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[Responsibility due to medication errors in France: a study based on SHAM insurance data]
A Theissen1, J-C Orban2, F Fuz3
1Service d'anesthésie réanimation, centre hospitalier Princesse Grace, avenue Pasteur, 98000 Monaco, Monaco.
Annales Pharmaceutiques Francaises
|March 10, 2015
Summary
Medication errors declared to SHAM insurances, a major French insurer, were analyzed. While drug supply chain errors are rare, they carry serious consequences, highlighting the need for improved risk management in healthcare.
Area of Science:
- Healthcare quality and safety
- Medical liability and risk management
- Pharmaceutical sciences
Background:
- Medication practices in hospitals present significant public health challenges.
- The drug supply chain is intricate and prone to errors impacting patient safety.
- SHAM, a leading French medical liability insurer, offers valuable data on healthcare complications.
Purpose of the Study:
- To investigate the types and causes of medication errors reported to SHAM that resulted in legal convictions.
- To analyze medication errors and their outcomes over a six-year period using insurance claim data.
Main Methods:
- Retrospective analysis of insurance claims submitted to SHAM between 2005 and 2010.
- Focus on claims involving medication errors that led to court convictions.
- Examination of 31 distinct cases, categorizing error types, causes, and consequences.
Main Results:
- Serious outcomes were frequent, including 12 deaths and 14 severe complications.
- Common medication errors included drug monitoring (11 cases), overdose (6 cases), and administration errors (5 cases).
- Organizational, medical, and nursing practice errors were primary causes, with only one case linked to the hospital pharmacy.
Conclusions:
- Claims related to the drug supply chain, though infrequent, pose significant risks.
- Findings underscore the importance of robust quality improvement and risk management strategies in healthcare settings.
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