Electronic Prescription Errors

With increasing the acceptance of using e-prescribing in health care , evaluating and understanding the types of e-prescribing errors can help to identify the prober ways to prevent future e-prescription errors from reaching patients. It is also important to use health information technology to improve safety, such as use of technology to identify and monitor patient safety events, risks and hazards ;and to intervene before actual harm occurs

Most of us probably cannot recall a world without internet, cellphones, and laptops. Technology has transformed the world we live in today. Undoubtedly, technology has changed the way health care is delivered. Electronic prescribing allows prescribers to send prescriptions electronically and directly to the pharmacy. E-prescribing has been demonstrated to reduce prescribing errors in outpatient settings.

There is a lack of support from physicians as a separate medication ordering system will be used, creating an increased in workload and reduction in patient interaction time (Park et al.,

One significant barrier is the potential detrimental impact on physician and staff workflow. Computer-based systems that allow clinicians to prescribe drugs electronically are designed to automatically warn of potential medication errors, but a new study reveals clinicians often override the alerts and rely instead on their own judgment. A study, at Dana-Farber Cancer Institute showed that most clinicians find the current medication alerts a task of annoyance rather than a valuable tool for patient safety. Although the e-prescribing alert with improve medication safety, we the society will not see its benefit until there is a system to help clinicians better manage medication safety alerts. This study shed a light on the real value of e-prescribing alerts in the eyes of our clinicians.

Medication errors are preventable adverse events and costly to patients, insurance companies and health care organizations (Institute of Medicine, 2006). It is estimated that for every adverse drug event that occurs in a hospital, adds over 8,000 to the hospital stay (Institute of Medicine, 2006). One of the essential components in reducing medication error is a collaborative partnership with the patient and healthcare providers to facilitate communication. Patient education regarding risks, side effects, drug interactions and contraindications must be thoroughly reviewed with the patient (Institute of Medicine, 2006). The use of technology for prescribing, dispensing and to obtain detailed information regarding

Interview on Reporting Medication Errors This assignment is about interviewing and discussing with a pharmacist methods to report medication errors per facility’s policy and ways to encourage nurses to report medication errors promptly. This was a face-to-face interview with pharmacist BB at work. He is a qualified professional pharmacist and appropriate for this assignment.

What is the estimated wholesale cost of the medication? The wholesale cost of the medication is $116.40.

Pharmacists are in a unique position to help. They have the ability and knowledge to implement programs as part of their daily practice to ensure that patients are adherent to their medications. As the medication experts, pharmacists should lead the way to improving medication adherence and providing optimal patient care. The provisions of this bill do not pose a mandate but where appropriate would require the proration of prescriptions, related cost sharing, and dispensing costs in order to conform the patient to one monthly refill that occurs on the same date each month.

In the United States alone, hospitalization occurring for prescription reasons account for one to two thirds of admittance (Brown, Bussell, 2011). This means people are coming in for problems

Strategies are methods or plans that solves a problem; strategies are essential to resolve issues to be able to prevent them from happening again and it helps to do a better job. Computerized physician’s order, electronic medication administration record with a barcode and reviewing the practice standards from CNO such as medication and documentation are the suggested strategies to inhibit the incidents and the breached ethical values from occurring again. Moreover, using information technology is the first strategy to impede medication error in the long-term care facility where an ethical value such as commitment to client was breached.

ADEs associated with medication discrepancies can prolong hospital stays and, in the post-discharge period, may lead to emergency room visits, hospital readmissions, and utilization of other health care resources. Preventable adverse drug events (PADE) are associated with 1 of 5 injuries or deaths and a result of poorly designed systems, which often lack independent redundancies. Preventable ADEs at transition points of care account for 46-56% of all medication errors. One strategy to reduce PADEs and ADEs is to reconcile the medication orders between the two transition points. The Institute for Healthcare Improvement (IHI) defines medication reconciliation as a formal process to compile a list of all the medications a patient is taking before admission, and comparing it with the doctor’s admission, transfer and discharge orders.

Most people don’t think to worry or wonder where all of their information goes when they visit the doctor’s office, or how the doctor knew things about them from several years ago. They don’t ask the question especially when they go to a new doctor who knows the same thing about them that they’ve never talked about. Electronic Health Records, also known as EHR’s, are becoming some of the most important parts of medical offices around the country and are advancing more and more each day. Ever since the 80’s, EHR’s were being designed and formed, but not until 2009, when the HITECH Act came out, did they start becoming of key importance to the health care market. As they keep growing more and more each day, EHR’s are becoming vital to patient health.

By creating this comprehensive list of the medication plan given to the patient, the hospital pharmacist can then send this information to the community pharmacist and make sure that the information is held up to date. This would allow for a smoother transition for the patient and it would allow the patient to be more informed of their medications. The pharmacist is “poised to play an important role in improving medication management during transitions of care and reducing readmission rates” so the pharmacist should play a more active role to help ensure the best therapy for the patient (7). The pharmacist should ultimately design an ideal system for Medication Reconciliation to help reduce medication errors and better inform patients on ADEs to prevent any unnecessary medical

Micromedex is one of the electronic sources that will help me in prescribing medications. Micromedex medication instructions deliver a single source of evidence- based patient education materials. It provides customized medication information, easily understood by any patient, including indications, contraindications, usage instructions, precautions, interactions, storage, disposal and side effects for both prescription and non prescription drugs. This source provides health care personnel to benefit from the ability to quickly share information directly in the workflow, throughout the continuum of care.

It has been notice that medication error is a problem on our unit. By doing some research it was found out that between 48,000 to 98,000 hospitalized Americans die each year due to medical error. Of this number 7,000 deaths are attributed by medication error. These statistics only report hospitalized based and no other health care settings like ours. As a result of the increase medical error incidents the Florida Legislative passed law mandating all health care professionals to do continuous education courses per on year prevention of medical errors.