Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors.

Matthew E. Hirschtritt; Steven Chan; Wilson O. Ly

Commentary

Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors.

January 31, 2018

Hirschtritt ME, Chan S, Ly WO. Psychiatr Serv. 2018;69(2):129-132.

View more articles from the same authors.

Electronic prescribing is associated with improvements in medication safety, but it can also introduce problems unique to information technology use. This commentary discusses this issue in the context of reducing errors in outpatient psychiatry medication administration. The authors recommend increasing e-prescribing implementation, enhancing usability, and improving interoperabilty between hospital and retail pharmacy systems to achieve progress.

PubMed citation

Free full text

Related Resources From the Same Author(s)

The influence of the availability heuristic on physicians in the emergency department.

November 17, 2021

Evidence for anchoring bias during physician decision-making.

July 12, 2023

Team-based intervention to reduce the impact of nonactionable alarms in an adult intensive care unit.

November 6, 2019

How do black-serving hospitals perform on patient safety indicators?: Implications for national public reporting and pay-for-performance.

December 1, 2010

Clinical perspective: creating an effective practice peer review process—a primer.

March 29, 2017

Transparency, public reporting, and a culture of change to quality and safety in cardiac surgery.

November 9, 2022

Clinical reasoning in the wild: premature closure during the COVID-19 pandemic.

August 19, 2020

Causes of near misses in critical care of neonates and children.

April 30, 2008

Communication gaps and readmissions to hospital for patients aged 75 years and older: observational study.

February 27, 2008

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

October 14, 2009

Quality: performance improvement, teamwork, information technology and protocols.

April 17, 2013

Closed medical negligence claims can drive patient safety and reduce litigation.

April 4, 2012

Quality improvement as a primary approach to change in healthcare: a precarious, self-limiting choice?

December 7, 2022

CDC central-line bloodstream infection prevention efforts produced net benefits of at least $640 million during 1990–2008.

June 18, 2014

Physician implicit review to identify preventable errors during in-hospital cardiac arrest.

January 26, 2011

Promoting health care safety through training high reliability teams.

August 24, 2005

Chemotherapy regimen checks performed by pharmacists contribute to safe administration of chemotherapy.

December 2, 2015

Electronic prescription writing errors in the pediatric emergency department.

June 24, 2015

Communicating, coordinating, and cooperating when lives depend on it: tips for teamwork.

May 28, 2008

How much diagnostic safety can we afford, and how should we decide? A health economics perspective.

October 2, 2013

Toward zero harm: Mackenzie Health's journey toward becoming a high reliability organization and eliminating avoidable harm.

November 16, 2022

From principles to practice: embedding clinical reasoning as a longitudinal curriculum theme in a medical school programme.

June 15, 2022

Nonrandomized intervention study of naloxone coprescription for primary care patients receiving long-term opioid therapy for pain.

June 29, 2016

Is the skillset obtained in surgical simulation transferable to the operating theatre?

February 19, 2014

Duke Surgery Patient Safety: an open-source application for anonymous reporting of adverse and near-miss surgical events.

May 16, 2007

Keeping an eye on patient safety using human factors engineering (HFE): a family affair for the hospitalized child.

February 3, 2010

A scoping review of distributed cognition in acute care clinical decision-making.

June 7, 2023

Office-based surgery and patient outcomes.

March 27, 2019

Development of the Leapfrog Group's bar code medication administration standard to address hospital inpatient medication safety.

September 21, 2022

Emergency medical services provider perceptions of the nature of adverse events and near-misses in out-of-hospital care: an ethnographic view.

July 16, 2008

Types and patterns of safety concerns in home care: client and family caregiver perspectives.

March 9, 2016

The tension between promoting mobility and preventing falls in the hospital.

May 10, 2017

Mandatory presuit mediation: 5-year results of a medical malpractice resolution program.

May 7, 2014

Influence of language barriers on outcomes of hospital care for general medicine inpatients.

July 7, 2010

A method to identify pediatric high-risk diagnoses missed in the emergency department.

August 8, 2018

The effects of three consecutive 12-hour shifts on cognition, sleepiness, and domains of nursing performance in day and night shift nurses: a quasi-experimental study.

October 20, 2021

Measuring safety climate in elderly homes.

March 29, 2012

A qualitative content analysis of retained surgical items: learning from root cause analysis investigations.

May 27, 2020

Effect of communication errors during calls to an antimicrobial stewardship program.

March 26, 2008

The development of a patient safety program across the continuum of care.

