How technology affects your risk of medication errors

Grissinger, Matthew; Globus, Nancy J.

doi:10.1097/00152193-200401000-00044

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…Because nurses are the ultimate users of medication administration systems, their views are important and should be considered as existing systems are evaluated and new systems are contemplated and introduced. Systems must be designed correctly or they can actually introduce errors (Grissinger & Globus, 2004). If nurses are satisfied with the system, procedures will be followed without “work‐arounds,” and the goal of decreased errors should be achieved.…”

Section: Discussionmentioning

confidence: 99%

The Medication Administration System—Nurses Assessment of Satisfaction (MAS‐NAS) Scale

Hurley

Lancaster²,

Hayes³

et al. 2006

J of Nursing Scholarship

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Section: Discussionmentioning

confidence: 99%

The Medication Administration System—Nurses Assessment of Satisfaction (MAS‐NAS) Scale

Hurley

Lancaster²,

Hayes³

et al. 2006

J of Nursing Scholarship

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“…4,[6][7][8][9][10][11] According to a survey by the Institute of Safe Medication Practices, fewer than half of the 1435 hospitals that responded double-checked the administration of highalert drugs. The most frequent medications with harmful errors in 2002 and 2003, respectively, were reported 6 as insulin (8.1% and 8.7%), morphine (5.5% and 5.3%), heparin (4.6% and 3.9%), injectable potassium chloride (3.0% and 2.9%), warfarin (3.0% and 2.6%), hydromorphone (2.8% and 2.3%), and fentanyl (2.2% and 2.6%).…”

Section: Literature Reviewmentioning

confidence: 99%

Evaluation of the Personalized Bar-code Identification Card to Verify High-Risk, High-Alert Medications

Thomas¹

2013

CIN: Computers, Informatics, Nursing

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An effective intervention to decrease medication errors related to high-risk, high-alert medications is to implement double checks and second verification using the five rights of medication administration. To evaluate the effectiveness and use of the Personalized Bar-Code Identification card in verifying high-risk, high-alert medications, the High-Risk, High-Alert Medication Verification Audit Tool was used to collect data from the medical records of patients who received high-risk, high-alert medications in four ICUs. Data were collected for administered high-risk, high-alert medication, primary registered nurses who administered the high-risk, high-alert medication, and secondary registered nurses who verified the medication. The percentage of medications that were "not verified," "Personalized Bar-Code Identification verified," and "verified" using a method other than the Personalized Bar-Code Identification was calculated and compared using Z tests for two proportions. The percentage of Personalized Bar-Code Identification-verified medications (83.5%) was significantly higher than the percentage of medications that were not verified (10.9%) (Z = 38.43, P < .05). Also, the difference between the proportion of the Personalized Bar-Code Identification-verified medications and those that were verified using another method (5.6%) was significant (Z = 41.42, P < .05). The results show that nurses generally tend to follow the standardized procedure for verifying high-risk, high-alert medications in the four ICUs.

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“…ADCs enable on-demand, ready access to UD medications in a wide variety of patient care areas with a high degree of built-in safeguards. 7, 8 When utilized with careful supervisory oversight, these devices have been shown to decrease medication administration errors. 9–12 For this reason, professional pharmacy organizations generally are supportive of implementation and utilization of ADCs in institutional patient care areas.…”

mentioning

confidence: 99%

Electronic Inventory Systems and Barcode Technology: Impact on Pharmacy Technical Accuracy and Error Liability

et al. 2015

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Purpose: To measure the effects associated with sequential implementation of electronic medication storage and inventory systems and product verification devices on pharmacy technical accuracy and rates of potential medication dispensing errors in an academic medical center. Methods: During four 28-day periods of observation, pharmacists recorded all technical errors identified at the final visual check of pharmaceuticals prior to dispensing. Technical filling errors involving deviations from order-specific selection of product, dosage form, strength, or quantity were documented when dispensing medications using (a) a conventional unit dose (UD) drug distribution system, (b) an electronic storage and inventory system utilizing automated dispensing cabinets (ADCs) within the pharmacy, (c) ADCs combined with barcode (BC) verification, and (d) ADCs and BC verification utilized with changes in product labeling and individualized personnel training in systems application. Results: Using a conventional UD system, the overall incidence of technical error was 0.157% (24/15,271). Following implementation of ADCs, the comparative overall incidence of technical error was 0.135% (10/7,379; P = .841). Following implementation of BC scanning, the comparative overall incidence of technical error was 0.137% (27/19,708; P = .729). Subsequent changes in product labeling and intensified staff training in the use of BC systems was associated with a decrease in the rate of technical error to 0.050% (13/26,200; P = .002). Conclusions: Pharmacy ADCs and BC systems provide complementary effects that improve technical accuracy and reduce the incidence of potential medication dispensing errors if this technology is used with comprehensive personnel training.

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How technology affects your risk of medication errors

Cited by 6 publications

References 4 publications

The Medication Administration System—Nurses Assessment of Satisfaction (MAS‐NAS) Scale

The Medication Administration System—Nurses Assessment of Satisfaction (MAS‐NAS) Scale

Evaluation of the Personalized Bar-code Identification Card to Verify High-Risk, High-Alert Medications

Electronic Inventory Systems and Barcode Technology: Impact on Pharmacy Technical Accuracy and Error Liability

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