Medication Errors: Prevention Using Information Technology Systems Medication errors are among the most common medical errors, harming and costing millions of patients in the world very year. Prevention of medication errors is, therefore, a high priority worldwide. Nowadays, various information technology (IT) systems are widely used to prevent and reduce medication errors. Computerized physician order entry (CPOE) with patient-specific decision support is one of the most powerful IT systems used by physicians to improve patient safety in various healthcare settings. As an example, application of CPOE systems has significantly reduced errors related to dosing of psychoactive medications. Pharmacy dispensing systems, including drug-dispensing …show more content…
Bar-coded medication administration (BCMA) systems are also commonly used by nurses to improve medication administration in inpatient settings. As an illustration, a study in 2007 showed that BCMA systems reduced medication administration errors by 54-87% in hospitals in the US. It has been reported that a large number of medication errors happens at care transition points, i.e., during admission, transfer and discharge of patients. Thus, medication reconciliation at all transition points could significantly improve medication safety. In fact, preliminary evidences suggest that application of electronic medication reconciliation systems are quite effective in reducing such errors. Additionally, electronic personal health record (EHR) systems can be used to reduce medication errors. These IT systems allow patients to access, coordinate their health information and make it available to their healthcare providers. IT systems are also used to reduce medication errors of omission. As an example, recent studies have demonstrated that smart electronic discharge systems utilized in some hospitals can alert physicians to prescribe important medications.
Medication errors are the leading cause of morbidity and preventable death in hospitals (Adams). In fact, approximately 1.5 million Americans are injured each year as a result of medication errors in hospitals (Foote). Not only are medication errors harmful to patients but medication errors are very expensive for hospitals. Medication errors cost America’s health care system 3.5 billion dollars per year (Foote).Errors in medication administration occurs when one of the five rights of medication administration is omitted. The five rights are: a) the right dose, b) the right medication, c) the right patient, d) the right route of administration, and e) the right time of delivery (Adams). Medication administration is an essential part of
There are many rules and precautions taken to ensure that medication errors do not happen. In nursing school students in the RNs and BSN program are both taught ways to not make medication errors. A study done by Margret Harris, Laura Pittiglio, Sarah Newton, and Gary Moore was done to see if simulation can be used to improve medication administration to reduce medical errors.
After the interview with my nurse manager, I came up with the PICO question which states: “Does the computerized physician order entry (CPOE) system reduce the number of medication errors compared to the common paper system being used today?” This question is important and I selected it because the population that the Belvoir Community hospital serves includes army officers of all ages both active and retired including their spouses and children. This group includes two sub groups of highly vulnerable persons which include the very young and the very old, who have a high-risk effect for medication errors because the potential adverse drug event is three times greater than an adult hospitalized patient (Levine et al., 2001). CPOE is not a panacea, but it does represent an effective tool for bringing real-time, evidence-based decision support to physicians. Nurses are the last defense level of protection against medication errors, and are solely responsible for the dispensing, administering, and monitoring of medications. In healthcare, computers can be used to help facilitate clear and accurate communication between health care professionals. When using a CPOE system it allows physicians to type in prescriptions right into the device or computer which significantly lessens any mistakes that can occur when
Chapter five discusses computerized provider order entry (CPOE). CPOE systems allow health care organizations access to tools that enhance the efficiency and delivery of patient care. While CPOE technology has proved beneficial, it is not deprived of challenges. The article that I selected to review, “Hospitals’ Computerized Systems Proven to Prevent Medication Errors, but More is Needed to Protect Patients from Harm or Death” (TheLeapfrogGroup, 2016) discusses how medication errors still occur despite the implementation of this technology.
