UTILIZATION OF TECHNOLOGY TO PREVENT MEDICATION ERRORS IN HEALTH CARE INSTITUTIONS

Abstract

Medications are strong regulators of physiologic processes. Despite being significant effective decreasing mortality and morbidity when used optimally, medication errors are the most common causes of medical errors and irreversible complications may occur in patients. Medication usage is a multidisciplinary process which begins with the doctor's prescription, is followed provision of medication by pharmacist and ends with the preparation and administration of the medication to the patient by nurse. The problems that exist at any stage of this process are the reason of medical errors. In this review, the effects of health information technologies on the prevention of medication errors and improvement of the system will be examined.

Keywords

• medication error,technology

SAĞLIK KURUMLARINDA İLAÇ HATALARININ ENGELLENMESİNDE

Abstract

İlaçlar, fizyolojik süreçlerde güçlü ayarlayıcıdır. Optimum şartlarda kullanıldığında mortalite ve morbiditenin önemli oranda azaltılmasında etkili olmasına rağmen, ilaç hataları tıbbi hataların en yaygın nedenidir ve hastada geri dönüşü olmayan komplikasyonlar oluşabilir. İlaç kullanımı doktorun reçeteyi yazması ile başlayan, eczacı tarafından ilacın tedariki ile devam eden ve hemşire tarafından ilacın hazırlanması ve hastaya uygulanması ile son bulan multidisipliner bir süreçtir. Bu süreçlerin herhangi bir aşamasında yaşanan sorun, tıbbi hataların oluşmasının sebebidir. Bu derlemede, sağlık bilgi teknolojilerinin ilaç hatalarını engelleme ve sistemin iyileştirilmesi üzerine etkileri incelenecektir.

Keywords

• ilaç hatası,teknoloji

References

1. 1. Horsky J, Kuperman G J, Patel V L. Comprehensive analysis of a medication dosing error related to CPOE. J Am Med Inform Assoc. 2005;12:377-82.
2. 2. Fracica P J, Wilson S, Chelluri L P: Patient safety, “Varkey P (eds): Medical Quality Management Theory and Practice, 2. baskı” kitabında s.43-73, Jones and Bartlett Publishers, London (2010).
3. 3. Lu C Y, Roughead E. Determinants of Patient-Reported Medication Errors: A Comparison among Seven Countries. The International Journal of Clinical Practice. 2011;65(7):733-40.
4. 4. Barker K N, Flynn E A, Pepper G A, Bates D W, Mikeal R L. Medication Errors Observed in 36 Health Care Facilities. Arch Intern Med. 2002;162:1897–1903.
5. 5. Grasso B C, Genest R, Jordan C W, Bates D W. Use of chart and record reviews to detect medication errors in a state psychiatric hospital. Psychiatric Services. 2003;54(5):677-81.
6. 6. Roughead E E, Semple S J. Medication safety in acute care in Australia: where are we now? Part 1: a review of the extent and causes of medication problems 2002–2008. Australia and New Zealand Health Policy. 2009, 6-18.
7. 7. Andel C, Davidow S L, Hollander M, Moreno D A. The economics of health care quality and medical errors. J Health Care Finance. 2012; 39(1):39-50.
8. 8. Weant K A, Bailey A M, Baker S N. Strategies for reducing medication errors in the emergency department. Open Access Emergency Medicine.2014;2014:(6):45–55.

