Impact of a standardized order set and medication-use process on medication error rates in sexual assault patients presenting to the emergency department for HIV nonoccupational postexposure prophylaxis.
Purpose To evaluate the impact of a standardized order set and medication-use process on antiretroviral medication errors in sexual assault (SA) patients presenting to the emergency department (ED) for nonoccupational postexposure prophylaxis (nPEP). Methods In November 2019, a multidisciplinary gro...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 80; no. 6; pp. 365 - 373 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
3/15/2023
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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=162272300&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 162272300 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: 3/15/2023 vid: 80 iid: 6 pid: 622 pub: Oxford University Press / USA artinfo: ui: 162272300 162272300 162272300 10.1093/ajhp/zxac371 162272300 ppf: 365 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Impact of a standardized order set and medication-use process on medication error rates in sexual assault patients presenting to the emergency department for HIV nonoccupational postexposure prophylaxis. aug: au: Segovia, Margaret F Pallotta, Andrea M Campbell, Matthew J Englund, Kristin Reali-Sorrell, Michele Shah, Sneha S affil: Department of Pharmacy, Cleveland Clinic Health System , Cleveland, OH , USA sug: subj: Medication Errors Evaluation Sexual Abuse Psychosocial Factors Emergency Service HIV Infections Prevention and Control Postexposure Follow-Up Anti-Retroviral Agents Therapeutic Use Inappropriate Prescribing HIV Infections Diagnosis Human Multidisciplinary Care Team Health Care Delivery, Integrated Record Review Adolescence Pretest-Posttest Design Descriptive Statistics Adolescent: 13-18 years ab: Purpose To evaluate the impact of a standardized order set and medication-use process on antiretroviral medication errors in sexual assault (SA) patients presenting to the emergency department (ED) for nonoccupational postexposure prophylaxis (nPEP). Methods In November 2019, a multidisciplinary group collaborated on an initiative to improve the nPEP medication-use process for SA patients presenting to the EDs within a large integrated health system. Electronic medical records of patients 13 years of age or older who presented for SA examination and were prescribed nPEP during the pre- (February 2018-August 2019) and poststandardization (February 2020-August 2021) periods were included. The primary objective was to compare the proportion of patients experiencing a medication error before and after SA/nPEP process standardization. Data regarding the following medication errors were evaluated: incomplete regimen; inappropriate/duplicative regimen; dosing, frequency, or quantity prescribed error; and initiation of nPEP without an HIV test. Results Two hundred six patients met criteria for inclusion. A higher proportion of patients experienced medication errors in the prestandardization group relative to the poststandardization group (46.5% vs 11.9%, P < 0.001). Fifty-five errors were observed in the prestandardization group, compared to 16 errors in the poststandardization group. The majority of errors in the prestandardization group were directly related to antiretroviral regimens, while the majority of errors in the poststandardization group involved initiation of nPEP without an HIV test. Conclusion The standardization of the SA/nPEP process was associated with significantly lower medication error rates. Optimization of medication-use technology is an effective strategy in reducing medication errors. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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