to medication failures. As we move forward with efforts to change the face of medication safety, we must remember always why these efforts are important. It should be very clear to any reader that we (neither “we” the authors or “we” in the more general sense), do not know all the answers to the challenge of improving medication safety in anesthesia and perioperative medicine. However, it should also be clear now to do nothing is unacceptable. Furthermore, it should also be clear that the situation is far from hopeless – there is a great deal that can be done. Thus, the imperative is to act, not just as individual practitioners but collectively, within and beyond institutional boundary's, in a coordinated, committed and sustained manner.

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Chapter
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Publisher: Cambridge University Press
Print publication year: 2021

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References

Donaldson, LJ, Kelley, ET, Dhingra-Kumar, N, Kieny, MP, Sheikh, A. Medication without harm: WHO’s third global patient safety challenge. Lancet. 2017;389(10080):16801.Google Scholar
WHO Global Patient Safety Challenge: Medication Without Harm. Geneva: World Health Organization; 2017. Available from: https://www.who.int/patientsafety/medication-safety/medication-without-harm-brochure/en/. Accessed January 18, 2020.Google Scholar
Leveson, N. Engineering a Safer World: Systems Thinking Applied to Safety. Cambridge, MA: MIT Press; 2011.Google Scholar
World Health Organization. WHO Launches Global Effort to Halve Medication-Related Errors in 5 Years. Geneva: World Health Organisation; 2017. Accessed January 18, 2020. https://www.who.int/mediacentre/news/releases/2017/medication-related-errors/en/Google Scholar
Health Quality and Safety Commission New Zealand. Haumaru rongoā – Medication Safety. Wellington: Health Quality and Safety Commission; 2019. Accessed January 18, 2020. https://www.hqsc.govt.nz/our-programmes/medication-safety/Google Scholar
Khodambashi, S, Haugland, D, Ellingsberg, A, et al. An experimental comparison of a co-design visualizing personal drug information and patient information leaflets: Usability aspects. Stud Health Technol Inform. 2017;245:74852Google Scholar

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  • Conclusions
  • Alan Merry, University of Auckland, Joyce Wahr, University of Minnesota
  • Book: Medication Safety during Anesthesia and the Perioperative Period
  • Online publication: 09 April 2021
  • Chapter DOI: https://doi.org/10.1017/9781108151702.014
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  • Conclusions
  • Alan Merry, University of Auckland, Joyce Wahr, University of Minnesota
  • Book: Medication Safety during Anesthesia and the Perioperative Period
  • Online publication: 09 April 2021
  • Chapter DOI: https://doi.org/10.1017/9781108151702.014
Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • Conclusions
  • Alan Merry, University of Auckland, Joyce Wahr, University of Minnesota
  • Book: Medication Safety during Anesthesia and the Perioperative Period
  • Online publication: 09 April 2021
  • Chapter DOI: https://doi.org/10.1017/9781108151702.014
Available formats
×