Register Now
Why register?
Login
 The leading web portal for pharmacy resources, news, education and careers November 19, 2017
Pharmacy Choice - Pharmaceutical News - Authority Analyzes Medication Errors in Pennsylvania Associated with Health Information Technology - November 19, 2017

Pharmacy News Article

 3/15/17 - Authority Analyzes Medication Errors in Pennsylvania Associated with Health Information Technology

HARRISBURG, Pa., March 15, 2017 /PRNewswire-USNewswire/ Use of health information technology (HIT), such as computerized prescriber order entry systems and pharmacy information systems, can help prevent patient safety problems; however, if designed or implemented poorly, HIT can have significant adverse consequences for patient safety.

Between January 1 and June 30, 2016, Pennsylvania healthcare facilities reported 889 medication-error events that indicated HIT as a contributing factor. The most frequently reported errors included dose omission, wrong dose or overdosage, and extra dose; the most commonly reported systems involved were the computerized prescriber order entry and the pharmacy systems.

"As more healthcare organizations adopted EHRs [electronic health records] and such systems became increasingly interoperable, the Authority observed an increase in reports of HIT-related events, particularly in relationship to medication errors. In response, the Authority implemented additional event reporting questions that would better capture whether HIT was a contributing factor in reported events," explained the Authority's executive director, Regina Hoffman.

In its last annual report, the Authority included quantitative data about HIT-related events through 2015, and preliminary data suggested that the predominant number of reports by event type was medication errors. In this in-depth analysis of HIT-related medication errors released today, the Authority characterized contributing factors of a recent report sample.

Authority analysts found that HIT-related errors occurred during every step of the medication use process and further, a majority of errors reached the patient. High-alert medications (i.e., medications that bear a heightened risk of patient harm if used in error) such as opioids, insulin, and anticoagulants, comprised three of the top five drug categories involved in most events.

"We can examine HIT system failures for both human and system errors. Conducting a root-cause analysis when errors occur, developing a strong culture of safety in which workers feel empowered to report unsafe conditions, and routine HIT system surveillance are just a few approaches to reducing HIT related medication errors. We can also learn from systems that work well," says Dr. Ellen Deutsch, medical director for the Authority.

For these and more risk reduction strategies, see the full article.

Additional articles in this issue of the Pennsylvania Patient Safety Advisory offer in-depth data analysis, education, resources, guidance, and strategies about the following:

  • Dislodged Gastrointestinal Tubes: Prevention, Recognition, and Treatment
    Hospitals can decrease the risk for gastrointestinal tube complications by implementing best practices and risk reduction strategies to confirm proper positioning of gastrostomy tubes and to prevent, recognize, and manage dislodgement. Aside from peritonitis and sepsis, other serious harm including death can result from even minor changes in gastrostomy tube position.

  • Handoff Communications: A Systems Approach
    Handoffs are an integral part of care coordination and thedelivery of safe patient care. Using handoff processes thatincorporate critical thinking and reasoning skills to addresspatient needs and providing handoff training and educationare strategies to improve patient handoff communications.

  • Retained Surgical Items: Events and Guidelines Revisited
    Surgical items such as sponges, sharps, and instruments may be retained in a patient's body during surgery and can lead to serious patient harm. Detecting and reporting retained surgical items may help to determine patterns and root causes using a definition decided upon by the healthcare facility.

See the complete issue of the March 2017 Patient Safety Advisory.

About the Pennsylvania Patient Safety Authority: The Authority was established under Act 13 of 2002, the Medical Care Availability and Reduction of Error (MCARE) Act, as an independent state agency. The Authority is charged with taking steps to reduce and eliminate medical errors by identifying problems and recommending solutions that promote patient safety. For more information about the Authority, please visit our website at www.patientsafetyauthority.org or call 717-346-0469.

Like the Authority on Facebook
Follow the Authority on Twitter
Subscribe to the Authority on YouTube

To view the original version on PR Newswire, visit:http://www.prnewswire.com/news-releases/authority-analyzes-medication-errors-in-pennsylvania-associated-with-health-information-technology-300424152.html

SOURCE Pennsylvania Patient Safety Authority




Pharmacy News Index
  Drug Delivery Systems
  Drugstores
  FDA Final Approvals
  Front Page Healthcare News
  Generic Drugs
  Hospital Industry
  Internet Pharmacy
  IT in Healthcare
  Medicare & Medicaid
  Over-the-Counter Drugs
  Pharm Industry Trends and Policy
  Pharmaceutical Development
  Pharmaceutical Industry

LIVE ONLINE CE

Last Chance
Nov 20: Obesity Management: Overview of Pharmacotherapy
Last Chance
Nov 21: Standards of Practice for Filling Controlled Substance Prescriptions in Florida
Nov 22: Medical Marijuana: Examining the Science, Not the Politics
Nov 27: Drug Diversion and the Law: Updates and Considerations
Nov 28: An Integrative Approach to Managing Arthritis
Click for entire Webinar Calendar

Special Announcement

Free Membership
Enjoy Drug Search, industry newsletters and more...

Nursing Jobs
Are you a nurse looking for a job?

Check out the Nursing Job Source.

Your number one choice for nursing jobs.



Websites » RxCareerCenter.comRxSchool.comClubStaffing.comNursingJobSource.comRN.com
Copyright © 2017 Pharmacy Choice - All rights reserved.
Terms and Conditions | Privacy Statement
888-682-4415