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EHR‐related medication errors in two ICUs
Author(s) -
Carayon Pascale,
Du Shimeng,
Brown Roger,
Cartmill Randi,
Johnson Mark,
Wetterneck Tosha B.
Publication year - 2017
Publication title -
journal of healthcare risk management
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.221
H-Index - 16
eISSN - 2040-0861
pISSN - 1074-4797
DOI - 10.1002/jhrm.21259
Subject(s) - medicine , patient safety , harm , intensive care , medical emergency , electronic health record , meaningful use , health records , medical record , health information technology , emergency medicine , health care , medline , family medicine , intensive care medicine , psychology , social psychology , political science , law , economics , radiology , economic growth
The objective of this study was to describe the frequency, potential harm, and nature of electronic health record (EHR)‐related medication errors in intensive care units (ICUs). Using a secondary data analysis of a large database of medication safety events collected in a study on EHR technology in ICUs, we assessed the EHR relatedness of a total of 1622 potential preventable adverse drug events (ADEs) identified in a sample of 624 patients in 2 ICUs of a medical center. Thirty‐four percent of the medication events were found to be EHR related. The EHR‐related medication events had greater potential for more serious patient harm and occurred more frequently at the ordering stage as compared to non–EHR‐related events. Examples of EHR‐related events included orders with omitted information and duplicate orders. The list of EHR‐related medication errors can be used by health care delivery organizations to monitor implementation and use of the technology and its impact on patient safety. Health information technology (IT) vendors can use the list to examine whether their technology can mitigate or reduce EHR‐related medication errors.