Implementation and safety evaluation of autoverification for select low-risk, high-volume medications in the emergency department.
Purpose Use of autoverification has decreased in many emergency departments (EDs) with the expansion of emergency medicine (EM) pharmacists. Few studies have evaluated ways to prioritize verification of medications. Here we describe a process to design, implement, and measure the safety of autoverif...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 79; no. 23; pp. 2150 - 2159 |
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| Autores principales: | , , , , , |
| Formato: | algorithm research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
12/1/2022
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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=160376841&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 160376841 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 12/1/2022 vid: 79 iid: 23 pid: 622 pub: Oxford University Press / USA artinfo: ui: 160376841 160376841 160376841 10.1093/ajhp/zxac241 160376841 ppf: 2150 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Implementation and safety evaluation of autoverification for select low-risk, high-volume medications in the emergency department. aug: au: Bienvenida, Ana Kroll, Christian Ruhland, Dan Steffenhagen, Aaron Patterson, Brian W Halfpap, Joseph affil: Department of Pharmacy, Legacy Emmanuel Medical Center , Portland, OR sug: subj: Medication Errors Prevention and Control Medication Review Methods Automation Patient Safety Evaluation Program Evaluation Pharmacists Clinical Pharmacy Information Systems Electronic Order Entry Quality Improvement Emergency Care Human Retrospective Design Record Review Descriptive Statistics Checklists Emergency Service Descriptive Research Medication Errors Risk Factors Risk Assessment ab: Purpose Use of autoverification has decreased in many emergency departments (EDs) with the expansion of emergency medicine (EM) pharmacists. Few studies have evaluated ways to prioritize verification of medications. Here we describe a process to design, implement, and measure the safety of autoverification of low-risk, high-volume medications. Summary A 3-month retrospective review of medications ordered and administered in the ED generated a list of medications to be considered for autoverification. Concurrently, a novel risk stratification tool was created to identify low-risk medications. Taking these together, medications that were high volume and low risk were considered potentially autoverified medications (PAMs). To evaluate the safety of PAMs, a retrospective review of the ED medication orders placed before implementation of autoverification was performed. A total of 7,433 medication orders were reviewed. Of these, 3,057 orders (41%) were identified as PAMs. EM pharmacists verified 2,982 (97.5%) of the orders without changes. Of the remaining 93 orders that were modified or discontinued and met autoverification criteria, only 2 (0.07%) were identified as potentially inappropriate for autoverification. Conclusion Low-risk, high-volume medications can be safely autoverified in the ED by using a systematic approach to order selection. Using these methods can provide large decreases in verification volume, close to 41%, without compromising patient safety. pubtype: Academic Journal doctype: algorithm research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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