There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and punishment when reporting. Organization leaders can implement a just culture that focuses on improving patient care processes and safety rather than placing blame after an adverse event. A tenet of just culture is achieving balanced accountability between systems and individuals. Strategies for just culture implementation include leader support, policies and procedures for reporting, accessibility of reporting systems, provision of information for staff members, identification of support champions, and creation of a good catch program. Leaders also should measure and track progress associated with the just culture in their facility.
ECRI and the Institute for Safe Medication Practices have released findings from a survey of 200 pharmacists and pharmacy technicians, procurement specialists, physicians, and nurses on shortages of medications and medical supplies and equipment and their effect on patient care; 86% of the respondents worked in hospitals. Overall, 60% of the respondents reported shortages of more than 20 medications, disposable supplies, and medical devices in the previous six months. They also reported that these shortages have affected the quality of care they provide related to surgery and anesthesia (74%), emergency care (64%), pain management (52%), cardiology (45%), hematology and oncology (44%), infectious diseases (39%), and obstetrics and gynecology (37%). Fifty percent of respondents indicated that the shortages have canceled or postponed treatment (eg, surgery) for patients, 33% indicated that they could not provide care with optimal medications or treatments (eg, administering more opioid anelgesia because of lidocaine shortages), and 25% indicated that at least one error has occurred as a result of a shortage.
Read more: https://www.ecri.org/press/medication-supply-equipment-shortages-are-harming-patients
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