EHR-related medication errors in two ICUs.
EHR-related medication errors in two ICUs.
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DOI：
10.1002/jhrm.21259
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Wetterneck, Tosha B
中科院分区：
文献类型：
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作者：
Carayon, Pascale;Du, Shimeng;Wetterneck, Tosha B
本研究的目的是描述重症监护病房（ICU）中电子健康记录（EHR）相关用药错误的频率、潜在危害和性质。使用一个大型数据库的二次数据分析的药物安全性事件收集在一项研究中的电子病历技术在ICU，我们评估了电子病历的相关性，共1622个潜在的可预防的药物不良事件（ADE）的样本中确定的624例患者在2个ICU的医疗中心。34%的药物事件与EHR有关。与非EHR相关事件相比，EHR相关药物事件对患者造成更严重伤害的可能性更大，并且在订购阶段发生的频率更高。与EHR相关的事件包括信息遗漏的订单和重复订单。与EHR相关的用药错误列表可由医疗保健提供组织用于监控该技术的实施和使用及其对患者安全的影响。健康信息技术（IT）供应商可以使用该列表来检查他们的技术是否可以减轻或减少EHR相关的用药错误。
The objective of this study was to describe the frequency, potential harm, and nature of electronic health record (EHR)-related medication errors in intensive care units (ICUs). Using a secondary data analysis of a large database of medication safety events collected in a study on EHR technology in ICUs, we assessed the EHR relatedness of a total of 1622 potential preventable adverse drug events (ADEs) identified in a sample of 624 patients in 2 ICUs of a medical center. Thirty-four percent of the medication events were found to be EHR related. The EHR-related medication events had greater potential for more serious patient harm and occurred more frequently at the ordering stage as compared to non-EHR-related events. Examples of EHR-related events included orders with omitted information and duplicate orders. The list of EHR-related medication errors can be used by health care delivery organizations to monitor implementation and use of the technology and its impact on patient safety. Health information technology (IT) vendors can use the list to examine whether their technology can mitigate or reduce EHR-related medication errors.