Regionalized Health System Review of Automated Dispensing Cabinet Overrides.
Automated dispensing cabinet (ADC) overrides are used to access emergent or urgent medications when time delay from computerized provider order entry may result in patient harm. [1] Although necessary, ADC overrides bypass the safety features of order entry and verification which increase the risk o...
| Publicado en: | Journal of Medical Systems Vol. 46; no. 1; pp. 1 - 8 |
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| Autores principales: | , , , |
| Formato: | tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2022
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=154427438&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 154427438 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01485598 4N0 jtl: Journal of Medical Systems issn: 01485598 maglogo: N pubinfo: dt: Jan2022 vid: 46 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 154427438 154427438 154427438 10.1007/s10916-021-01792-x 154427438 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Regionalized Health System Review of Automated Dispensing Cabinet Overrides. aug: au: Repella, Emily Hagen, Zachary Carson, Stacy Wang, Fei affil: AdventHealth Orlando, (Pharmacy), Florida, Orlando, United States sug: subj: Electronic Order Entry Pharmacy Service Patient Safety Automation Benchmarking Florida Quality Improvement Systems Analysis Clinical Pharmacy Information Systems Multidisciplinary Care Team Communication Implementation Science ab: Automated dispensing cabinet (ADC) overrides are used to access emergent or urgent medications when time delay from computerized provider order entry may result in patient harm. [1] Although necessary, ADC overrides bypass the safety features of order entry and verification which increase the risk of an error occurring and potential patient harm. To protect patient safety, national organizations such as The Joint Commission and Institute for Safe Medication Practices have called for hospitals to review overriding trends and available medications on override. AdventHealth Central Florida Division – South (CFD-S) met the recommendations to track overrides but there was limited understanding of the data. A quality improvement project was necessary to investigate the division's risk of error and identify interventions to proactively limit patient risk. The initial task of the quality improvement project was to create a standardized ADC override report that could be shared with pharmacy and nursing leaders within AdventHealth CFD-S monthly. As the project progressed, multiple interventions were identified such as standardizing the information reflected in the report, improving education about ADC overrides across multi-disciplinary departments, and critically reviewing the data to identify needed changes within the division. The efforts to share the ADC override metrics across all levels has improved understanding of ADC override goals and intentions of monitoring ADC overrides. This has paved the path to improving ADC override unit culture and identify gaps within the system that allows overrides to occur. pubtype: Academic Journal doctype: tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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