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- Electronic Health Records
- Transcription Errors
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Journal Article > Study
Effect of bar-code technology on the safety of medication administration.
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Poon EG, Keohane CA, Yoon CS, et al. N Engl J Med. 2010;362:1698-1707.
Information technology solutions have proven effective at reducing some types of medication errors. For example, computerized provider order entry (CPOE) can reduce errors at the prescribing and transcription stages. Bar-coding of medications has been advocated as a means of reducing medication administration errors; although some studies have found success, others have noted unintended consequences. This study tested a "closed-loop" system that combined CPOE, bar-coding, and an electronic medication administration record (eMAR) in an academic medical center, and found that the system significantly reduced administration errors as well as potential adverse drug events. The authors note that significant changes in workflow were necessary to achieve these results and caution that successful use of this technology requires considerable attention to development and implementation.
Newspaper/Magazine Article
Death by handwriting.
Glabman M. Trustee. October 2005;58:29-32.
This article discusses several strategies implemented by hospitals to improve the legibility of physicians' medication orders.
Book/Report
Electronically Generated Medication Administration and Electronic Medication Administration Records for the Prevention of Medication Transcription Errors: Review of Clinical Effectiveness and Safety.
Ottawa, ON: Canadian Agency for Drugs and Technologies in Health; 2016.
Use of medication administration technologies can reduce transcription errors. This review examined computerized order entry systems, barcode medication administration systems, and other tools that can prevent medication transcription errors.
Cases & Commentaries
Bad Writing, Wrong Medication
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Beth Devine, PharmD, MBA, PhD; April 2010
A medication dispensing error causes nausea, sweating, and irregular heartbeat in an elderly man with a history of cardiac arrhythmia. Investigation reveals that the patient was given thyroid replacement medication instead of antiarrhythmic medication.