Reported medication errors after introducing an electronic medication management system

Redley, Bernice and Botti, Mari 2012, Reported medication errors after introducing an electronic medication management system, Journal of clinical nursing, vol. 22, no. 3-4, pp. 579-589.

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Title Reported medication errors after introducing an electronic medication management system
Author(s) Redley, Bernice
Botti, Mari
Journal name Journal of clinical nursing
Volume number 22
Issue number 3-4
Start page 579
End page 589
Total pages 11
Publisher Wiley-Blackwell Publishing Ltd
Place of publication West Sussex, England
Publication date 2012-02
ISSN 0962-1067
Keyword(s) electronic medication management
risk factors
retrospective study
reporting
medication error
Summary Aims and objectives
To explore the effects of introducing an electronic medication management system on reported medication errors.
Background
Computerised medication management systems have been found to improve medication safety; however, introducing medication management system into healthcare environments can create unanticipated or new problems and opportunities for medication error.
Design
Descriptive analysis of medication error reports.
Methods
This was a retrospective analysis of 359 incident reports drawn from the period of 1 May 2005–30 April 2006 across two hospital sites of a single not-for-profit private health service located in metropolitan Melbourne. Site A used a conventional pen and paper system for medication management, and Site B had introduced a computerised medication management system.
Results
Most medication errors occurred at the nurse administration (71·5%) and prescribing (16·4%) stages of delivery. The most common medication error type reported at Site A was omission (33%), and at Site B was wrong documentation (24·2%). A higher proportion of errors at the prescribing phase, and less nurse administration errors, were detected at Site B where the medication management system was in use. The incidence of other, less frequent errors was similar across the two hospital sites.
Conclusions
This examination of medication error reports suggests there are differences in the types of medication errors that are reported in association with the introduction of electronic medication management system compared to pen and paper system systems. The findings provide a new insight into the effects of introducing an electronic medication management system on the types of medication errors reported.
Relevance to clinical practice
The findings provide a new insight into the types of medication errors that are reported during implementation of an electronic medication management system. Extra support for physicians prescribing practices should be considered.
Language eng
Field of Research 111003 Clinical Nursing: Secondary (Acute Care)
Socio Economic Objective 920210 Nursing
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30050349

Document type: Journal Article
Collection: School of Nursing and Midwifery
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Created: Thu, 31 Jan 2013, 12:57:22 EST by Jane Moschetti

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