Navigation Links
Electronic tool helps reduce drug errors among hospitalized children
Date:5/5/2014

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
djacobson@aap.org
847-434-7084
American Academy of Pediatrics
Source:Eurekalert

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. SeeTips.com 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 PriceAngels.com Updates Its Website
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/24/2016)... ... June 24, 2016 , ... Topical BioMedics, Inc, makers of Topricin and MyPainAway Pain Relief ... a minimum wage raise to $12 an hour by 2020 and then adjusting it yearly ... lost value of the minimum wage, assure the wage floor does not erode again, and ...
(Date:6/24/2016)... Georgia (PRWEB) , ... June 24, 2016 , ... ... awards today at the Clinical Decision Making in Emergency Medicine conference in Ponte ... have authored journal articles published in Emergency Medicine Practice and Pediatric ...
(Date:6/24/2016)... ... June 24, 2016 , ... ... Investment Group (TGIG), has initiated cultivation and processing operations at its production facility, ... Pahrump, Nevada. , Puradigm is the manufacturer of a complete system of proactive ...
(Date:6/24/2016)... ... June 24, 2016 , ... National recruitment firm Slone Partners ... extensive sequencing and genomics experience, as Vice President of North American Capital Sales at ... responsible for leading the sales team in the commercialization of the HTG EdgeSeq system ...
(Date:6/24/2016)... , ... June 24, 2016 , ... ... human induced pluripotent stem (iPS) cells and other difficult to transfect cells, announces ... Medium. The PluriQ™ G9™ Gene Editing System is a complete system ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... 2016   Pulmatrix, Inc ., (NASDAQ: ... drugs, announced today that it was added to the ... its comprehensive set of U.S. and global equity indexes ... important milestone for Pulmatrix," said Chief Executive Officer ... our progress in developing drugs for crucial unmet medical ...
(Date:6/23/2016)... -- Research and Markets has announced the addition ... 2022" report to their offering. ... with kidney failure, it replaces the function of kidneys by ... and thus the treatment helps to keep the patient body,s ... Increasing number of ESRD patients & substantial healthcare ...
(Date:6/23/2016)... , June 23, 2016 Roche (SIX: ... 510(k) clearance for its Elecsys BRAHMS PCT (procalcitonin) assay ... sepsis or septic shock. With this clearance, Roche is ... a fully integrated solution for sepsis risk assessment and ... with bacterial infection and PCT levels in blood can ...
Breaking Medicine Technology: