Are Computerized Physician Orders a Safety Risk?
Safety analyst: Default drug doses could lead to medication errors.
Published: September 11, 2013
If your EMR lets you set default drug doses, pre-programmed drug, dose, route and timing details could put patient safety at risk and lead to wrong-time and wrong-dose errors. That's the conclusion reached by an analyst for the Pennsylvania Patient Safety Authority, who reported her findings in the September issue of the Pennsylvania Patient Safety Advisory.
Through a database search, she found 324 default-value-related incidents had been reported to the authority, including 200 wrong-time errors, 71 wrong-dose errors and 28 inappropriate automated stop orders. Of those events, 128 were caused by a user's failure to change a default value, 19 when the software overwrote user-entered information and 16 when the software entered default details after a user failed to complete a form.
The analyst urges facilities to take note of how their users view and enter time data, to periodically review and update outdated values and to make sure users can easily distinguish between user-entered and system-default data.
© Copyright Herrin Publishing Partners LP. REPRODUCTION OF THIS COPYRIGHTED CONTENT IS STRICTLY PROHIBITED. We encourage LINKING to this content; view our linking policy here.
Also in the News...
$30 Million Malpractice Award to Woman Left Speechless by Surgical Fire
Second Victim Dies from ASC Attack
Robots Recall: Da Vinci Warns Customers Arms Can Stall
Can You Trust Your Biological Indicators?
Nurse at Texas ASC Stabbed to Death
CareFusion to Buy GE Healthcare's Vital Signs Division
$4 Billion J&J Hip-Implant Settlement Expected Tomorrow