New technologies as a strategy to decrease medication errors: how do they affect adults and children differently?

Ruano, Margarita; Villamañán, Elena; Pérez, E Rodríguez; Herrero, Alicia; Álvarez-Sala, R.

doi:10.1007/s12519-015-0067-6

Cited by 21 publications

(20 citation statements)

References 56 publications

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“…Further path analysis showed that hardware might affect nurses and thereby indirectly influence the medication safety behaviour of nurses. The study found that information technology might reduce errors; although electronic medical records, electronic prescriptions, drug barcodes and decision support systems have been proven effective, the use of these information tools may also generate new errors, which must not be disregarded (Anderson & Abrahamson, ; Ruano, Villamañán, Pérez, Herrero, & Álvarez‐Sala, ).…”

Section: Discussionmentioning

confidence: 99%

Influence of the medication environment on the unsafe medication behaviour of nurses: A path analysis

Gao

et al. 2018

Journal of Clinical Nursing

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Section: Discussionmentioning

confidence: 99%

Influence of the medication environment on the unsafe medication behaviour of nurses: A path analysis

Gao

et al. 2018

Journal of Clinical Nursing

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“…These differences in overall satisfaction with CPOE among healthcare professionals may be due to diverse causes,5 15–17 23 24 but doubtlessly each one uses the system differently during their daily tasks and their needs are probably different as well. Indeed, not having a virtual system in our hospital to record medication administration parallel to the CPOE system may have caused lower satisfaction with the CPOE in the NP 6. This does not invalidate the obtaining of a single model to record healthcare professionals’ satisfaction, which in subsequent analysis may be stratified to determine satisfaction in both groups and how different factors or confounding variables may influence satisfaction in these groups 21…”

Section: Discussionmentioning

confidence: 99%

Proposed model to determine satisfaction with computerised provider order entry systems in a long-stay hospital

Carrera-Hueso¹,

Merino-Plaza

Ramón-Barrios³

et al. 2017

Eur J Hosp Pharm

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ObjectivesComputerised provider order entry (CPOE) systems reduce medication errors, but are not without dangers. Knowing satisfaction with the CPOE helps to improve its implementation. Our objective was to determine the satisfaction of healthcare professionals with the CPOE in a long-stay hospital and to propose a single model.MethodsA cross-sectional study in a long-stay hospital. Two questionnaires were distributed to determine satisfaction with CPOE, one for medical personnel (MP) and another for nursing personnel (NP). Data collected were: sex, age and work aspects. A strategy for item refinement and creation of a single scale was designed.ResultsThe overall participation rate was 63.6%, with 68 responses from the target population of 107. Overall, 72.2% (13 of 18) of MP and 40% (20 of 50) of NP were satisfied with CPOE. Regarding the specific questions on satisfaction in the questionnaires, 88.9% (n=16) of MP were very satisfied but only 56.0% (n=28) of NP. The median of each question was 4, with the exception of those for NP referring to a faster process and improved coordination, which were 3 and 3.5, respectively. The items weighing more in the second component were eliminated and the questions merged. After refining the items, a final six-item model was obtained with a single component of high reliability (Cronbach’s α=0.896), which accounts for 67% of total variance.ConclusionThe degree of satisfaction with CPOE in a long-stay hospital was high, though lower in NP than MP. Obtaining a single questionnaire can facilitate this process.

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“…Since the publication of the (now retired) AAP Policy Statement "Prevention of Medication Errors in the Pediatric Inpatient Setting," 71 it has become more apparent that CPOE systems require robust decision support to be safe and effective. 18,[72][73][74][75][76] Some decisionsupport rules for drug and dosing schedules and CPOE systems are now commercially available for children; however, most of them are still created locally. Order sets, reminders, and evidence-based clinical practice guidelines embedded within information systems increase adherence to best practices.…”

Section: Role Of Information Technologymentioning

confidence: 99%

Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care

et al. 2019

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Pediatricians render care in an increasingly complex environment, which results in multiple opportunities to cause unintended harm. National awareness of patient safety risks has grown since the National Academy of Medicine (formerly the Institute of Medicine) published its report "To Err Is Human: Building a Safer Health System" in 1999. Patients and society as a whole continue to challenge health care providers to examine their practices and implement safety solutions. The depth and breadth of harm incurred by the practice of medicine is still being defined as reports continue to reveal a variety of avoidable errors, from those that involve specific high-risk medications to those that are more generalizable, such as patient misidentification and diagnostic error. Pediatric health care providers in all practice environments benefit from having a working knowledge of patient safety language. Pediatric providers should serve as advocates for best practices and policies with the goal of attending to risks that are unique to children, identifying and supporting a culture of safety, and leading efforts to eliminate avoidable harm in any setting in which medical care is rendered to children. In this Policy Statement, we provide an update to the 2011 Policy Statement "Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care." BACKGROUND INFORMATION Patient safety is defined as the prevention of harm to patients. 1 Although patient safety is only 1 of the 6 domains of quality of care defined by the National Academy of Medicine (formerly the Institute of Medicine [IOM]), 2 it is undoubtedly one of the most important. There are real and growing concerns regarding pediatric errors and harms reported related to specific populations, such as with the use of temporary names in newborn care, 3 as well as issues spanning all populations, such as diagnostic errors in ambulatory and hospital settings 4 and information technology errors in prescribing. 5 Pediatricians in all practice settings can help champion the

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New technologies as a strategy to decrease medication errors: how do they affect adults and children differently?

Abstract: Implementation of CPOE programs for pediatrics, communication improvement between healthcare professionals taking care of admitted children and the knowledge of these programs should be the mayor priorities for the safety of hospitalized children.

Cited by 21 publications

References 56 publications

Influence of the medication environment on the unsafe medication behaviour of nurses: A path analysis

Influence of the medication environment on the unsafe medication behaviour of nurses: A path analysis

Proposed model to determine satisfaction with computerised provider order entry systems in a long-stay hospital

Principles of Pediatric Patient Safety: Reducing Harm Due to Medical Care

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