@article{9149, author = {Michael Saginur and Ian D. Graham and Alan J. Forster and Michel Boucher and George A. Wells}, title = {The uptake of technologies designed to influence medication safety in Canadian hospitals.}, abstract = {

BACKGROUND: There are many technologies designed to improve medication safety. Although limited evidence supports their use, there are pressures to implement them.

OBJECTIVE: To determine the uptake of technologies designed to improve medication safety, plans for adopting technologies, attitudes towards technology use, and perceptions of medication error. Methods We performed a cross-sectional survey of pharmacy directors at Canada's 100 largest acute-care hospitals.

RESULTS: Seventy-eight per cent of surveyed hospitals responded. Responding hospitals averaged 499 beds and 29% were teaching facilities. Hospital frequently used clinical pharmacy services (97% of hospitals), pharmacy-based intravenous admixture services (81%), computerized decision support modules for pharmacy order entry systems (77%), unit-dose drug distribution systems (75%) and computerized medication administration records (67%). Hospitals infrequently used bar-coding (9% of hospitals) and computerized physician order entry (9%). A majority of respondents and hospitals favoured expanded use of new technologies and planned for increased uptake. Respondents chose as their hospital's next investment: automated dispensing (33%), bar-coding (25%) and computerized physician order entry (12%).

CONCLUSION: Canadian hospitals appear poised to make sizeable investments in poorly evaluated technologies that address medication safety.

}, year = {2008}, journal = {J Eval Clin Pract}, volume = {14}, pages = {27-35}, month = {02/2008}, issn = {1365-2753}, doi = {10.1111/j.1365-2753.2007.00780.x}, language = {eng}, }