Impact of Computerized Prescriber Order Entry on Medication Errors at an Acute Tertiary Care Hospital

2003 ◽  
Vol 38 (3) ◽  
pp. 227-231 ◽  
Author(s):  
Chike Augustine Igboechi ◽  
Carol L. Ng ◽  
Chuiling S. Yang ◽  
Althea N. Buckner
Keyword(s):  
Medication Errors ◽  
Tertiary Care Hospital ◽  
Positive Impact ◽  
Tertiary Care ◽  
Care Hospital ◽  
Order Entry ◽  
Clinical Interventions ◽  
Continuous Quality ◽  
Computerized Prescriber Order Entry ◽  
Drug Therapy Problems

The authors analyzed medication errors documented in a hospital's database of clinical interventions as a continuous quality improvement activity. They compared the number of errors reported prior to and after computerized prescriber order entry (CPOE) was implemented in the hospital. Results indicated that in the first 12 months of CPOE, overall medication errors were reduced by more than 40%, incomplete orders declined by more than 70%, and incorrect orders decreased by at least 45%. Illegible orders were virtually eliminated but the level of medication errors categorized by drug therapy problems remained significantly unchanged. The study underscores the positive impact of CPOE on medication safety and reemphasizes the need for proactive clinical interventions by pharmacists.

scholarly journals Incidence of various medication errors in pediatrics in a tertiary care hospital

2018 ◽  
Vol 5 (9) ◽  
pp. 441-445
Author(s):  
Dr. Chandra Deve Varma BSK ◽  
◽  
Dr. Balaji Bhusan Patnaik ◽  
Dr. Ratakonda Sruthi ◽  
Dr. Gangavaramsravankumar Reddy ◽  
...  
Keyword(s):  
Medication Errors ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

scholarly journals Incidence of Medication Errors in a Tertiary Care Hospital in South-India

2019 ◽  
Vol 12 (2) ◽  
pp. 92-96
Author(s):  
Ganpisetti Ramesh ◽  
Kanneganti Sundeep ◽  
Challa Anitha ◽  
Sravya Malika ◽  
K Rani Samyuktha ◽  
...  
Keyword(s):  
Medication Errors ◽  
South India ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital

Incidence of Intravenous Medication Errors in a South Indian Tertiary Care Hospital

2016 ◽  
Vol 2 (3) ◽  
pp. 167-173
Author(s):  
Vinitha Kandala ◽  
Tejaswini Pisati ◽  
Nagasri Bandari ◽  
Mehraj Fatima
Keyword(s):  
Health Care ◽  
Medication Errors ◽  
Health Care Professionals ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Intravenous Therapy ◽  
Wrong Dose ◽  
Aseptic Conditions ◽  
Intravenous Medication

Background: The use of medications in the hospital is a complex process which is dependent on the successful interaction of the health care professionals. Intravenous medication errors are one such which compromise patient confidence in the health-care system, increase health-care costs and has high incidence but limited evidence. Objective: The study reports the incidence of intravenous errors in preparation and administration. Specifically, the study was done to explore and measure the frequency of IV medication errors by direct observation and identify clues to their causes. Methodology: The study design is a prospective observational study which enrolls patients given intravenous therapy in the department of general medicine and ICUs in a tertiary care hospital. Error categories were categorized and error rate of drug classes was measured. Results: In a period of 6 months, 161 (N) samples were observed. Five error types (improper aseptic conditions, wrong diluents, improper mixing, wrong dose/volume, and wrong time) accounted for 78.88% of errors. Improper aseptic conditions were the most frequent and accounted for 39.13%. The least type of errors was wrong dose errors-7.45%. The other categories wrong diluents, improper mixing and wrong time accounted for 9.93%.10.55% 13.04% respectively. Conclusion: This study found a high rate of intravenous medication errors of moderate significance. Changes in practice should be considered to make intravenous therapy safer for patients. The findings of this study suggest that it is necessary to engage pharmacists in IV dose preparation and administration.

scholarly journals Implementation of disease-based standard order sets in emergency department of tertiary care hospital, Pakistan- a novel approach for enhancing patient care

2020 ◽  
pp. 1-13
Author(s):  
Feroza Parveen ◽  
Asif Khaliq ◽  
Nadeem Ullah Khan ◽  
Zainab Mazhar ◽  
Aisha Akram ◽  
...  
Keyword(s):  
Emergency Department ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Order Entry ◽  
Post Intervention ◽  
Order Processing ◽  
Standard Order ◽  
Order Sets ◽  
Order Set

Abstract Objectives: To evaluate the efficacy of disease-based standard order sets in reducing time of order entry, order processing and medication dispensation in emergency department of a tertiary care hospital. Methods: The pilot study was conducted as part of a retrospective clinical audit using pre- and post-intervention design comprising data from July to September 2013 of the emergency department of a tertiary care hospital in Karachi. Data collected related to the reduction in medicine order entry, processing and dispensing time of eight common emergency conditions with standard order set.  Subsequently, standard medication orders for the selected medical conditions were developed together with physicians of emergency and other specialties. Post-intervention data was collected and the two data sets were compared using SPSS version 23.0. Results: Mean medication order entry and processing time from the physician end improved from 67.7±22.7 seconds to 20.5±7.1 seconds.  Mean order processing and medication processing and dispensing time at pharmacist end reduced from 70.0±22.4 to 20.6±8.8 seconds. The difference between pre- and post-intervention values was significant (p<0.001). Conclusion: Implementation of disease-based standard order set significantly improved efficiency. Key Words: Standard, Order sets, Emergency department, Disease, Time management. Continuous...

scholarly journals A study on patient safety with reference to medication errors at a tertiary care hospital

2020 ◽  
Vol 9 (7) ◽  
pp. 1015
Author(s):  
Rajesh Dake ◽  
I. Venkata Ramana
Keyword(s):  
Medication Errors ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Improve Patient Care ◽  
P Value ◽  
Care Hospital ◽  
Anova Test ◽  
Transcription Error ◽  
The One ◽  
One Way Anova

Background: The objective of this present study was to determine and evaluate the nature and types of medication errors (MEs) in a tertiary care hospital.Methods: This was a prospective, observational study was conducted on medication errors in a tertiary care hospital, Kakinada during January 2019 to December 2019. MEs were categorized as prescription error (PE), transcription error (TE), dispensing error (DE), and administration error (AE). The case records and treatment charts were reviewed. The one-way ANOVA test for independent measures was done for statistical analysis.Results: A total of 5792 patients were included during the study period. Total numbers of MEs were n=353 (6.10%). The most common ME was TEs n=191 (54%) followed by AEs n=117 (33%). Nursing errors n=316 were more compared to doctors’ errors n=18. The one-way Anova test for independent measures was done for statistical analysis; the f-ratio value is 6.44654. The p-value is 0.004332. The result is significant at p<0.05.Conclusions: There is a need to establish effective ME reporting system to reduce its incidence and improve patient care and safety. Regular trainings and interdepartmental sharing of facts on medication errors should be done at regular intervals.

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