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Journal Article > Commentary
Preventing medication errors in hospitals through a systems approach and technological innovation: a prescription for 2010.
Crane J, Crane FG. Hosp Top. Fall 2006;84:3-8.
The authors suggest a model process utilizing failure mode and effects analysis to effectively implement emerging technologies that help minimize medication error.
Journal Article > Study
The impact of a closed-loop electronic prescribing and administration system on prescribing errors, administration errors and staff time: a before-and-after study.
Franklin BD, O'Grady K, Donyai P, Jacklin A, Barber N. Qual Saf Health Care. 2007;16:279-284.
Measures that have been proposed to reduce the incidence of medication errors target prescribing safety (e.g., computerized provider order entry) or safety in administering medications (e.g., bar coding or automated dispensing). While each of these individual measures has been shown to decrease errors, as yet few systems "close the loop" by integrating safety measures for prescribing and administering medications. Utilizing an electronic system that incorporated CPOE, automated dispensing, bar coding, and an electronic medication record, this single-institution study demonstrated a significant reduction in both prescribing errors and administration errors. However, staff time spent on medication-related tasks increased. While the study results are promising, one caveat is that the system was not used for high-risk drugs such as anticoagulants or intravenous medications.
Anderson HJ. Health Data Manage. May 1, 2009;17:22.
This article discusses efforts to support medicine administration through various information technology techniques. It is second in a three-part series on patient safety and computerization.
Journal Article > Study
A network collaboration implementing technology to improve medication dispensing and administration in critical access hospitals.
Wakefield DS, Ward MM, Loes JL, O'Brien J. J Am Med Inform Assoc. 2010;17:584-587.
Uptake of health information technology has been slow, especially in smaller hospitals and ambulatory practices. This article describes the successful implementation of an electronic medical record in a group of rural and critical access hospitals.