Decreasing Medication Errors with Decreasing Medication Errors with
Electronic Medical Records (EMRs)Electronic Medical Records (EMRs) Decreasing Medication Errors with Decreasing Medication Errors with
Electronic Medical Records (EMRs)Electronic Medical Records (EMRs)
Group 4B: Jason, Karen, Steven, Thu, Thienan, Selamawit, Meaghan, Chirs & Michelle
Objectives
Explain medical errors and EMRs
Understand how errors are made
Determine how EMRs can help
Identify the advantages and disadvantages
Discuss the future of EMRs in the medical field
Introduction
What is considered a medical error?
Consequences of medical errors
Death
Excess spending
Unnecessary time, energy and added stress
What is an EMR?
Alternative names are: EHR, EPR, CPR
How are errors made?
Prescription Errors
Poor Penmanship
Error-prone abbreviation
Dosing errors
Failure to follow prescription guidelines
Lack of knowledge
Dispensing Errors
Look alike/sound alike
Busy workplace
Failure to spot mistake
Patient counseling
Administration Errors
Omissions
Repetition
Substitutions
Wrong patient!
Insertion
Incorrect Dosage
Incorrect Route
Other
How does EMR reduce errors?
Dispensing Errors
Improved data integrity:
Better organized
Easier to access client information
Use of required fields, uniform data entry and trained personnel
Prescribing Errors: Safety
Drug-to-drug interactions
Drug-allergy interactions
Drug-disease incorrect dosage
Incorrect duration
Drug-pregnancy conflict
Drug gender conflict
OTC drugs & herbal adverse interactions.
Prescribing Errors: Productivity
Available strength of drug
Alternative class medications
Reduce refill time
Provide patient data surveillance
Formularies are available electronically
Dispensing Errors
Complete prescription information
Less errors in interpreting
Quicker access to provider
Quicker refill authorization
More access to patient’s profile
Safety ErrorsDrug-to-drug interactions
Drug-allergy interactions
Drug-disease incorrect dosage
Incorrect duration
Drug-pregnancy conflict
Drug gender conflict
Advantages of EMRs
Advantages Efficiency:
Retrieve patient profiles quicker
Patient access to profiles
Reduce errors
Easy to transfer information:
Ex: In natural disasters like Hurricane Katrina or 9/11
Ex: If practice has closed or relocated
Advantages
Saves money:
Cost of filing folder and paper
Cost of labor
Patients saving money
Easier billing
Saves space:
Faster work flow
Disadvantages of EMRs
Financial Issues
High Initial implementation cost:
Time and patients lost
Cost of retained paper processes after
Cost of training
Uncertain return on investment
Personal Issues
Lack of physician support for EMRs
Technical matters:
Difficulty using new software
Lack of support for technical difficulties
Inadequate consistency of electronic records
Security Issues
Lack of medical policy specific to EMRs
Potential threats:
“Inside attacks”
Information hungry employers
Insurance companies
EMR Advancements and Policies
Advancements in EMR
Tablet integration in healthcare
Check in
Data entry
Medical speech recognition solutions
Role of smartphones in healthcare
Policies Regarding EMRsEMR government mandate:
2014 deadline
Penalties for failing
Federal incentive program:
17.2 billions in funds
Certified EMR
Eligibility
Meaningful use: Interoperability
Implementing EMRsHigh failure rate:
Takes months to properly install
Choosing a vendor:
Practice fusion
High cost:
Hire IT and consultants
Training
Questions??
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Pharmacy. (2008): 5-14. Web. 1 Mar. 2012. <http://www.cshp.org/uploads/file/Continuing%20Education/CJHP%20CE/v20n2_ce_prescribing_errors.pdf>
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Medical Records System." Sunrise Services. N.p., n.d. Web. 12 Feb 2012. <http://www.sunrize.com/ReducingMedicalErrorsForum.pdf>.
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14. Rama P. Nair Daya Kappil, and Tonja M. Woods. "10 Strategies for Minimizing Dispensing Errors." Pharmacytimes. HCPLive, n.d. Web 4 Mar. 2012. <http://www.pharmacytimes.com/media/pdf/P2PdispensingErrors.pdf>
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• Smith, Paul D. "Implementing an EMR System: One Clinic’s Experience." Family Practice Management. 10.5 (2003): 37-42. Web. 6 Mar. 2012. <http://www.aafp.org/fpm/2003/0500/p37.html>.