Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

Lance J. Oyen; Rick A. Nishimura; Narith N. Ou; Jeffrey J. Armon; Min Zhou

Study

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

May 11, 2005

Oyen LJ, Nishimura RA, Ou NN, et al. Am Heart Hosp J. 2005;3(2):75-81.

View more articles from the same authors.

The investigators analyzed the efficacy of a computerized heparin nomogram system, which distributes interactive cues among the prescriber, nurse, pharmacist, and laboratory. They found significant improvements in the safety of this drug's administration.

PubMed citation

Available at

Related Resources From the Same Author(s)

Hospital rules-based system: the next generation of medical informatics for patient safety.

April 15, 2005

Impact of pharmacist-provided medication therapy management on healthcare quality and utilization in recently discharged elderly patients.

September 28, 2016

Differences in day and night shift clinical performance in anesthesiology.

June 4, 2008

Experiences of health professionals who conducted root cause analyses after undergoing a safety improvement programme.

December 20, 2006

Does simulation training for acute care nurses improve patient safety outcomes: a systematic review to inform evidence-based practice.

October 23, 2019

Physician burnout in the electronic health record era: are we ignoring the real cause?

May 9, 2018

View from the cockpit: what the airline industry can teach us about patient safety.

November 29, 2006

The missing link: dedicated patient safety education within top-ranked US nursing school curricula.

September 1, 2010

Chronic kidney disease adversely influences patient safety.

September 24, 2008

The problem with…using stories as a source of evidence and learning.

March 9, 2022

Day of discharge does not impact hospital readmission after major cardiac surgery.

November 7, 2018

Predictors of completeness of patients' self-reported personal medication lists and discrepancies with clinic medication lists.

December 11, 2013

The care transitions intervention: results of a randomized controlled trial.

October 11, 2006

Safety of office-based lens surgery: U.S. multicenter study

October 25, 2023

Impact of high-reliability education on adverse event reporting by registered nurses.

October 10, 2018

Review of patient safety incidents reported from critical care units in North-West England in 2009 and 2010.

May 2, 2012

Cardiopulmonary arrest and mortality trends, and their association with rapid response system expansion.

August 13, 2014

Posthospital medication discrepancies: prevalence and contributing factors.

September 21, 2005

Hospital-wide code rates and mortality before and after implementation of a rapid response team.

December 10, 2008

US poison control center calls for infants 6 months of age and younger.

January 27, 2016

Anatomy of an incident disclosure: the importance of dialogue.

October 3, 2012

National Quality Forum 30 safe practices: priority and progress in Iowa hospitals.

April 26, 2006

Prevention of opioid overdose.

June 26, 2019

Medication safety pharmacy technician in a large, tertiary care, community hospital.

March 30, 2016

Review of patient safety incidents submitted from critical care units in England & Wales to the UK National Patient Safety Agency.

December 2, 2009

Bedside computer vision—moving artificial intelligence from driver assistance to patient safety.

April 18, 2018

Challenges in health care simulation: are we learning anything new?

August 30, 2017

Driving improvement in patient care: lessons from Toyota.

March 6, 2005

Injury and death associated with incidents reported to the Patient Safety Net.

September 23, 2009

Patients' and families' perspectives of patient safety at the end of life: a video-reflexive ethnography study.

March 30, 2016

Impact of reduction in working hours for doctors in training on postgraduate medical education and patients' outcomes: systematic review.

April 6, 2011

Comparing measures of patient safety for inpatient care provided to veterans within and outside the VA system in New York.

February 27, 2008

Incidence of speech recognition errors in the emergency department.

September 14, 2016

Testing the technology acceptance model for evaluating healthcare professionals' intention to use an adverse event reporting system.

February 20, 2008

Patient safety measurement tools used in nursing homes: a systematic literature review.

December 7, 2022

Creating spaces in intensive care for safe communication: a video-reflexive ethnographic study.

October 22, 2014

Development of an "infusion pump safety score".

May 20, 2015

Emergency diagnosis of cancer and previous general practice consultations: insights from linked patient survey data.

August 2, 2017

Supratherapeutic dosing of acetaminophen among hospitalized patients.

December 5, 2012

Effect of behavioral interventions on inappropriate antibiotic prescribing among primary care practices: a randomized clinical trial.

February 24, 2016

Understanding and preventing wrong-patient electronic orders: a randomized controlled trial.

