Evaluation of medication errors with implementation of electronic health record technology in the medical intensive care unit

Liao, T. Vivian; Rabinovich, Marina; Abraham, Prasad; Pérez, Sebastián; DiPlotti, Christiana; Han, Jenny E.; Martin, Greg S.; Honig, Eric

doi:10.2147/oajct.s131211

Cited by 10 publications

(13 citation statements)

References 24 publications

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“…They concluded that the prerequisite for proper administration of drugs and evaluation of their effects is pharmacological knowledge. Due to doubts about the effectiveness of electronic health records (EHR) in preventing medication errors, Liao et al (2017) studied interventions including CPOE and BCMA. After EHR implementation, the types and severity of medication errors changed.…”

Section: Resultsmentioning

confidence: 99%

“…The authors conclude that administration of IV drugs is a complex issue and errors may be reduced by using AID and other risk reduction strategies such as CPOE and BCMA and improving nurse education in drug administration. Using EHR, CPOE and BMCA may reduce medication errors by as much as 24% (p = 0.0008) over a long period of time (Liao et al, 2017). According to Cima and Clarke (2012) and Plischke (2015), each healthcare provider should establish a multidisciplinary team for drug management (physicians, IT specialists, pharmacists, specialist nurses) and introduce BCMA to try to prevent human errors.…”

Section: Discussionmentioning

confidence: 99%

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Measures to prevent medication errors in intensive care units

Plutínská

Plevová

2019

Cent Eur J Nurs Midw

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Aim: The aims were to summarize studies on the effectiveness of interventions to reduce adverse events of the medication error type and, based on the studies, to identify recommendations for preventing medication errors in intensive care units (ICUs). Design: A descriptive review. Methods: To find relevant resources, the SCOPUS and EBSCO electronic databases were searched using the following search words: prevention, medication errors, intensive care unit. Both primary and secondary studies on prevention of medication errors in ICUs were selected. Results: A total of eight primary studies and three systematic reviews were included. The studies showed considerable variability and differed in methods, numbers of monitored events or ways of data collection. The assessed interventions were pharmacist involvement, automated infusion devices, reporting medication errors, strategies to limit interruptions during drug administration, electronic health records together with support systems for clinical decision making, nurse education in drug administration and creating checklists. Conclusion: The assessment of selected studies suggests that to a certain extent, all of them showed certain medication error reduction. Due to numerous limitations, however, it is impossible to select and recommend a single approach.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Measures to prevent medication errors in intensive care units

Plutínská

Plevová

2019

Cent Eur J Nurs Midw

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“…The implementation of electronic health technology reduces medication errors, but this technology may contribute to errors, especially in the rst year of its use [31]. A total of 120 sentinel events were reported to the joint commission related to health information technology between 2010 and June 2013, and 33% of the majority errors were seen in the area of human-computer interface [32].…”

Section: Discussionmentioning

confidence: 99%

Current situation of medication errors in Saudi Arabia: a nationwide observational study

Alshammari

Alenzi

Alatawi

et al. 2020

Preprint

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BackgroundMedication process complexity could cause confusion among healthcare professionals (HCPs) and patients and lead to medication errors. This nationwide study aimed to characterize the types of medication errors and determine the error occurs in different stages of the medication process.MethodsThis was a retrospective observational study of medication errors reported by 265 government hospitals and primary care centers during the period of March 2018 to June 2019. The reported information include several aspects of medication errors, including patient information, medication information, error information, and the level of staff reporting and causing the error. The medication use process was categorized into ordering/prescribing, transcribing, dispensing, administering, and monitoring. ResultsA total of 71,332 medication error reports were reported between March 2018 and June 2019. The reported errors involved patients aged <10 (12,1312; 17.3%) and >60 (8,857; 12.4%) years, and the medication error rate was estimated to be 0.15%. Errors were frequently made by physicians 63120 (88.5%) and frequently detected by pharmacists (75.9%). The majority of errors were detected at the prescribing stage (84.8%), followed by the transcribing (5.8%) and dispensing (5.7%) stages. A total of 4,182 (5.8%) errors reached the patient. Work overload of staff was associated with one-third of the reported errors (31.6%), and 22.7% of the errors were due to a lack of experience among HCPs.ConclusionsThe study highlights the concern regarding medication errors occurrence during different medication use process. Despite all efforts, prescribing stage is still a big concern as source of harm to the patients.

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“…A educação e integração de pessoal devem ser continuadas, com treinamento e suporte técnico aos usuários do hospital. Deve haver a execução setorial, assim facilitando a correção específica [27].…”

Section: Prescrição Médica Eletrônicaunclassified

“…Posteriormente, se deseja que tenham essas palestras e cursos como círculo permanente, realizando-se uma vez a cada mês. Desta forma as palestras devem ser direcionadas, primeiramente, para o grupo de prescritores, tais como: chefes de plantão (médicos), os residentes de todas as clínicas, os acadêmicos de medicina, que permanecem por um ano em estágio no setor de emergência, e, em seguida, para os profissionais de enfermagem 26,27 . Não se pode descartar a interpretação das receitas, observa-se que pela grande demanda, e necessária agilidade, muitas vezes por não conseguirem interpretar a prescrição da receita médica, ainda assim, há dispensação de um medicamento.…”

Section: A Capacitação De Pessoalunclassified

Erros médicos nas prescrições de medicações

Savian¹,

Fraga²,

Fraga³

2020

Revista Científica Multidisciplinar Núcleo do Conhecimento

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O erro médico ocorre quando um profissional de saúde escolhe um método inadequado de cuidado ou, de forma inadequada executa um método correto. São frequentemente descritos como erros humanos na área da saúde. No entanto, as definições de erro médico estão sujeitas a debate, pois existem muitos tipos de erros médicos, de menor para maior gravidade, e a causalidade é muitas vezes mal determinada. O objetivo deste estudo de revisão foi desmistificar os erros médicos,

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Evaluation of medication errors with implementation of electronic health record technology in the medical intensive care unit

Cited by 10 publications

References 24 publications

Measures to prevent medication errors in intensive care units

Measures to prevent medication errors in intensive care units

Current situation of medication errors in Saudi Arabia: a nationwide observational study

Erros médicos nas prescrições de medicações

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