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The Role of Technology in The Medication Use Process
The Role of Technology in The Medication Use Process
MEDICATION-USE PROCESS
NURSING INFORMATICS
DUE TO THE NUMEROUS STEPS REQUIRED IN THE
CARE OF THE PATIENTS, THE HEALTHCARE INDUSTRY
IS AN INHERENTLY ERROR PRONE PROCESS THAT IS
FRAUGHT WITH OPPORTUNITIES FOR MISTAKES TO
INTRODUCTION OCCUR
THE HEALTHCARE INDUSTRY MUST PLACE SAFETY AS
THE NATIONAL PRIORITY AND WORK DILLIGENTLY
TOWARD THIS GOAL.
CONSUMERS BECOME CONCERNED THAT HOSPITALS
ARE LESS THAN SAFE BECAUSE OF MEDIA REPORTS
REGARDING TRAGIC EVENTS AND CAUSES MANY
DEATH.
INFLUENCES ON 1995- TELEVISION AND NEWSPAPERS REPORT THAT
THE ADOPTION TRAGIC DEATH OF A PATIENT TO A PREVENTABLE
ADVERSE DRUG EVENT. DUE TO AN INADVERTENT
OF TECHNOLOGY ADMINISTRATION OF A MASSIVE OVERDOSE OF A
CHEMOTHERAPY AGENT OVER 4 DAYS
1997- ACCORDING TO AMERICAN MEDICAL ASSOCIATION REPORT,
MEDICATION ERRORS RELATED TO THE MISINTERPRETATION OF PHYSICIAN’S
PRESCRIPTION WERE THE SECOND MOST PREVALENT EXPENSIVE CLAIM
LISTED ON MALPRACTICE CASES FILED OVER A 7 YEAR PERIOD ON 90 000
MALPRACTICE CLAIMS BETWEEN 1985 TO 1992
FACTORS THAT DEMONSTRATE THE NEED FOR A
SHIFT IN THE SYSTEM:
ACCESSING PATIENT INFORMATION SPREAD ACROSS
MULTIPLE ORGANIZATIONS THAT MAY BE UNAVAILABLE
THE STRUCTURE OF THE PATIENT’S RECORD OFTEN
MAKES IT DIFFICULT TO LOCATE VALUABLE
CPOE INFORMATION.
IILLEGIBLE HANDWRITTEN ENTRIES BY HEALTHCARE
PRACTITIONERS.
FOR THOSE PATIENTS WITH CHRONIC OR COMPLEX
CONDITIONS, THE RECORD CAN INCREASE TO
MULTIPLE VOLUMES OVER MANY YEARS.
BARRIERS THAT LEAD TO INEFFECTIVE
COMMUNICATION OF MEDICATION ORDERS
ISSUES WITH ILLEGIBLE HANDWRITING
CPOE USE OF DANGEROUS ABBREVIATIONS AND DOSE
DESIGNATIONS.
VERBAL AND FAXED ORDERS.
CPOE SYSTEM- SYSTEM USED FOR DIRECT ENTRY OF ONE OR
MORE TYPES OF MEDICAL ORDERS BY A PRESCRIBER INTO A SYSTEM
THAT TRANSMIT THOSE ORDERS ELECTRONICALLY TO THE
APPROPRIATE DEPARTMENT.