Featured Research

from universities, journals, and other organizations

Electronic tool helps reduce drug errors among hospitalized children

Date:
May 5, 2014
Source:
American Academy of Pediatrics
Summary:
When children are admitted to the hospital, sometimes the medications they take at home are lost in the shuffle, or they may be given the wrong dose. Having a system in place at hospital admission to record and review a child's medication history results in fewer errors, potentially avoiding harm to the patient, according to a new study.

When children are admitted to the hospital, sometimes the medications they take at home are lost in the shuffle, or they may be given the wrong dose.

Having a system in place at hospital admission to record and review a child's medication history results in fewer errors, potentially avoiding harm to the patient, according to a study to be presented Monday, May 5, at the Pediatric Academic Societies (PAS) annual meeting in Vancouver, British Columbia, Canada.

The Joint Commission, which accredits and certifies more than 20,000 health care organizations in the United States, has set a patient safety goal to accurately and completely reconcile medications as patients move through all health care settings. The process involves comparing a patient's current medication regimen against a physician's admission, transfer or discharge orders to identify discrepancies.

Jonathan D. Hron, MD, FAAP, a pediatric hospitalist at Boston Children's Hospital and an instructor of pediatrics at Harvard Medical School, led a team that implemented a quality improvement project that focused on reducing medication errors due to breakdowns at hospital admission. A group of physicians, pharmacists, nurses and information technology specialists worked together to test, implement and train clinicians to use a tool, which facilitates review of a patient's complete medication history when the child is admitted to the hospital.

The tool, which is part of the hospital's electronic health record system, was piloted in one area of the hospital and gradually was expanded to the entire hospital. "We successfully implemented the medication reconciliation application throughout the hospital, changing the practice of our entire staff," Dr. Hron said.

Using an existing voluntary error reporting tool, Dr. Hron and his colleagues then looked at the number of medication errors that occurred before and after implementation of the electronic tool.

About 33,000 children were admitted to Boston Children's Hospital during the study period, and the medication reconciliation tool was used for 75 percent of admissions after the intervention. The recording of medication history improved from 89 percent of admissions before the tool was implemented to 93 percent of admissions afterward. During the study, 146 medications errors due to missing or incorrect information at admission were detected. The error rate decreased by about 50 percent after hospital staff starting using the tool -- from 5.9 errors per 1,000 admissions to 2.5 errors per 1,000 admissions. Most of the errors did not harm patients, while 1 percent required additional monitoring or intervention but did not cause permanent harm.

"Careful medication reconciliation is essential to providing patient care, and it requires teamwork between doctors, nurses and pharmacists," Dr. Hron said. "If it's not being done in a systematic way, it's not being done right."

Dr. Hron will present "Implementation of an Electronic Medication Reconciliation Tool Results in a Reduction in Medication Errors" on May 5. To view the study abstract, go to http://www.abstracts2view.com/pas/view.php?nu=PAS14L1_3380.4.


Story Source:

The above story is based on materials provided by American Academy of Pediatrics. Note: Materials may be edited for content and length.


Cite This Page:

American Academy of Pediatrics. "Electronic tool helps reduce drug errors among hospitalized children." ScienceDaily. ScienceDaily, 5 May 2014. <www.sciencedaily.com/releases/2014/05/140505094201.htm>.
American Academy of Pediatrics. (2014, May 5). Electronic tool helps reduce drug errors among hospitalized children. ScienceDaily. Retrieved September 22, 2014 from www.sciencedaily.com/releases/2014/05/140505094201.htm
American Academy of Pediatrics. "Electronic tool helps reduce drug errors among hospitalized children." ScienceDaily. www.sciencedaily.com/releases/2014/05/140505094201.htm (accessed September 22, 2014).

Share This



More Health & Medicine News

Monday, September 22, 2014

Featured Research

from universities, journals, and other organizations


Featured Videos

from AP, Reuters, AFP, and other news services

Sierra Leone in Lockdown to Control Ebola

Sierra Leone in Lockdown to Control Ebola

AP (Sep. 21, 2014) Sierra Leone residents remained in lockdown on Saturday as part of a massive effort to confine millions of people to their homes in a bid to stem the biggest Ebola outbreak in history. (Sept. 20) Video provided by AP
Powered by NewsLook.com
Sierra Leone's Nationwide Ebola Curfew Underway

Sierra Leone's Nationwide Ebola Curfew Underway

Newsy (Sep. 20, 2014) Sierra Leone is locked down as aid workers and volunteers look for new cases of Ebola. Video provided by Newsy
Powered by NewsLook.com
Changes Found In Brain After One Dose Of Antidepressants

Changes Found In Brain After One Dose Of Antidepressants

Newsy (Sep. 19, 2014) A study suggest antidepressants can kick in much sooner than previously thought. Video provided by Newsy
Powered by NewsLook.com
Could Grief Affect The Immune Systems Of Senior Citizens?

Could Grief Affect The Immune Systems Of Senior Citizens?

Newsy (Sep. 19, 2014) The study found elderly people are much more likely to become susceptible to infection than younger adults going though a similar situation. Video provided by Newsy
Powered by NewsLook.com

Search ScienceDaily

Number of stories in archives: 140,361

Find with keyword(s):
Enter a keyword or phrase to search ScienceDaily for related topics and research stories.

Save/Print:
Share:

Breaking News:
from the past week

In Other News

... from NewsDaily.com

Science News

Health News

Environment News

Technology News



Save/Print:
Share:

Free Subscriptions


Get the latest science news with ScienceDaily's free email newsletters, updated daily and weekly. Or view hourly updated newsfeeds in your RSS reader:

Get Social & Mobile


Keep up to date with the latest news from ScienceDaily via social networks and mobile apps:

Have Feedback?


Tell us what you think of ScienceDaily -- we welcome both positive and negative comments. Have any problems using the site? Questions?
Mobile: iPhone Android Web
Follow: Facebook Twitter Google+
Subscribe: RSS Feeds Email Newsletters
Latest Headlines Health & Medicine Mind & Brain Space & Time Matter & Energy Computers & Math Plants & Animals Earth & Climate Fossils & Ruins