November 16, 2005

Declaring uncertainty: using quality improvement methods to change the conversation of diagnosis.

March 17, 2021

Weekend versus weekday admission and mortality from myocardial infarction.

March 28, 2007

Psychological responses, coping and supporting needs of healthcare professionals as second victims.

November 2, 2016

The association between EMS workplace safety culture and safety outcomes.

October 19, 2011

State legal restrictions and prescription-opioid use among disabled adults.

July 20, 2016

Ambulance personnel perceptions of near misses and adverse events in pediatric patients.

August 11, 2010

Mislabeling of cases, specimens, blocks, and slides: a College of American Pathologists study of 136 institutions.

September 14, 2011

Methodological variations and their effects on reported medication administration error rates.

February 27, 2013

Using a human factors framework to assess clinician perceptions of and barriers to high reliability in hand hygiene.

June 14, 2023

Inappropriate prescribing to older patients by nurse practitioners and primary care physicians.

November 8, 2023

Right medication, right dose, right patient, right time, and right route: how do we select the right patient-controlled analgesia (PCA) device?

December 12, 2007

Human performance breakdowns are rarely accidents: they are usually very poor choices with disastrous results.

March 6, 2005

Patient safety and quality improvement education: a cross-sectional study of medical students' preferences and attitudes.

April 24, 2013

Rapid response systems and collective (in)competence: an exploratory analysis of intraprofessional and interprofessional activation factors.

January 28, 2015

Chemotherapy drug shortages in pediatric oncology: a consensus statement.

February 26, 2014

Simulation study of rested versus sleep-deprived anesthesiologists.

January 9, 2005

Cultural diversity: what role does it play in patient safety?

August 25, 2010

Technical rationality and the decentring of patients and care delivery: a critique of 'unavoidable' in the context of patient harm.

July 25, 2018

Role of nursing home quality on COVID-19 cases and deaths: evidence from Florida nursing homes.

September 22, 2021

Discontinuation of antihyperglycemic therapy after acute myocardial infarction: medical necessity or medical error?

September 5, 2012

Developing agreement on never events in primary care dentistry: an international eDelphi study.

August 29, 2018

Patient safety in the pediatric emergency care setting.

January 2, 2008

A complementary approach to promoting professionalism: identifying, measuring, and addressing unprofessional behaviors.

November 14, 2007

A systematic review of clinical decision support systems for clinical oncology practice.

May 15, 2019

Computerized provider order entry implementation: no association with increased mortality rates in an intensive care unit.

July 19, 2006

Partnering with VA stakeholders to develop a comprehensive patient safety data display: lessons learned from the field.

February 11, 2015

Reporting of Clinical Adverse Events Scale: a measure of doctor and nurse attitudes to adverse event reporting.

October 22, 2008

Beyond the prescription: medication monitoring and adverse drug events in older adults.

August 31, 2011

Inpatient patient safety events in vulnerable populations: a retrospective cohort study.

November 18, 2020

Monitoring for medication errors in outpatient settings.

January 28, 2009

Usability evaluation of order sets in a computerized provider order entry system.

August 24, 2011

Does user-centred design affect the efficiency, usability and safety of CPOE order sets?

May 4, 2011

Disclosing medical errors to patients: it's not what you say, it's what they hear.

July 22, 2009

The challenges of electronic health records and diabetes electronic prescribing: implications for safety net care for diverse populations.

February 22, 2017

Fast does not imply flawed: analyzing emergency physician productivity and medical errors.

December 14, 2022

How surgeons disclose medical errors to patients: a study using standardized patients.

December 7, 2005

Standardizing patient safety event reporting between care delivered or purchased by the Veterans Health Administration (VHA).

April 10, 2024

Systematic error and cognitive bias in obstetric ultrasound.

May 15, 2019

Effect of ACGME duty hours on attending physician teaching and satisfaction.

June 18, 2008

Impact of feeling responsible for adverse events on doctors' personal and professional lives: the importance of being open to criticism from colleagues.

July 25, 2007

Mortality among hospitalized Medicare beneficiaries in the first 2 years following ACGME resident duty hour reform.

September 12, 2007

Surgical safety checklists: do they improve outcomes?

June 20, 2012

Types and effects of feedback for emergency ambulance staff: a systematic mixed studies review and meta-analysis.

July 12, 2023

The safety of Australian healthcare: 10 years after QAHCS.

April 15, 2005

Antimicrobial prescription errors in hospitalized children: role of antimicrobial stewardship program in detection and intervention.