9. 9. Payne C, Smith C, Newkirk L, Hicks R. Pediatric medication errors in the postanesthesia care unit: Analysis of MEDMARX data. AORN Journal. 2007; 85(1): 731-740.
10. 10. Sandlin D. Pediatric medication error prevention. Journal of Peri Anesthesia Nursing. 2008; 23(1): 279-281.
11. 11. Özkan S, Kocaman G, Öztürk C. Çocuklarda ilaç uygulama hatalarının önlenmesine yönelik yöntemlerin etkinliği. Türk Pediatri Arşivi Dergisi. 2013; 299-302.
12. 12. Ferranti J, Horvath M, Cozart H, Whitehurst J, Eckstrand J. Reevaluating the safety profile of pediatrics: A comparison of computerized adverse drug even surveillance and voluntary reporting in the pediatric environment. Pediatrics. 2008; 121(1): 1201-1207.
13. 13. Khowaja K, Nizar R, Merchant R J, Dias J, Bustamante-Gavino I, Malik A. A systematic approach of tracking and reporting medication errors at a tertiary care university hospital, Karachi, Pakistan. Therapeutics and Clinical Risk Management. 2008;4(4):673-9.
14. 14. Mohr J J. Creating a safe learning organization. Frontier of Health Services Management. 2005;22(1):41-4.
15. 15. Bates D. Using information technology to reduce rates of medical errors in hospitals. British Medical Journal, 2000;320:788-91.
16. 16. Morimoto T, Gandhi T K, Seger A C, Hsieh T C, Bates D W. Adverse drug event and medication errors: detection and classification methods. Qual Saf Health Care. 2004;13:306-14.
17. 17. Luk L A, Milly W I, Ko S K. Nursing management of medication errors. Nursing Ethics. 2008; 15(1):28-39.
18. 18. Benner P, Sheet V, Uris P, Mallcok K, Schwed K, Jamison D. Individual, practice, and system, cause of error in nursing. JONA. 2002;32(10):509-23.
19. 19. Dean B, Schachter M, Vincent C, Barber N. Prescribing errors in hospital inpatients: Their incidence and clinical significance. Quality and Safety in Health Care. 2002;11: 340–4.
20. 20. Hughes R, Ortiz E. Medication errors why they happen, and how they can be prevented. American Journal of Nursing. 2005;105(3):14-24.
21. 21. Silveira E D, Vigil M S, Pérez Menéndez-Conde C, Téllez de Cepeda L D, Vicedo T B. Prescription errors after the implementation of an electronic prescribing system. Farm Hosp. 2007;31(4):223-30.
22. 22. Orser B A, Chen R J, Yee D A. Medication errors in anaesthetic practice: a survey of 687 practitioners. Canadian Journal of Anaesthesia. 2001;48(2):139–46.
23. 23. Fiumara K, Moniz T, Churchill W W. et al:.Case Study on the use of health care technology to improve medication safety, “Porché R A (eds): Medication Use: A Systems Approach to Reducing Errors, 2. baskı” kitabında s.103-114, Joint Commission Resources, USA (2008).
24. 24. Radley D C, Wasserman M R, Olsho L E, Shoemaker S J, Spranca M D, Bradshaw B. Reduction in medication errors in hospitals due to adoption of computerized provider order entry systems. J Am Med Inform Assoc. 2013;20(3): 470-476.
25. 25. Forni A, Chu H T, Fanikos J. Technology utilization to prevent medication errors. Current Drug Safety. 2010;5(1):13-8.
26. 26. Mıller R A, Gardner R M, Johnson K B, Hrıpcsak G. Clinical decision support and electronic prescribing systems:a time for responsible thought and action. Journal of the American Medical Informatics Association. 2005;12 (4):403-9.
27. 27. Grossman J M, Cross D A, Boukus E R, Cohen G R. Transmitting and processing electronic prescriptions:experiences of physician practices and pharmacies. J Am Med Inform Assoc. 2012;19(3):353-9.
28. 28. Diamond L H, Lawless S T: Medical informatics, “Varkey P (eds): Medical Quality Management Theory and Practice, 2. baskı” kitabında s.89-109, Jones and Bartlett Publishers, London(2010).
29. 29. Zlabek J A, Wickus J W, Mathiason M A. Early cost and safety benefits of an inpatient electronic health record. J Am Med Inform Assoc. 2011;18:169-72.
30. 30. Foote S O, Coleman J R. Medication administration: the implementation process of bar-coding for medication administration to enhance medication safety. Nurs Econ. 2008;26(3):207-10.
31. 31. Williams CK, Maddox RR, Heape E, Richards HE, Griffiths DL, Crass RE. Application of the IV medication harm index to assess the nature of harm averted by smart infusion safety systems. J Patient Saf. 2006; 2(3): 132-9.
32. 32. Fanikos J, Fiumara K, Baroletti S, et al. Impact of smart infusion technology on administration of anticoagulants (Unfractionated heparin, argatroban, lepirudin, and bivalirudin. Amer J of Cardiol. 2007; 7: 1002-5.
33. 33. Poon E G, Keohane C A, Yoon C S, et al. Effect of bar-code technology on the safety of medication administration. N Engl J Med. 2010; 362(18): 1698-714.
34. 34. Maviglia S M, Yoo J Y, Franz C, et al. Cost-benefit analysis of a hospital pharmacy bar code solution. Arch Intern Med. 2007;167: 788-94.