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A study on medication error
Medication error risks
A study on medication error
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Medication errors in the United States cost hospitals and insurance companies billions of dollars every year. Each year written prescription errors cost thousands of Americans their life. Medication errors are costly to the healthcare system and the implementation of the electronic prescription system in hospitals and physician offices is sporadic. The government has implemented many incentive programs to encourage hospitals and private practices to adopt the use of electronic prescription systems. The introduction of the electronic prescription has reduced medication errors in hospitals and physician’s practices cutting the cost of health care. The current system of hand written prescription has proven to be an expensive multitude of adverse medication errors costing the healthcare system and especially Medicare billions of dollars. Illegible hand written prescriptions is estimated to have cost $3.5 billion annually for adverse drug events in hospitals. Scholars from across the country have recommended the transfer from paper prescriptions to electronic prescription technology that will enable the healthcare system to view a prescription history in combination with the electronic health record that is now implemented in most healthcare facilities across the country in hopes of saving money and lives. (cms.gov. 2007) Sloppy penmanship has been a problem in the medical field for decades. With the increase of aging baby boomers and the decline of fitness in the American population, prescription medications is at an all time high leading to the potential increase in written prescription errors. Written prescription errors were encountered for 37 out of every 100 written, contributing to the skyrocketing cost of health care. The error... ... middle of paper ... ... Affairs, 393-404. Leavitt, M. Secretary of Health and Human Services (2007) Pilot Testing of Initial Electronic Prescribing Standards. Retrieved from http://www.cms.gov/Medicare/E-Health/Eprescribing/downloads/e-rxreporttocongress.pdf Miller, R., Gardner, R., Johnson, K., & Hripcsak, G. (2005). Clinical Decision Support and Electronic Prescribing Systems: A Time for Responsible Thought and Action. Journal of American Medical Information Association, 12, 403-409. Stross, R. (2012, 04 28). Chicken scratches vs. electronic prescriptions. Retrieved from http://www.nytimes.com/2012/04/29/business/e-prescriptions-reduce-errors-but-their-adoption-is-slow.html?_r=0 PREVENTING MEDICATION ERRORS. (2006, January 1). Retrieved April 16, 2014, from http://www.iom.edu/~/media/Files/Report%20Files/2006/Preventing-Medication-Errors-Quality-Chasm-Series/medicationerrorsnew.ashx
Springfield General Hospital (SGH) is committed to high quality healthcare for patients, and providing tools to support physicians, nurses and pharmacists. SGH leadership approved the computerized physician order entry (CPOE) system as a solution to reduce prescription errors, and the results of the CPOE project are disappointing. The data show increased prescribing errors after implementing the CPOE; resulting in increased costs for adverse drug events, rather than the planned cost reduction (Spector, 2013). This change management plan provides the SGH board of directors and executive management team pragmatic steps to increase quality for patients by assessing the root issue of hospital
The federal government has taken a stance to standardized care by creating incentive programs that are mandated under the Health Information Technology for Economic and Clinical Health Act (HITECH) of 2009. This act encourages healthcare providers and healthcare institutions to adopt Meaningful use in order to receive incentives from Medicare and Medicaid. Meaningful use is the adoption of a certified health record system that acquires or obtains specified objectives about a patient. The objectives or measures are considered gold standard practices with the EHR system. Examples of the measures include data entry of vital signs, demographics, allergies, entering medical orders, providing patients with electronic copies of their records, and many more pertinent information regarding the patient (Friedman et al, 2013, p.1560).
Overview: E-prescribing systems enable the electronic transmissions of prescriptions to pharmacies from the provider's office. The promise of e-prescribing in regard to patient safety is reduction in the time gap between point of care and point of service, reduction in medication errors, and improved quality of care. This paper will give a brief overview concentrating on the reduction in medication errors and the challenges that remain with electronic prescriptions.
Niemei, K., Geary, S., Quinn, B., Larrabee, M., & Brown, K. (2009). Implementation and evaluation of electronic clinical decision support for compliance with pneumonia and heart failure quality indicators. American Journal of Health-System Pharmacy, 389-397.
“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users.” (healthit.gov) The EHR mandate was created “to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care.” ("Providers & Professionals | HealthIT.gov", n.d., p. 1) The process has proved to be quite challenging for providers. As an incentive, the government began issuing payments to those providers who “meaningfully use certified electronic health record (EHR) technology.” (hhs.gov) There are three stages that providers must progress through in order to receive theses financial incentives. Stage one is the initial stage and is met with the creation and implementation of the HER in the business. Stage two “increases health information exchange between providers.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) Stage three will be the continuation and expansion of the “meaningful use objectives.” ("United States Department of Health and Human Services | HHS.gov", n.d., p. 1) The hospital, where I work, initiated the HER mandate many years ago. In this paper, I will discuss the progression and the challenges that my hospital encountered while implementing the EHR mandate.