April 1, 2009

Global oncology pharmacy response to COVID-19 pandemic: medication access and safety.

June 10, 2020

Driving out errors.

April 27, 2011

'Inattentional blindness': what captures your attention?

November 21, 2012

Physical environments that promote safe medication use.

August 29, 2012

Making it easier to do the right thing: a modern communication QI agenda.

August 8, 2012

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.

December 19, 2018

That's the way we do things around here! Your actions speak louder than words when it comes to patient safety.

June 18, 2014

Patient falls while under supervision: trends from incident reporting.

July 5, 2023

Concordance of hospital ranks and category ratings using the current technical specification of US Hospital Star Ratings and reasonable alternative specifications.

August 31, 2022

Can your nurses stop a surgeon?

September 26, 2007

Self-reported adverse events in health care that cause harm: a population-based survey.

May 13, 2009

A simulation design for research evaluating safety innovations in anaesthesia.

January 28, 2009

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis.

January 12, 2022

Quality improvement initiative to decrease central line-associated bloodstream infections during the COVID-19 pandemic: a "zero harm" approach.

April 19, 2023

Clinical outcomes and mortality associated with weekend admission to psychiatric hospital.

June 8, 2016

Related Resources

E-prescribing and medication safety in community settings: a rapid scoping review.

January 24, 2024

Making polypharmacy safer for children with medical complexity.

April 5, 2023

Perspectives on Safety

Annual Perspective

Technology as a Tool for Improving Patient Safety

March 29, 2023

Concerns regarding tablet splitting: a systematic review.

December 7, 2022

Understanding factors that could influence patient acceptability of the use of the PINCER intervention in primary care: a qualitative exploration using the Theoretical Framework of Acceptability.

November 9, 2022

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

Changes to primary care delivery during the COVID-19 pandemic and perceived impact on medication safety: a survey study.

June 29, 2022

The critical role of health information technology in the safe integration of behavioral health and primary care to improve patient care.

November 10, 2021

Electronic health record interoperability-why electronically discontinued medications are still dispensed.

September 22, 2021

Medication incident recovery and prevention utilising an Australian community pharmacy incident reporting system: the QUMwatch study.

May 5, 2021

Work effort, readability and quality of pharmacy transcription of patient directions from electronic prescriptions: a retrospective observational cohort analysis.

March 31, 2021

Optimizing Health IT for Safe Integration of Behavioral Health and Primary Care.

February 17, 2021

Wrong-patient ordering errors in peripartum mother-newborn pairs: a unique patient-safety challenge in obstetrics.

September 23, 2020

STOPP/START criteria for potentially inappropriate medications/potential prescribing omissions in older people: origin and progress.

January 8, 2020

WebM&M Cases

A Mistaken Dose of Naloxone 

December 18, 2019

Surgical data recording technology: a solution to address medical errors?

September 18, 2019

From box ticking to the black box: the evolution of operating room safety.

September 4, 2019

Ten ways to improve medication safety in community pharmacies.

August 7, 2019

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

July 10, 2019

WebM&M Cases

Delayed Clozapine Prescription in an Elderly Man With Dementia

July 2, 2019

Multicenter study to evaluate the benefits of technology-assisted workflow on i.v. room efficiency, costs, and safety.

June 26, 2019

The wicked problem of patient misidentification: how could the technological revolution help address patient safety?

May 1, 2019

Medication errors in community pharmacies: the need for commitment, transparency, and research.

February 20, 2019

The impact of technology on safe medicines use and pharmacy practice in the US.

January 30, 2019

Prospective daily review of discharge medications by pharmacists: effects on measures of safety and efficiency.

January 16, 2019

Selected medication safety risks that can easily fall off the radar screen—part 1, part 2, and part 3.

December 19, 2018

A prescription for enhancing electronic prescribing safety.

December 12, 2018

Analysis of medication therapy discontinuation orders in new electronic prescriptions and opportunities for implementing CancelRx.

November 14, 2018

Developing a learning health system: insights from a qualitative process evaluation of a pharmacist-led electronic audit and feedback intervention to improve medication safety in primary care.

November 14, 2018

How to prevent the top 4 medication errors.

October 17, 2018

See More About The Topic

Outpatient Pharmacy

Pharmacists

Information Professionals

Mental Health Care (Psychiatry and Clinical Psychology)

Ordering/Prescribing Errors

Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Realizing e-prescribing's potential to reduce outpatient psychiatric medication errors.

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