Technology-related medication errors in a tertiary hospital: A 5-year analysis of reported medication incidents

Samaranayake, NR; Cheung, S. T. D.; Chui, William; Cheung, Bernard M Y

doi:10.1016/j.ijmedinf.2012.09.002

Cited by 47 publications

(38 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We know that many errors in health care go unreported and even unnoticed (Noble & Pronovost, 2010). In a retrospective study of reported medication errors, Samaranayake, Cheung, Chui, and Cheung (2012) found that while BCA can eliminate many medication errors, some errors related to poor interfaces, improper procedures or workarounds, and incorrect labeling still occur. While nurses in this study trusted the medication administrative technology, RNs should not blindly trust the BCA technology.…”

Section: Discussionmentioning

confidence: 99%

Is There Light? Well It Depends-A Grounded Theory Study of Nurses, Lighting, and Medication Administration

Graves¹,

Symes

Cesario

et al. 2014

Nurs Forum

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

Is There Light? Well It Depends-A Grounded Theory Study of Nurses, Lighting, and Medication Administration

Graves¹,

Symes

Cesario

et al. 2014

Nurs Forum

View full text Add to dashboard Cite

show abstract

“…Koppel et al [11] research identified that 75% of house staff (i.e., physicians) who participated in their study noted the presence of several differing types of error risks (e.g., "pharmacy inventory displays mistaken for dosage guidelines", "ignored antibiotic renewal notices placed on paper charts") as having occurred "weekly" and in some cases "more often". In another more recent study, Samaranayake et al [35] reported on findings from a study of medication incidents in a large tertiary care hospital that was highly automated (from 2006-2010). The researchers found that 17.1% of all medication incidents involved technologies such as "computerized prescription order entry", "bar-coded patient identification labels", "infusion pumps", and "computer-aided dispensing labels" [35].…”

Section: Four Main Trends In the Literature On Technology-inducedmentioning

confidence: 99%

“…In another more recent study, Samaranayake et al [35] reported on findings from a study of medication incidents in a large tertiary care hospital that was highly automated (from 2006-2010). The researchers found that 17.1% of all medication incidents involved technologies such as "computerized prescription order entry", "bar-coded patient identification labels", "infusion pumps", and "computer-aided dispensing labels" [35]. …”

Section: Four Main Trends In the Literature On Technology-inducedmentioning

confidence: 99%

“…As the introduction of electronic records in physician offices, hospitals and other organizations is in its infancy perhaps we are only seeing the beginning of reports on these types of errors: "the tip of the iceberg" [11,35]. Given this research in involving hospitals that are highly automated, there is a need to recognize that technology-induced errors may be more prevalent than we think and that underreporting by health and HIT professionals may be occurring.…”

Section: Four Main Trends In the Literature On Technology-inducedmentioning

confidence: 99%

“…In addition to this, health and HIT professionals (when aware of technology-induced errors) will need to make an effort to report them. Samaranayake's work [35] suggests, we are only beginning to fully document technology-induced errors. As we implement electronic records and other types of healthcare software, there will be new opportunities and new types of technology-induced errors that will emerge.…”

Section: Four Main Trends In the Literature On Technology-inducedmentioning

confidence: 99%

See 2 more Smart Citations

Trends in Health Information Technology Safety: From Technology-Induced Errors to Current Approaches for Ensuring Technology Safety

Borycki

2013

Healthc Inform Res

View full text Add to dashboard Cite

ObjectivesHealth information technology (HIT) research findings suggested that new healthcare technologies could reduce some types of medical errors while at the same time introducing classes of medical errors (i.e., technology-induced errors). Technology-induced errors have their origins in HIT, and/or HIT contribute to their occurrence. The objective of this paper is to review current trends in the published literature on HIT safety.MethodsA review and synthesis of the medical and life sciences literature focusing on the area of technology-induced error was conducted.ResultsThere were four main trends in the literature on technology-induced error. The following areas were addressed in the literature: definitions of technology-induced errors; models, frameworks and evidence for understanding how technology-induced errors occur; a discussion of monitoring; and methods for preventing and learning about technology-induced errors.ConclusionsThe literature focusing on technology-induced errors continues to grow. Research has focused on the defining what an error is, models and frameworks used to understand these new types of errors, monitoring of such errors and methods that can be used to prevent these errors. More research will be needed to better understand and mitigate these types of errors.

show abstract

EHR‐related medication errors in two ICUs

Carayon

Brown

et al. 2017

J of Healthc Risk Manag

View full text Add to dashboard Cite

The objective of this study was to describe the frequency, potential harm, and nature of electronic health record (EHR)-related medication errors in intensive care units (ICUs). Using a secondary data analysis of a large database of medication safety events collected in a study on EHR technology in ICUs, we assessed the EHR relatedness of a total of 1622 potential preventable adverse drug events (ADEs) identified in a sample of 624 patients in 2 ICUs of a medical center. Thirty-four percent of the medication events were found to be EHR related. The EHR-related medication events had greater potential for more serious patient harm and occurred more frequently at the ordering stage as compared to non-EHR-related events. Examples of EHR-related events included orders with omitted information and duplicate orders. The list of EHR-related medication errors can be used by health care delivery organizations to monitor implementation and use of the technology and its impact on patient safety. Health information technology (IT) vendors can use the list to examine whether their technology can mitigate or reduce EHR-related medication errors.

show abstract

Technology-related medication errors in a tertiary hospital: A 5-year analysis of reported medication incidents

Cited by 47 publications

References 18 publications

Is There Light? Well It Depends-A Grounded Theory Study of Nurses, Lighting, and Medication Administration

Is There Light? Well It Depends-A Grounded Theory Study of Nurses, Lighting, and Medication Administration

Trends in Health Information Technology Safety: From Technology-Induced Errors to Current Approaches for Ensuring Technology Safety

EHR‐related medication errors in two ICUs

Contact Info

Product

Resources

About