Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews

Background and aimImproving health care quality and ensuring patient safety is impossible without addressing medical errors that adversely affect patient outcomes. Therefore, it is essential to correctly estimate the incidence rates and implement the most appropriate solutions to control and reduce...

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Main Authors: Ehsan Ahsani-Estahbanati, Vladimir Sergeevich Gordeev, Leila Doshmangir
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-07-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.875426/full
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author Ehsan Ahsani-Estahbanati
Vladimir Sergeevich Gordeev
Vladimir Sergeevich Gordeev
Leila Doshmangir
Leila Doshmangir
author_facet Ehsan Ahsani-Estahbanati
Vladimir Sergeevich Gordeev
Vladimir Sergeevich Gordeev
Leila Doshmangir
Leila Doshmangir
author_sort Ehsan Ahsani-Estahbanati
collection DOAJ
description Background and aimImproving health care quality and ensuring patient safety is impossible without addressing medical errors that adversely affect patient outcomes. Therefore, it is essential to correctly estimate the incidence rates and implement the most appropriate solutions to control and reduce medical errors. We identified such interventions.MethodsWe conducted a systematic review of systematic reviews by searching four databases (PubMed, Scopus, Ovid Medline, and Embase) until January 2021 to elicit interventions that have the potential to decrease medical errors. Two reviewers independently conducted data extraction and analyses.ResultsSeventysix systematic review papers were included in the study. We identified eight types of interventions based on medical error type classification: overall medical error, medication error, diagnostic error, patients fall, healthcare-associated infections, transfusion and testing errors, surgical error, and patient suicide. Most studies focused on medication error (66%) and were conducted in hospital settings (74%).ConclusionsDespite a plethora of suggested interventions, patient safety has not significantly improved. Therefore, policymakers need to focus more on the implementation considerations of selected interventions.
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spelling doaj.art-63a935517235447db04c71b1812ef3b82022-12-22T02:14:13ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2022-07-01910.3389/fmed.2022.875426875426Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviewsEhsan Ahsani-Estahbanati0Vladimir Sergeevich Gordeev1Vladimir Sergeevich Gordeev2Leila Doshmangir3Leila Doshmangir4Department of Health Policy and Management, Tabriz Health Services Management Research Center, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, IranWolfson Institute of Population Health, Queen Mary University of London, London, United KingdomDepartment of Infectious Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United KingdomDepartment of Health Policy and Management, Tabriz Health Services Management Research Center, Iranian Center of Excellence in Health Management, School of Management and Medical Informatics, Tabriz University of Medical Sciences, Tabriz, IranSocial Determinants of Health Research Center, Tabriz University of Medical Sciences, Tabriz, IranBackground and aimImproving health care quality and ensuring patient safety is impossible without addressing medical errors that adversely affect patient outcomes. Therefore, it is essential to correctly estimate the incidence rates and implement the most appropriate solutions to control and reduce medical errors. We identified such interventions.MethodsWe conducted a systematic review of systematic reviews by searching four databases (PubMed, Scopus, Ovid Medline, and Embase) until January 2021 to elicit interventions that have the potential to decrease medical errors. Two reviewers independently conducted data extraction and analyses.ResultsSeventysix systematic review papers were included in the study. We identified eight types of interventions based on medical error type classification: overall medical error, medication error, diagnostic error, patients fall, healthcare-associated infections, transfusion and testing errors, surgical error, and patient suicide. Most studies focused on medication error (66%) and were conducted in hospital settings (74%).ConclusionsDespite a plethora of suggested interventions, patient safety has not significantly improved. Therefore, policymakers need to focus more on the implementation considerations of selected interventions.https://www.frontiersin.org/articles/10.3389/fmed.2022.875426/fullmedical errorfinancial burdenhospitalinterventionquality of carepublic health
spellingShingle Ehsan Ahsani-Estahbanati
Vladimir Sergeevich Gordeev
Vladimir Sergeevich Gordeev
Leila Doshmangir
Leila Doshmangir
Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews
Frontiers in Medicine
medical error
financial burden
hospital
intervention
quality of care
public health
title Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews
title_full Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews
title_fullStr Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews
title_full_unstemmed Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews
title_short Interventions to reduce the incidence of medical error and its financial burden in health care systems: A systematic review of systematic reviews
title_sort interventions to reduce the incidence of medical error and its financial burden in health care systems a systematic review of systematic reviews
topic medical error
financial burden
hospital
intervention
quality of care
public health
url https://www.frontiersin.org/articles/10.3389/fmed.2022.875426/full
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