Navigation Links
Electronic tool helps reduce drug errors among hospitalized children

VANCOUVER, BRITISH COLUMBIA When children are admitted to the hospital, sometimes the medications they take at home are lost in the shuffle, or they may be given the wrong dose.

Having a system in place at hospital admission to record and review a child's medication history results in fewer errors, potentially avoiding harm to the patient, according to a study to be presented Monday, May 5, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

The Joint Commission, which accredits and certifies more than 20,000 health care organizations in the United States, has set a patient safety goal to accurately and completely reconcile medications as patients move through all health care settings. The process involves comparing a patient's current medication regimen against a physician's admission, transfer or discharge orders to identify discrepancies.

Jonathan D. Hron, MD, FAAP, a pediatric hospitalist at Boston Children's Hospital and an instructor of pediatrics at Harvard Medical School, led a team that implemented a quality improvement project that focused on reducing medication errors due to breakdowns at hospital admission. A group of physicians, pharmacists, nurses and information technology specialists worked together to test, implement and train clinicians to use a tool, which facilitates review of a patient's complete medication history when the child is admitted to the hospital.

The tool, which is part of the hospital's electronic health record system, was piloted in one area of the hospital and gradually was expanded to the entire hospital. "We successfully implemented the medication reconciliation application throughout the hospital, changing the practice of our entire staff," Dr. Hron said.

Using an existing voluntary error reporting tool, Dr. Hron and his colleagues then looked at the number of medication errors that occurred before and after implementation of the electronic tool.

About 33,000 children were admitted to Boston Children's Hospital during the study period, and the medication reconciliation tool was used for 75 percent of admissions after the intervention. The recording of medication history improved from 89 percent of admissions before the tool was implemented to 93 percent of admissions afterward. During the study, 146 medications errors due to missing or incorrect information at admission were detected. The error rate decreased by about 50 percent after hospital staff starting using the tool from 5.9 errors per 1,000 admissions to 2.5 errors per 1,000 admissions. Most of the errors did not harm patients, while 1 percent required additional monitoring or intervention but did not cause permanent harm.

"Careful medication reconciliation is essential to providing patient care, and it requires teamwork between doctors, nurses and pharmacists," Dr. Hron said. "If it's not being done in a systematic way, it's not being done right."


Contact: Debbie Jacobson
American Academy of Pediatrics

Related medicine news :

1. Electronic nose sniffs out prostate cancer using urine samples
2. Electronic medication alerts designed with provider in mind reduce prescribing errors
3. The World's Most Advanced Desktop Electronic Magnifier for Under $2,000
4. South African trauma center launches portable electronic trauma health record application
5. Announces The Best Online Store to Buy Wholesale Dresses and Electronics From China
6. Study Documents Secondhand Exposure to Nicotine from Electronic Cigarette Vapor
7. Improved Electronic Signature Experience Announced in New Upgrade Released By DocVerify
8. Prescott Vein Specialties Gets Electronic Upgrade
9. Electronic cigarettes: New route to smoking addiction for adolescents
10. Electronic Medical Records (EMR) Market Worth $9,957 Million by 2015 - New Report by MarketsandMarkets
11. Wholesale Electronics Center from China Updates Its Website
Post Your Comments:
(Date:11/27/2015)... ... 2015 , ... A team of Swiss doctors has released a report on ... just posted the findings on the website. Click here to read the details ... mesothelioma patients who were treated with chemotherapy followed by EPP surgery. Among the 106 ...
(Date:11/27/2015)... ... , ... Lizzie’s Lice Pickers just announced a special promotion that will run ... purchase of lice treatment product. In addition, customers will receive a complimentary head Check ... lice is a sure way to ruin the holidays, so we encourage all of ...
(Date:11/27/2015)... ... ... No.1 Herpes-only dating community in the world, revealed that over 50% of its members are ... people under the age of 50 – or 67% of the population - are infected ... HSV-1 infection . , "The data shocks us highly!" said Michelle Li, Co-Founder of ...
(Date:11/27/2015)... ... November 27, 2015 , ... A simply groundbreaking television series, "Voices in America", ... delves into an array of issues that are presently affecting Americans. Dedicated to providing ... this show is changing the subjects consumers focus on, one episode at a time. ...
(Date:11/27/2015)... ... November 27, 2015 , ... CBD College is proud ... Education Programs (CAAHEP) awarded accreditation to its Diagnostic Medical Sonography program. CBD College is ... only one of twelve colleges and universities in the state of California make the ...
Breaking Medicine News(10 mins):
(Date:11/26/2015)... , November 27, 2015 ... --> --> ... emergency response system (PERS) market ... for 5 years with APAC ... expected to see a high ...
(Date:11/26/2015)... 26 november 2015 AAIPharma Services ... geplande investering aan van ten minste $15,8 ... en het mondiale hoofdkantoor in ... resulteren in extra kantoorruimte en extra capaciteit ... groeiende behoeften van de farmaceutische en biotechnologische ...
(Date:11/26/2015)... 2015 --> ... combineert immunotherapie met Bremachlorin-photodynamische therapie voor de ... ) --> ... ) Uit een ... (LUMC) blijkt dat ...
Breaking Medicine Technology: