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Medical Product Safety Progress Review

An overview of the current progress in medical product safety, including statistics on adverse medical events and deaths, as well as objectives and initiatives for improving patient safety.

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Medical Product Safety Progress Review

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  1. Focus Area 17:Medical Product SafetyProgress Review November 5, 2003

  2. Health Care Quality Framework Source: 2001 Institute of Medicine Report, Envisioning the National Health Care Quality.

  3. Estimated Annual Burden • Adverse Medical Events • 44,000 to 98,000 deaths • Total national cost: $36.7 to $50 billion • Adverse Drug Events (ADE) • 7,000 deaths due to medication error • 2 out of 100 admissions experience preventable ADE • Average increased hospital cost of preventable ADE: $4,700 per admission or $ 2 billion nationwide Source: 1999 Institute of Medicine report, To Err Is Human Building a Safer Health System.

  4. Leading Causes of Death: 2001 Total Number of Deaths: 2,416,425 1. Heart disease 700,142 2. Malignant neoplasm 553,768 3. Cerebrovascular 163,538 123,013 4. Chronic lower respiratory 101,537 5. Unintentional injury Adverse medical events (estimated): 44,000 – 98,000 * 71,372 6. Diabetes 62,034 7. Influenza and pneumonia 53,852 8. Alzheimer’s disease 39,480 9. Nephritis 32,238 10. Septicemia * Institute of Medicine report estimate. Source: CDC, NCHS, National Vital Statistics System.

  5. Number of Emergency Department Visits for Adverse Effects of Medical Treatment Number of visits (thousands) 1994 2001 1996 1992 1998 2000 Note: Data for 1994-2000 are 2-year averages. Source: CDC, NCHS, National Hospital Ambulatory Medical Care Survey.

  6. Medical Product Safety Objectives 17-1* Monitoring of adverse medical events: a. associated with medical therapies b. associated with medical devices 17-2* Linked, automatedinformation systems used: a. by health care professionals in hospitals and integrated health systems b. by pharmacists and other dispensers 17-3* Provider review of medication taken by patients 17-4* Receipt of useful information about prescription from pharmacies 17-5 Receipt of oral counseling about medication from: a. prescribers b. dispensers 17-6 Blood donation *Developmental objectives; those in redhave new baselines; those in grey have no baselines.

  7. Adverse Drug Events Administering -Administer right medication to patient -Administer medication when indicated -Inform patient about medication -Include patient in administration Prescribing -Diagnostic / Therapeutic decisions made -Medication ordered -Order verified and submitted -Obtain medication-related history -Document medication history Dispensing -Review order -Process order -Compound/ Prepare drug Monitoring Program

  8. Hospitals with Monitoring Programs for Adverse Medical Drug Events Percent of children’s and general medical surgical hospitals 81.6 77.4 1998 2001 Source: American Society of Health Systems Pharmacists, National Survey of Pharmacy Practice in Acute Care Settings,. Obj. 17-1a: Developmental

  9. Electronic Medical Record Use by Health Care Providers Percent of health care organizations 2000 2002 2001 2003 Obj. 17-2a: Developmental Source: Health Information and Management Society, Annual HIMSS Leadership Survey.

  10. Electronic Medical Record Use by Pharmacists Percent of managed care and integrated health systems 33 31 1999 2001 Obj. 17-2a: Developmental Source: American Society of Health Systems Pharmacists, National Survey of Ambulatory Care Responsibilities of Pharmacists in Managed Care and Integrated Systems.

  11. Computerized Prescriber Order Entry System Utilization: 2001 Percent of children’s and general medical surgical hospitals Total 50-99 Less than 50 200-299 100-199 400 or more 300-399 Number of beds Source: American Society of Health Systems Pharmacists, National Survey of Pharmacy Practice in Hospital Settings. Obj. 17-2b: Developmental

  12. Receipt of Useful Information about Prescriptions from Pharmacies Percent of patients 74 74 1998 2001 Note: 1998 data based on pilot study results. Obj. 17-4: Developmental Source: FDA, National Survey of Prescription Drug Information Provided to Patients.

  13. Receipt of Oral Counseling from Prescribers and Pharmacists Percent of patients 1998 2000 100 2010 Target 90 30 24 24 20 14 12 10 0 Prescribers Pharmacists Obj. 17-5 Source: FDA, National Survey of Prescription Medicine Information Received by Consumers .

  14. Blood Donations, Adults 18 Years and Over: 1998 – 2001 Percent 2010 Target Total 2001 1998 1999 2000 Obj. 17-6 Source: CDC, NCHS, National Health Interview Survey.

  15. Blood Donations by Age Group: 2001 Percent 2010 Target 65+ 18-24 25-44 45-64 Obj. 17-6 Source: CDC, NCHS, National Health Interview Survey.

  16. Blood Donations, Adults 18 Years and Over by Race/Ethnicity and Education: 2001 Percent (age-adjusted) 10 2010 Target 8 6 4 2 0 Male Female Asian Hispanic Total Black Less than high school White High school graduate At least some college Note: Asian includes Pacific Islander; Black and White exclude persons of Hispanic origin. Persons of Hispanic origin may be any race. Data are age adjusted to the 2000 standard population. Education data are for persons ages 25-64 years. I = 95% confidence interval. Obj. 17-6 Source: CDC, NCHS, National Health Interview Survey.

  17. Progress review data and slides can be found on the web at: http://www.cdc.gov/nchs/hphome.htm

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