Preventable medical mistakes cause approximately 200,000 deaths around the United States each year. (1) More than 1,000,000 Americans are negatively impacted by medication errors each year caused by inadvertent mistakes in the prescription filling process. With 4 out of 5 adults taking at least 1 medication daily and 1 out of 4 adults taking 5 or more medications daily nationwide, errors like these cost healthcare industry billions of dollars per year. Health information technology were developed to transform healthcare services, the way they are provided and compensated. Electronic prescribing (e-prescribing) becomes an internal part of that transformation process, which can be confirmed from annual Surescripts’ National Progress Report.
This article define medication errors and when occur these medication administration errors (MAEs) such as one or more of the seven rights of medication administration (right patient, right drug, right dose, right time, right route, right reason and right documentation) are violated. Moreover, the writers suggest study more about nurses’ knowledges with and perceptions on preventing MAEs through this journal. Wulff, K., Cummings, G. G., Marck, P., & Yurtseven, O. (2011). Medication administration technologies and patient safety: a mixed-method systematic review. Journal of Advanced Nursing, 67(10), 2080-2095.
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.
Define e-prescribing and what an EHR system will automatically check when an e-prescription is entered by a Physician. E-prescribing is the ability to write a prescription and electronically transmit it to a pharmacy. The EHR checks for drug allergies, drug interactions, and other potential conflicts by using information in the patient’s medical record including past medical history, allergies, and complete medication list. List the steps required
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
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
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 can be very dangerous for the ones taking the wrong medicines or doses; therefore, safety measures must be in place. Administering them must be done with an understanding and focus. One missed check could have a staff member giving a resident the wrong set of pills. Some interventions to help prevent the medication error from occurring is to first report errors. When errors are reported, the main cause is to try and never let the error occur again.
Medication use is potentially dangerous. Polypharmacy is increasing, and makes it harder to keep track of side effects and interactions and of potentially inappropriate drug combinations. “The risk of serious consequences, hospitalization, and death due to medication errors increases with patients’ age and number of medications (Scand J Prim Health Care, 2012)”. For example, the GP is supposed to monitor the patient's regular medication, but does not always do so. Lack of monitoring and keeping track of patients’ medication use is a main cause when a patient is given inappropriate drugs.
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.
Also, it can cost a patient’s life and the hospital thousands of dollars. Therefore, all medication errors must be reported following the appropriate protocol to prevent serious adverse events.” Although there are some consequences to each medication error, it is imperative to report it in order to improve patient care and safety. Medication errors can significantly affect patient safety (Elden & Ismail 2016). Medication errors do not only occur during the administration stage, they can occur from the ordering and down to the provision stage (Radley,
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
Even in a physician practice, medication labeling, record keeping, and storage must be handled in the same manner as in a pharmacy. If medications are not routinely checked, an expired medication could be given to a patient and may cause a negative reaction or may not be effective. Also, sample medications should be stored in a secure location in plain view of office staff members. Some practices simply do not have the space to provide adequate security for medication samples. Safety Practices for Dispensing
Goal three enforces the safety of using medications. A segment of this goal addresses mandatory verification of all medication or solution labels both verbally and visually with two people (The Joint Commission, 2014). If two nurses crosschecked the right name of the medication along with the name of the patient in the case of the young boy he would possibly be alive today. It is a harsh reality, but undoubtedly; with these guidelines followed thoroughly error would be
6.Current Status of EHR ,Issues and its Future Implementations for its Expansion EHR is an integral segment of the transition to computerized documentation. The digital wave should be embraced to upgrade the healthcare disparities of Americans. To address the future of health care in the 21st century, the employment of electronic health records is crucial and will lead to preferred element outcomes for the patients. As technology continues to improve into the health care realm, the EHR will explode and advance capability of customer services .The transition must yield successful outcomes that may easily accomplished by invoking better medication choice for the providers using EHRs.