medication safety
Koplan KE et al, Journal of General Internal Medicine, 2012
BACKGROUND
As electronic health records (EHRs) become widely adopted, alerts and reminders can improve medication safety, but excessive alerts may irritate or overwhelm clinicians, thereby reducing their effectiveness. We developed a novel “stealth” alert in an EHR to improve anticoagulation monitoring for patients prescribed a medication that could interact with warfarin. Instead of alerting the prescribing provider, the system notified a multidisciplinary anticoagulation management service, so that the prescribing clinicians never saw the alerts. We aimed to determine whether these “stealth” alerts increased the frequency of anticoagulation monitoring following the co-prescription of warfarin and a potentially interacting medication.
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Published:
30 July 2012 |
Keyword(s): Alert fatigue, Clinical decision support, Drug-drug interactions, Electronic Health Records, Medication Safety, United States
Bundy DG et al, Joint Commission Journal on Quality and Patient Safety, 38(5)
BACKGROUND
Timely laboratory monitoring may reduce the potential harm associated with chronic medication use. A study was conducted to determine the proportion of patients receiving National Committee for Quality Assurance (NCQA)-recommended laboratory medication monitoring in a primary care setting and to assess the effect of electronic health record (EHR)-derived, paper-based, provider-specific feedback bulletins on subsequent patient receipt of medication monitoring.
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Published:
May 2012 |
Keyword(s): Electronic Health Records, Medication Safety, Monitoring, Primary Care, United States
Schnipper JL et al, J Am Med Inform Assoc, 2012
Objective
To determine the effects of a personal health record (PHR)-linked medications module on medication accuracy and safety.
Design
From September 2005 to March 2007, we conducted an on-treatment sub-study within a cluster-randomized trial involving 11 primary care practices that used the same PHR. Intervention practices received access to a medications module prompting patients to review their documented medications and identify discrepancies, generating ‘eJournals’ that enabled rapid updating of medication lists during subsequent clinical visits.
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Published:
3 May 2012 |
Keyword(s): Accuracy, Electronic Health Records, Medication Errors, Medication Safety, Personal Health Records, United States
Leung AA et al, Journal of General Internal Medicine, 2011
BACKGROUND
It is uncertain if computerized physician order entry (CPOE) systems are effective at reducing adverse drug event (ADE) rates in community hospitals, where mainly vendor-developed applications are used.
OBJECTIVE
To evaluate the impact of vendor CPOE systems on the frequency of ADEs.
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Published:
21 January 2012 |
Keyword(s): Adverse Drug Events, CPOE, Hospitals, Medication Safety, United States
Abramson EL et al, Joint Commission Journal on Quality and Patient Safety, 37(10)
BACKGROUND
Health policy forces are promoting the adoption of interoperable electronic health records (EHRs) with electronic prescribing (e-prescribing). Despite the promise of EHRs with e-prescribing to improve medication safety in ambulatory care settings–where most prescribing occurs and where errors are common–few studies have demonstrated its effectiveness. A study was conducted to assess the effect of an e-prescribing system with clinical decision support, including checks for drug allergies and drug-drug interactions, that was integrated within an EHR on rates of ambulatory prescribing errors.
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Published:
October 2011 |
Keyword(s): Ambulatory Care, Electronic Health Records, Electronic Prescribing, Medication Safety, Prescription Errors, United States
Furukawa MF et al, Health Affairs, 27(3)
Health information technology (IT) is regarded as an essential tool to improve patient safety, and a range of initiatives to address patient safety are under way. Using data from a comprehensive, national survey from HIMSS Analytics, we analyzed the extent of health IT adoption for medication safety in U.S. hospitals in 2006.
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Published:
May 2008 |
Keyword(s): Adoption, Health Information Technology, Hospitals, Medical Informatics, Medication Errors, Medication Safety, United States
Weingart SN et al, Arch Intern Med, 169(17)
Background
While electronic prescribing (e-prescribing) systems with drug interaction and allergy alerts promise to improve medication safety in ambulatory care, clinicians often override these safety features. We undertook a study of respondents’ satisfaction with e-prescribing systems, their perceptions of alerts, and their perceptions of behavior changes resulting from alerts.
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Published:
28 September 2009 |
Keyword(s): Alerts and Reminders, Ambulatory Care, Drug Interactions, Electronic Prescribing, Medication Safety
Chien H-Y et al, Journal of Medical Systems, 35(3)
Owing to the low cost and convenience of identifying an object without physical contact, Radio Frequency Identification (RFID) systems provide innovative, promising and efficient applications in many domains. An RFID grouping protocol is a protocol that allows an off-line verifier to collect and verify the evidence of two or more tags simultaneously present. Recently, Huang and Ku (J. Med. Syst, 2009) proposed an efficient grouping protocol to enhance medication safety for inpatients based on low-cost tags.
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Published:
25 September 2009 |
Keyword(s): Medication Safety, RFID, Security
Weingart SN et al, Arch Intern Med, 169(16)
Background
Because ambulatory care clinicians override as many as 91% of drug interaction alerts, the potential benefit of electronic prescribing (e-prescribing) with decision support is uncertain.
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Published:
14 September 2009 |
Keyword(s): Alerts and Reminders, Ambulatory Care, Costs, Electronic Prescribing, Health Care Utilization, Medication Safety, Patient Safety
Vishwanath, Arun et al, International Journal of Medical Informatics, 78(5)
Context
Medication error prevention is a priority for the U.S. healthcare system in the 21st century. Use of technology is considered by some as critical to achieve this goal. Knowledge of the attitudinal barriers to such adoption, however, is limited.
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Published:
May 2009 |
Keyword(s): Medication Errors, Medication Safety, Patient Safety, PDA, Physician Technology Adoption, Prescriber Behavior, Prescription-Assistive Technology, Prevention
