6. “The system shall provide information to medical staff which reduces the probability of over-prescription of medication” (MHCPMS Case Study, 2014)…
At all costs the CDSS works with the CPOE to prevent not only errors of ordering prescriptions, or ordering the wrong prescription, but also of omission. In theory, CPOE offers numerous advantages over traditional paper-based order-writing systems. Examples of these advantages include averting problems with handwriting, similar drug names, drug interactions, and specification errors; integration with electronic medical records, decision support systems, and adverse drug event reporting systems; faster transmission to the pharmacy; and potential economic…
Using e-prescribing allows healthcare systems to save, money, time, and is safer. Less prescription paper is purchased, pharmacist fill prescription more accurately, and prescribers will have secure access to prescription history…
Electronic medication administration records (MAR) are useful in displaying medications due at specific times. Not only is it possible to sort the medications due at one time, the MAR will also alert the nurse to potential drug interactions. Late medications will be displayed in red to be easily seen. If bar coding is implemented, medication errors can be reduced by a range of 60%-97% (Hunter, 2011).…
These errors include a physician prescribing a medication that has a negative reaction with another medication that a patient is currently taking. Another error is causes by pharmacist dispensing the wrong medication because they could not properly read the handwriting on a prescription, or prescribing a dose that is too high for the patient’s current age or condition. Majority of the problems responsible for medication errors can be solved with e-prescribing. Once a physician prescribes a medication the e-prescribing system automatically checks for conflicting medications, patient allergies and other conflicts, by using the patient’s medical history as well as current and past medications list. The e-prescribing system will then notify the physician as to what is has found and why that medication cannot be safely prescribed to that specific patient. This allows the physician to explore other medication…
Remember back to the first time on your own; you moved into your own place and took with you numerous hand-me-downs from your parent's house. As time passes, you replace each piece one at a time, moving ahead with your own things. However, it seems that recently there's been a lot of buzz as to why you may not want to buy a new crock pot.…
Make sure the patient has two forms of identifiers, verify allergies, note any critical diagnoses, current medication, and height and weight. Another recommendation is up to date drug information. Use multiple drug references, guidelines, and high-alert meds. One last recommendation is communication, share information, write clear, and avoid abbreviations. Require all unused drugs to be returned to the pharmacy and having the computerized checking system double check doses every time.…
| This researcher found that in the Netherlands several studies have shown that there was a moderate decrease in both medication dispensing errors and time with the use of an automated medication dispensing system. The research is current, occurring at the end of the 20th century. The review was brief, lasting only a few paragraphs.…
The computerized databases in a pharmacy collect a host of patient information including the patient’s address, the patient’s name, the date it was filled, the place it was filled, the patient’s gender and age, the prescribing physician, what drug was prescribed, the dosage, and how many pills.…
Passing medications is a time consuming and tedious task and organization and efficiency is vital. If there is a way to improve the system it should be explored. Humans err while there is less chance of computer error so I think this system is worth looking in to. There are many advantages at first…
This article explains in great detail the errors that many pharmacists make that contribute to the medication errors in and emergency department. The leading cause of pharmacists errors are in the charting that is done prior to dispersing medication. This article shares the enormous information in regards to the ways that pharmacists could do their job differently in order to keep the number of medication errors down.…
Lists. Not only is it important to know what is being taken, when, how, and why, but is is a good idea to have that information ready and available. Additionally, other medication that is in the house, including vitamins and supplements, should be annotated. If there is an emergency, the medical team will need to know this information before administering medications lest they overdose them or give them a conflicting medication with a toxic side effect.…
The most useful data for correcting errors in this prescription process is data that outlines where the majority of the errors occur. There are a wide variety of possibilities and errors that can occur in the prescription process, therefore having data that helps to pinpoint where most issues occur would be very helpful. Once it is understood where the majority of the errors occur, analysis can be done and solutions can be analyzed to fix the problem area(s). As seen on the Medication Errors – Error Reporting pie chart, a vast majority of medication errors can be traced to either administration or prescribing of the medication (Griffith). This means when process improving to reduce prescription errors, these two areas should be the initial…
There is a significant increase in the use of electronic prescription over the last several years. Historically, the US Government Agencies in the late 1990s explored the potential need for electronic prescribing systems to reduce clinical risk in busy hospitals and between 1999 and 2001. Later the US Institute of Medicine (IOM) published two reports, on how technology can support and improve patient safety. And in the 2001 report, “Crossing the Quality Chasm”, recommended that providers, purchasers, clinicians and patients work together to redesign the health care processes, with the goals to create an evidence-based medicine. In 2001, the US Senate came up with Medication Errors Reduction Act, a $ 1 billion federal grant programmed for healthcare…
A major change that has taken place in healthcare over the past 10 years is the introduction to Electron Medical Records. An electronic medical record (EMR) is a computerized medical record that has a patient’s medical histories, lab test results, radiology reports and the list of medications they have been prescribed. This can be access in a hospital, outpatient surgery center, or doctor’s office. The new EMR is making doctors more efficient. They have all your information right at their fingertips. You don’t have to worry about your chart getting misplaced or lost. Now there will be a computer in every room. The nurse that checks you in will type review your list of medications and start the encounter form. When the doctor comes in to see you they can pull up what the nurse started and fill out what they are doing. All the information goes straight into the computer. The paper system has often led to “inaccurate, incomplete, untimely, fragmented, duplicative, and poorly documented information” (Steward 2011). Most patient charts are not kept in the facility but in an offsite storage location.…
