Projects per year
Abstract
Objective: To explore medication safety issues related to use of an electronic medication management system (EMM) in paediatric oncology practice, through the analysis of patient safety incident reports. Methods: We analysed 827 voluntarily reported incidents relating to oncology patients that occurred over an 18-month period immediately following implementation of an EMM in a paediatric hospital in Australia. We identified medication-related and EMM-related incidents and carried out a content analysis to identify patterns. Results: We found ~79% (n = 651) of incidents were medication-related and, of these, ~45% (n = 294) were EMM-related. Medication-related incidents included issues with: prescribing; dispensing; administration; patient transfers; missing chemotherapy protocols and information on current stage of patient treatment; coordination of chemotherapy administration; handling or storing medications; children or families handling medications. EMM-related incidents were classified into four groups: technical issues, issues with the user experience, unanticipated problems in EMM workflow, and missing safety features. Conclusions: Incidents reflected difficulties with managing therapies rich in interdependencies. EMM, and especially its ‘automaticity’, contributed to these incidents. As EMM impacts on safety in such high-risk settings, it is essential that users are aware of and attend to EMM automatic behaviours and are equipped to troubleshoot them.
Original language | English |
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Article number | e13152 |
Pages (from-to) | 1-9 |
Number of pages | 9 |
Journal | European Journal of Cancer Care |
Volume | 28 |
Issue number | 6 |
Early online date | 22 Aug 2019 |
DOIs | |
Publication status | Published - 1 Nov 2019 |
Bibliographical note
Copyright the Publisher 2019. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.Keywords
- computerized provider order entry system
- evaluation research
- hospital oncology services
- medication errors
- paediatrics
- patient safety
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Delivering safe and effective care for children in hospital with ehealth systems
Westbrook, J., Georgiou, A., Day, R., O'Brien, T., Karnon, J., Dalla-Pozza, L., Cowell, P., Li, L., Baysari, M., Ambler, G., PhD Contribution (NHMRC), P. C. & PhD Contribution 2 (NHMRC), P. C. 2.
1/04/15 → …
Project: Research
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Delivering safe and effective medication management technology now and for the future
1/01/20 → 31/12/24
Project: Other