Evaluation of medication errors via a computerized physician order entry system in an inpatient renal transplant unit
Article Review Marfo, K., Garcia, D., Khalique, S., Berger, K., Lu, A. (2011). Evaluation of medication errors via a computerized physician order entry system in an inpatient renal transplant unit.
This article speaks about the medication errors in an inpatient renal transplant unit. Medication errors happen every day and in just about every healthcare institution. Medication errors have reduced significantly when healthcare institutions started using computerized physician order entry (CPOE). However, in a complex unit such as renal care, even having a CPOE still has a high risk of medication errors. This is due to the complex medication regimen and specialized skills required.
There was a 10-day audit done with a 28-day follow-up period. Time periods were selected at random to review medication dispense in the CPOE. The medication errors were then documented when the even deviated from the standard in written transplant protocols.
103 medication errors were found and of those 68 were identified as kidney transplant recipients. The most common medication that was associated with the errors were with immunosuprressants. From the 10-day audit, 66% of the 43 medication errors encountered. 19% and 16% covered dispensing and administration errors. The follow-up 28-day audit 57% was identified in 60 medication errors.
In conclusion, this article states that even with a CPOE active, there needs to be a specific system geared towards renal transplant patients, Further research is needed to assess the impact on having a CPOE system in the transplant unit.