July 18, 2012

Simulation as a tool to improve the safety of pre-hospital anaesthesia—a pilot study.

September 23, 2009

Clinical characteristics and short-term outcomes of acute kidney injury missed diagnosis in older patients with severe COVID-19 in intensive care unit.

May 19, 2021

Pursuing patient safety at the intersection of design, systems engineering, and health care delivery research: an ongoing assessment.

February 27, 2019

Pharmacist workload and pharmacy characteristics associated with the dispensing of potentially clinically important drug-drug interactions.

May 9, 2007

Impact of remote consultations on antibiotic prescribing in primary healthcare: systematic review.

December 2, 2020

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

Geometric probability distribution for modeling of error risk during prescription dispensing.

June 14, 2006

Time of day and the decision to prescribe antibiotics.

October 22, 2014

An educational and audit tool to reduce prescribing error in intensive care.

October 29, 2008

Implementation of standardized dosing units for I.V. medications.

January 21, 2015

Narrativizing errors of care: critical incident reporting in clinical practice.

July 20, 2005

Diagnostic blood loss from phlebotomy and hospital-acquired anemia during acute myocardial infarction.

August 24, 2011

Handling anticipated exceptions in clinical care: investigating clinician use of 'exit strategies' in an electronic health records system.

November 9, 2011

John M. Eisenberg Patient Safety Awards. System innovation: Concord Hospital.

March 6, 2005

The costs of adverse drug events in hospitalized patients.

March 27, 2005

The high cost of low-frequency events: the anatomy and economics of surgical mishaps.

March 27, 2005

Associations of physician burnout with career engagement and quality of patient care: systematic review and meta-analysis.

September 28, 2022

National drug shortages worsen during COVID-19 crisis: proposal for a comprehensive model to monitor and address critical drug shortages.

November 4, 2020

The psychological and mental impact of coronavirus disease 2019 (COVID-19) on medical staff and general public - a systematic review and meta-analysis.

July 15, 2020

Challenges and remediation for Patient Safety Indicators in the transition to ICD-10-CM.

September 17, 2014

Safety in home care: a broadened perspective of patient safety.

January 30, 2008

Patient safety incidents associated with airway devices in critical care: a review of reports to the UK National Patient Safety Agency.

February 18, 2009

Finding the patient in patient safety.

February 13, 2013

What prevents incident disclosure, and what can be done to promote it?

August 31, 2011

What do patients and relatives know about problems and failures in care?

January 18, 2012

Frequent diagnostic errors in cardiac PET/CT due to misregistration of CT attenuation and emission PET images: a definitive analysis of causes, consequences, and corrections.

September 12, 2007

Medical reconciliation in patients discharged from the emergency department.

January 11, 2012

The incidence and nature of in-hospital adverse events: a systematic review.

June 18, 2008

Effects of shift length on quality of patient care and health provider outcomes: systematic review.

June 10, 2009

Toward safer health care: a review strategy of FDA medical device adverse event database to identify and categorize health information technology related events.

November 28, 2018

Natural language processing and its implications for the future of medication safety: a narrative review of recent advances and challenges.

September 5, 2018

Effect of electronic health records in ambulatory care: retrospective, serial, cross sectional study.

April 15, 2005

Quality improvement implementation and hospital performance on patient safety indicators.

January 31, 2006

A national implementation project to prevent catheter-associated urinary tract infection in nursing home residents.

May 31, 2017

Prescribing discrepancies likely to cause adverse drug events after patient transfer.

February 25, 2009

Frequency, expected effects, obstacles, and facilitators of disclosure of patient safety incidents: a systematic review.

May 10, 2017

Potentially inappropriate medication combination with opioids among older dental patients: a retrospective review of insurance claims data.

October 7, 2020

Overprescribing of opioids to adults by dentists in the U.S., 2011-2015.

March 18, 2020

Thoughtless design of the electronic health record drives overuse, but purposeful design can nudge improved patient care.

April 25, 2018

Clinical relevance of and risk factors associated with medication administration time errors.

July 10, 2013

Practising open disclosure: clinical incident communication and systems improvement.

January 7, 2009

Association between Leapfrog safe practices score and hospital mortality in major surgery.

November 30, 2011

July 16, 2008

Patient and carer identified factors which contribute to safety incidents in primary care: a qualitative study.

June 3, 2015

Relationship between state malpractice environment and quality of health care in the United States.

