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economist sunsuntribune health care saturday may 29 2004 markham stouffville first in gta with new system from page 1 light i have seen improve ment but the improvement isnt with the system its with the patient being more involved in his or her health care dr lim maclean presi dent of markham stouffville hospital isnt surprised by the studys findings either recent studies both out of the us and australia and now here conclude there are a certain number of adverse events that occur in hospitals and we have to take action he said i dont think its a growing concern i think its more reports sharing more infor mation with the public yorks three hospitals markham stouffville york central and southlake regional health centre have all implemented measures to prevent medical errors for example next month markham stouffville will become the first hospital in the greater toronto area to implement smart pump technology the computerized system will be used on patients requiring medications administered by intravenous drip studies have shown 61 per cent of serious and life- threatening medication errors occur with iv medica tions most studies have shown these systems are a lot better in protecting patients than relying simply on human beings said dr maclean adding the hospital has been focusing on improving patient safety for the past three years the hospital has set an ini tial target of reducing intra venous medication errors by 75 per cent with smart pump in 2001 york central implemented a patient safety program called safe medication practices to iden tify errors and near misses mistakes are discussed with out assigning blame to find where the system broke down and prevent similar accidents in the future york central has also improved infection control measures since last years sars outbreak closed the hospital for 20 days thanks to the blamefree approach to the reporting of errors and near misses we have already improved the safety of our medication and sterilization procedures as well as our infectious disease precautions said dr richard schabas chief of staff at york central but despite precautions errors still happen for example york central announced last november more than 250 patients had been tested with an improp erly disinfected nasal scope in january a provincial audit discovered improper infection control procedures were used on two types of equipment in york centrals labour and delivery depart ment hospitals are extremely complex organizations involving large numbers of people equipment and pro cedures dr schabas said that is why patient safety is part and parcel of everything we do here at york central even one preventable death illness or injury is one too many tammy larue spokesper son for southlake regional health centre in newmarket acknowledged medical enors occur at all hospitals there is no hospital or health organization that will be able to say they havent had a serious incident or out come southlake is no excep tion to that 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