60-Second Science

Medical Systems That First Do No Harm

Medical errors are common. Drug-delivery devices that flag nonsensical number entry could prevent a large fraction of hospital-based errors and perhaps deaths. Karen Hopkin reports














Share on Tumblr

Listen to this Podcast

Everyone makes mistakes, especially when it comes to entering numbers into a calculator or spreadsheet. It’s not such a big deal if you’re tracking how much you spend on pizza. But if you’re administering drugs in a hospital, such a slip can be deadly. Now a report in the Journal of the Royal Society Interface [see Harold Thimbleby and Paul Cairns, http://bit.ly/cqcD83] shows how devices can be programmed to catch at least some mistakes on the spot.

Dosing a patient with 10 times too much medication is disturbingly common. One study suggests this error occurs in 1 percent of all hospital admissions. And though the person punching in the numbers is at fault, most drug-delivery devices don’t help.

In one machine, for example, mistakenly entering a number with two decimal points—like 1.2.3—might be read by the machine as 1.23, or as a 123. To prevent such wild guessing, scientists tested a system that immediately flags any input that’s not a real number. According to their analysis, that safeguard alone could cut factor-of-10 errors in half.

Charles Darwin once noted that “to kill an error is as good a service as…establishing a new truth or fact.” Even more so when killing the error keeps you from killing a patient.

—Karen Hopkin

[The above text is an exact transcript of this podcast.]


3 Comments

Add Comment
View
  1. 1. mfb 09:39 AM 4/7/10

    Can you provide the citation for the JRSI report? I can't find it online. Thanks!

    Reply | Report Abuse | Link to this
  2. 2. NatureTM 12:32 PM 4/7/10

    I'm actually a little surprised this hasn't been implemented. It's funny that interactive websites and your cell phone can check for bad data, but drug administering devices and drug accounting systems don't. I'll bet they have systems in place to watch for persons stealing medication.

    Reply | Report Abuse | Link to this
  3. 3. mo98 09:08 AM 4/11/10

    If it's with Aspirin, fine, but registered nurses do charts with controlled substances and the room for errors is much less than 1% for the serious stuff.

    Reply | Report Abuse | Link to this
Leave this field empty

Add a Comment

You must sign in or register as a ScientificAmerican.com member to submit a comment.
Click one of the buttons below to register using an existing Social Account.

More from Scientific American

See what we're tweeting about

Scientific American Editors

More »

Free Newsletters


Get the best from Scientific American in your inbox

  SA Digital
  SA Digital

Science Jobs of the Week

Email this Article

Medical Systems That First Do No Harm

X
Scientific American Magazine

Subscribe Today

Save 66% off the cover price and get a free gift!

Learn More >>

X

Please Log In

Forgot: Password

X

Account Linking

Welcome, . Do you have an existing ScientificAmerican.com account?

Yes, please link my existing account with for quick, secure access.



Forgot Password?

No, I would like to create a new account with my profile information.

Create Account
X

Report Abuse

Are you sure?

X

Institutional Access

It has been identified that the institution you are trying to access this article from has institutional site license access to Scientific American on nature.com. To access this article in its entirety through site license access, click below.

Site license access
X

Error

X

Share this Article

X