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Related Experiment Videos

Promoting patient safety: is technology the solution?

D M Nadzam1, R M Macklis

  • 1Cleveland Clinic Health System (CCHS) Quality Institute, Cleveland Clinic Foundation, Cleveland, USA. nadzamd@ccf.org

The Joint Commission Journal on Quality Improvement
|August 2, 2001
PubMed
Summary
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Technology enhances patient safety through computerized order entry, bar coding for medication accuracy, and predictive modeling. Automation in healthcare expands expertise but requires anticipating new risks from increased dependence on technology.

Area of Science:

  • Healthcare Technology
  • Patient Safety Innovations
  • Clinical Informatics

Background:

  • Conference on technology in patient safety sponsored by Cleveland Clinic Foundation and Health System Quality Institute.
  • National Quality Forum identified ten high-priority patient safety strategies.
  • Focus on safe practices, professional misconduct, and nonpunitive error reporting environments.

Framework:

  • Computerized clinician order-entry systems for decision support and cost savings.
  • Bar coding technology for point-of-care medication administration validation.
  • Automation in medication use systems, including computerized prescriber order entry and bedside scanning.

Implementation:

  • Veterans Health Administration's successful use of bar coding for medication administration.

Related Experiment Videos

  • Computerized order-entry systems reduce excess test ordering and meet regulatory requirements.
  • Predictive modeling to identify risks associated with therapeutic interventions.

    • Implications:

    • Technology can serve as a team player, expanding healthcare practitioner expertise and enhancing safety.
    • Anticipating iatrogenic risks associated with increasing automation dependence is crucial.
    • Potential for technology to significantly improve medication administration efficiency and patient care.