Medication Error Rate Example
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Preventing Medication Errors
Journal ListProc (Bayl Univ Med Cent)v.17(3); 2004 JulPMC1200672 Proc (Bayl Univ Med Cent). medication errors in hospitals 2004 Jul; 17(3): 357–361. PMCID: PMC1200672A baseline study of medication error rates at Baylor University Medical Center in preparation for implementation of http://www.medscape.com/viewarticle/429909_2 a computerized physician order entry systemChristina E. Seeley, MPH, MT(ASCP),1 David Nicewander, MS,2 Robert Page, MPA,1 and Peter A. Dysert, II, MD1,31From the Baylor Information Services, Baylor Health Care System, Dallas, Texas.2From the Institute for Health Care Research and Improvement, Baylor Health Care https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1200672/ System, Dallas, Texas.3From the Department of Pathology, Baylor University Medical Center, Baylor Health Care System, Dallas, Texas.Corresponding author.Corresponding author: Christina E. Seeley, MPH, MT(ASCP), Baylor Information Services, Baylor Health Care System, 3500 Gaston Avenue, Dallas, Texas 75246 (email: ude.htlaeHrolyaB@estsirhc).Author information ► Copyright and License information ►Copyright © 2004, Baylor University Medical CenterSee commentary "Invited commentary" on page 361.This article has been cited by other articles in PMC.AbstractObjective: To determine baseline levels of medication errors and their root causes so as to highlight areas of potential process improvements and serve as a ruler against which to measure future improvements.Design: A prospective pharmacist intervention study determining errors in 1014 medication orders at Baylor University Medical Center. Only errors in the process of medication ordering were documented; errors in drug administration were not con
Me Forgot Password? Login or Sign up for a Free Account My Topics of Interest My CME My Profile Sign Out Home Topics Issues WebM&M Cases Perspectives Primers Submit Case CME / CEU https://psnet.ahrq.gov/primers/primer/23/medication-errors Training Catalog Info Glossary About PSNet Help & FAQ Contact PSNet Email Updates Editorial Team Technical Expert/Advisory Panel Terms & Conditions / Copyright PSNet Privacy Policy External Link Disclaimer Patient Safety Primer Last Updated: March 2015 Medication Errors Topics Resource Type Patient Safety Primers Safety Target Medication Errors/Preventable Adverse Drug Events Look-Alike, Sound-Alike Drugs More Share Facebook Twitter Linkedin Email Print Background medication error and definitions Prescription medication use is widespread, complex, and increasingly risky. Clinicians have access to an armamentarium of more than 10,000 prescription medications, and nearly one-third of adults in the United States take 5 or more medications. Advances in clinical therapeutics have undoubtedly resulted in major improvements in health for patients with many diseases, but these benefits have also been accompanied by increased medication error rate risks. An adverse drug event (ADE) is defined as harm experienced by a patient as a result of exposure to a medication, and ADEs account for nearly 700,000 emergency department visits and 100,000 hospitalizations each year. ADEs affect nearly 5% of hospitalized patients, making them one of the most common types of inpatient errors; ambulatory patients may experience ADEs at even higher rates. Transitions in care are also a well-documented source of preventable harm related to medications. As with the more general term adverse event, the occurrence of an ADE does not necessarily indicate an error or poor quality care. A medication error refers to an error (of commission or omission) at any step along the pathway that begins when a clinician prescribes a medication and ends when the patient actually receives the medication. Preventable adverse drug events result from a medication error that reaches the patient and causes any degree of harm. It is generally estimated that about half of ADEs are preventable. Medication errors that do not cause any harm—either because they are intercepted before reaching the patient, or by luck—are often called potential ADEs.