Reducing excessive medication administration in hospitalized adults with renal dysfunction.
Am J Med Qual
; 20(2): 64-9, 2005.
Article
in En
| MEDLINE
| ID: mdl-15851383
ABSTRACT
Medication errors are common and harm hospitalized patients. The authors designed and implemented an automated system to complement an existing computerized order entry system by detecting the administration of excessive doses of medication to adult in-patients with renal insufficiency. Its impact, in combination with feedback to prescribers, was evaluated in 3 participating nursing units and compared with the remainder of a tertiary care academic medical center. The baseline rate of excessive dosing was 23.2% of administered medications requiring adjustment for renal insufficiency given to patients with renal impairment on the participating units and 23.6% in the rest of the hospital. The rate fell to 17.3% with nurse feedback and 16.8% with pharmacist feedback in the participating units (P<.05 for each, relative to baseline). The rates of excessive dosing for the same time periods were 26.1% and 24.8% in the rest of the hospital. Automated detection and routine feedback can reduce the rate of excessive administration of medication in hospitalized adults with renal insufficiency.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Decision Support Systems, Clinical
/
Renal Insufficiency
/
Hospitalization
/
Medication Errors
/
Medication Systems, Hospital
Type of study:
Prognostic_studies
Limits:
Adult
/
Humans
Country/Region as subject:
America do norte
Language:
En
Journal:
Am J Med Qual
Journal subject:
SERVICOS DE SAUDE
Year:
2005
Document type:
Article
Affiliation country:
Estados Unidos