Properly implemented and medication-use technology has the potential to moderate these costs. Bar-code-assisted medication administration (BCMA) has been shown to reduce medication administration errors by as much as 54-86%. BCMA, along with computerized electronic prescriber order entry and an electronic medication administration record, closes a technological loop that extends from the transmission of the order to the administration of the medication at bedside (Strykowski, Hadsall, Sawchyn, VanSickle, Niznick,
Agyemang, REO, and A While. "Medication errors: types, causes and impact on nursing practice." British Journal of Nursing (BJN) 19.6 (2010): 380-385. CINAHL Plus with Full Text. EBSCO. Web. 7 Mar. 2011.
A medication error is any preventable event that may cause or lead to inappropriate medication use or harm to a patient (NCCMERP 2014). The death rate for medication errors averages around 7,000 deaths per year. Lawsuits for medication errors were mainly made against registered nurses because nurses are the last people to check a medication before it is administered. 426 medication error related lawsuits were made against registered nurses. (RightDiagnosis 2014).
Technology is a major asset to healthcare and without it our healthcare system would not be what it is today. With systems like the Computerized Physician Order Entry, patient safety is the number one priority. However, designing sophisticated software systems that only take the patient aspect into consideration can lead to unintentional errors for healthcare providers. In order to make recommendations for the future we need to understand what the Computerized Physician Order Entry does and the unintentional errors it causes.
Retrieved from EBSCOhost. Wakefield, B. J., Holman, T. U., & Wakefield, D. S. (2005). Development and Validation of the Medication Administration Error Reporting Survey. Agency for Healthcare Research and Quality.
In 2009 President Obama, through the American Reinvestment and Recovery Act, pledged to provide incentives to the nation’s physicians and hospitals to convert to an electronic healthcare system in attempt to improve the quality of care and reduce cost (Freudenheim, 2010). By converting to an electronic system, we have the opportunity for improved communication between all healthcare providers and decreased cost to our healthcare system. The goal is to improve communication across all aspects of the service chain (Horan, Botts & Burkhard, 2010). Almost two years later, the conversion progress continues to be slow. Only one in four physician’s offices, mostly large groups, have implemented the electronic record system (Freudenheim, 2010).
Electronic-prescribing, often referred to as e-prescribing, is a fairly new, innovative way for physicians and other medical personnel to prescribe medications and keep track of patients’ medical history. Not only has e-prescribing enabled prescribers to electronically send a prescription to the patients’ pharmacy of choice, in the short amount of time it has been available, it has significantly reduced health care costs, not only for the patient, but for the medical facilities as well. In 2003, e-prescribing was included in the Medicare Modernization Act (MMA) which jumpstarted the role of e-prescribing in healthcare. It has proven to significantly reduce the yearly number medication errors and prescription fraud, and its widespread publicity has helped build awareness of e-prescribing’s role in enhancing patient safety. Although it has not been in practice for very long, e-prescribing has already made a positive impact in the field of health care.
Medication errors made by medical staff bring about consequences of epidemic proportions. Medical staff includes everyone from providers (medical doctors, nurse practitioners and physician assistants) to pharmacists to nurses (registered and practical). Medication errors account for almost 98,000 deaths in the United States yearly (Tzeng, Yin, & Schneider, 2013). This number only reflects the United States, a small percentage in actuality when looking at the whole world. Medical personnel must take responsibility for their actions and with this responsibility comes accountability in their duties of medication administration. Nurses play a major role in medication error prevention and education and this role distinguishes them as reporters of errors.
Over the last several years, electronic medical records are becoming more prominent in health care facilities, replacing traditional written records. As many electronics are becoming more prevalent with the invention of numerous smartphones and tablet devices, it seems that making medical records available electronically would be appropriate for the evolving times. Even though they have been in use to some extent for many years, the “Health Information Technology for Economic and Clinical Health section of the American Recovery and Reinvestment Act has brought paperless documentation into the spotlight” (Eisenberg, 2010, p. 8). The systems of electronic medical records mainly consist of clinical note taking, prescription and medication documentation,
In my facility, nurses rely on numerous technologies to complete their daily tasks, the main one being a computer based electronic medication administration report (eMAR) system. This computer application assists with efficient administration of medication for client in long-term care. “The eMAR application offer nurses a list of Residents for selection, and after a Resident is chosen, the list of medications to be given appears on...