The issues addressed are Findings 1 and 3: Finding 1 is patient medication errors are up and there is a perception of shady hiring practices and playing favorites. All employees are responsible for compliance. Policies and professional standards exist for the medical profession. The challenges will be reintroducing employees to Federal and state law that govern the profession. For hiring practices and playing favorites the challenges faced are the lack of compliance reporting structure or training for understanding compliance. There is a perception that work rules are not being enforced. Finding 3 is high job turnover and low employee morale. The challenges faced will be building communication strategies, building confidence in leadership,
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread
Each year, roughly 1.5 million adverse drug events (ADEs) occur in acute and long-term care settings across America (Institute of Medicine [IOM], 2006). An ADE is succinctly defined as actual or potential patient harm resulting from a medication error. To expound further, while ADEs may result from oversights related to prescribing or dispensing, 26-32% of all erroneous drug interventions occur during the nursing administration and monitoring phases (Anderson & Townsend, 2010). These mollifiable mishaps not only create a formidable financial burden for health care systems, they also carry the potential of imposing irreversible physiological impairment to patients and their families. In an effort to ameliorate cost inflation, undue detriment, and the potential for litigation, a multifactorial approach must be taken to improve patient outcomes. Key components in allaying drug-related errors from a nursing perspective include: implementing safety and quality measures, understanding the roles and responsibilities of the nurse, embracing technological safeguards, incorporating interdisciplinary collaborative efforts, and continued emphasis upon quality control.
In today’s current fast-paced and demanding field of heath care, medication administration has become complex and time-consuming task. Approximately one-third of the nurses’ time is used in medication administration. There is much potential for error because of the complexity of the medication administration process. Since nurses are the last ones to actually administer the medication to the patient therefore they become responsible for medication administration errors (MAE). Reasons for MAE may include individual factors, organizational factors or system factors. This paper will discuss the root causes analysis of MAE and strategies to prevent them.
Excellent example with medication error. Medication Administration is a huge part of nursing and must be done accurately. I feel like nowadays nurses do a great job on preventing medications errors and that there has been many other steps added on to so that a medication error could be avoided. For example, the nurses I work with at Medical City Dallas, call their pharmacists on whether or not this medication is compatible or not.
Before this module, I never really thought of inappropriate medication prescribing by a physician as a medication error, or the inappropriate use of a medication. I agree with you that as patient you need to tell your doctors all of the different types of medication that you are on, in order to help prevent any type of medication errors. My grandma is on a lot of medication, but when she goes to her doctors’ appointments, she makes sure she brings all of her medication with her. I find this to be helpful for herself and for her other doctors. Even though a patient may bring her list of medications or bring her medications with them, as a doctor you should still ask about her medication and if there are any that she may of forgotten. If a physician
Medication administration errors are a big problem in the nursing field. However, with the infusion platform, this prevents medication errors from happening. The infusion platform allows nurses to program the prescription ordered for the patient and blocks any low or high medication doses to enter the patient. With this new profound technology, it provides patient safety to the fullest.
However, there are issues with this system as well because the computer is only as smart as we allow it to be. If pharmacy puts in the computer the wrong medication or dose, or information is incorrect, the computer will still allow you to administer. It goes back to communication, knowing your patient and how important it is to still ask questions and have conversation with your patient about the medication you are about to give them. Read their history and physical to get a better idea of everything going on with your patient so we can continue to provide safe quality care.
For many patients the scariest part of being in the hospital is having to rely on other people to control your life changing decisions. One large part of this is the medications one is given while in our care. I can only imagine what it must be like for patients to have a stranger to come in and start administering drugs to me. This would be especially scary if I did not know what these medications did, or what negative effects could be caused by taking them. Unfortunately, the fear of medication errors that many patients have are not unfounded. Estimates range from 1.5 to 66 million patients a year have medication errors occur while they are in the care of health care professionals. Considering all of the technology we have at our
Medication errors are a major issue affecting patient safety in hospitals, which can create deadly consequences for patients. It is crucial to identify and analyzed medication errors so healthcare professionals can pinpoint why medication errors occur and provide insight into how to prevent or reduce them.
o solve some of the above-listed issues healthcare systems worldwide have developed easier ways to avoid medication errors and near miss issues such as the electronic medication record (EMAR), CPOE, bar-code medication administration on a portable cart, and automatic medication dispensers. While all these methods of medication administration systems seem to be a safer and easier way to administer medication, it can also be a long process, therefore, resulting in noncompliance behavior that is exhibited by some