April 12, 2017

Appropriateness of outpatient antibiotic prescribing among privately insured US patients: ICD-10-CM based cross sectional study.

February 6, 2019

Positive predictive value of the AHRQ accidental puncture or laceration patient safety indicator.

January 20, 2010

Patient safety in cataract surgery.

July 20, 2005

Patient-led training on patient safety: a pilot study to test the feasibility and acceptability of an educational intervention.

September 4, 2013

A new structure of attention? Open disclosure of adverse events to patients and their families.

June 24, 2009

Teaching quality improvement and patient safety in residency education: strategies for meaningful resident quality and safety initiatives.

August 23, 2017

'Broken hospital windows': debating the theory of spreading disorder and its application to healthcare organizations.

May 9, 2018

Quality gaps identified through mortality review.

February 1, 2017

Data omission by physician trainees on ICU rounds.

February 6, 2019

Accuracy of laboratory data communication on ICU daily rounds using an electronic health record.

October 12, 2016

A national survey of obstetric anaesthetic handovers.

April 5, 2006

Analysis of malpractice claims in mammography: a complex issue.

August 12, 2009

The hazards of diagnosis.

August 25, 2010

Electronic health records and adverse drug events after patient transfer.

December 8, 2010

Related Resources

WebM&M Cases

Weight and Height Juxtaposition in the Electronic Medical Record Causing an Accidental Medication Overdose.

October 31, 2023

Automated dispensing cabinet overrides-an evaluation of necessity in a pediatric emergency department.

May 25, 2022

At US hospitals, a drug mix-up is just a few keystrokes away.

May 11, 2022

Annual Perspective

Annual Perspective: Topics in Medication Safety

March 31, 2022

As a nurse faces prison for a deadly error, her colleagues worry: could I be next?

March 30, 2022

Targeted Medication Safety Best Practices for Hospitals.

February 2, 2022

Identification and safe storage of look-alike, sound-alike medicines in automated dispensing cabinets.

February 3, 2021

WebM&M Cases

Fatal Patient-Controlled Analgesia (PCA) Opioid-Induced Respiratory Depression

May 27, 2020

How often do prescribers include indications in drug orders? Analysis of 4 million outpatient prescriptions.

July 10, 2019

Preventing dispensing errors by alerting for drug confusions in the pharmacy information system—a survey of users.

August 8, 2018

An electronic intervention to improve safety for pain patients co-prescribed chronic opioids and benzodiazepines.

May 23, 2018

Risk factors for i.v. compounding errors when using an automated workflow management system.

July 27, 2016

US poison control center calls for infants 6 months of age and younger.

January 27, 2016

Computerized dose range checking using hard and soft stop alerts reduces prescribing errors in a pediatric intensive care unit.

November 19, 2014

Medication safety in the operating room: a survey of preparation methods and drug concentration consistencies in children's hospitals in the United States.

September 24, 2014

How useful are medication patient information leaflets to older adults? A content, readability and layout analysis.

September 17, 2014

Indication alerts intercept drug name confusion errors during computerized entry of medication orders.

September 3, 2014

From physician intent to the pharmacy label: prevalence and description of discrepancies from a cross-sectional evaluation of electronic prescriptions.

February 26, 2014

Effect of barcode-assisted medication administration on emergency department medication errors.

October 2, 2013

Transmitting and processing electronic prescriptions: experiences of physician practices and pharmacies.

December 7, 2011

High incidence of medication documentation errors in a Swiss university hospital due to the handwritten prescription process.

November 2, 2011

Prevalence of medication administration errors in two medical units with automated prescription and dispensing.

September 28, 2011

Drug shortages: a pharmacy informatics perspective.

May 4, 2011

Medication-error alerts for warfarin orders detected by a bar-code-assisted medication administration system.

March 9, 2011

Guidelines for timely medication administration: response to the CMS "30-minute rule."

January 26, 2011

Automated drug dispensing system reduces medication errors in an intensive care setting.

September 29, 2010

A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.

September 22, 2010

CMS 30-minute rule for drug administration needs revision.

September 22, 2010

ISMP medication error report analysis.

April 21, 2010

ISMP medication error report analysis.

March 10, 2010

See More About The Topic

Physicians

Nurses

Pharmacists

Information Professionals

Ordering/Prescribing Errors

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Effectiveness of a computerized system for intravenous heparin administration: using information technology to improve patient care and patient safety.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site