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Related Experiment Videos

Computer based medication error reporting: insights and implications.

M R Miller1, J S Clark, C U Lehmann

  • 1Department of Pediatrics and Center for Innovations in Quality Patient Care, The Johns Hopkins University, Baltimore, MD, USA. mmille21@jhmi.edu

Quality & Safety in Health Care
|June 6, 2006
PubMed
Summary
This summary is machine-generated.

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Medication error reports are effective for real-time data collection, though accuracy varies. Administration errors are as common as prescribing errors in children, highlighting a need for improved safety measures.

Area of Science:

  • Pediatric patient safety
  • Medication error analysis
  • Healthcare quality improvement

Background:

  • Healthcare industry's limited experience with error reporting tools.
  • Need for effective medication error analysis.

Purpose of the Study:

  • Assess accuracy of medication error reports.
  • Define epidemiology of medication errors in children.

Main Methods:

  • Retrospective cohort study of 581 error reports (1010 medication errors).
  • Reviewed reports from July 2001 to January 2003 at a children's institution.
  • Expert review for classification and accuracy.

Main Results:

  • Administration errors (41%) and prescribing errors (30%) were most common.

Related Experiment Videos

  • 21% of reports were deleted, 10% added after expert review.
  • Anti-infectives, pain/sedative agents were most frequently involved medications.

    • Conclusions:

    • Medication error reporting tools provide reliable, real-time data despite imperfections.
    • Administration errors are as common as prescribing errors in pediatric populations.
    • Further research needed for computerized physician order entry (CPOE), dispensing, and administration safety.