Using medication list--problem list mismatches as markers of potential error.

James D. Carpenter, Paul Gorman

Research output: Contribution to journalArticle

17 Citations (Scopus)

Abstract

The goal of this project was to specify and develop an algorithm that will check for drug and problem list mismatches in an electronic medical record (EMR). The algorithm is based on the premise that a patient's problem list and medication list should agree, and a mismatch may indicate medication error. Successful development of this algorithm could mean detection of some errors, such as medication orders entered into a wrong patient record, or drug therapy omissions, that are not otherwise detected via automated means. Additionally, mismatches may identify opportunities to improve problem list integrity. To assess the concept's feasibility, this study compared medications listed in a pharmacy information system with findings in an online nursing adult admission assessment, serving as a proxy for the problem list. Where drug and problem list mismatches were discovered, examination of the patient record confirmed the mismatch, and identified any potential causes. Evaluation of the algorithm in diabetes treatment indicates that it successfully detects both potential medication error and opportunities to improve problem list completeness. This algorithm, once fully developed and deployed, could prove a valuable way to improve the patient problem list, and could decrease the risk of medication error.

Original languageEnglish (US)
Pages (from-to)106-110
Number of pages5
JournalProceedings / AMIA ... Annual Symposium. AMIA Symposium
StatePublished - 2002

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Medication Errors
Electronic Health Records
Feasibility Studies
Proxy
Information Systems
Pharmaceutical Preparations
Nursing
Drug Therapy
Therapeutics

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Using medication list--problem list mismatches as markers of potential error. / Carpenter, James D.; Gorman, Paul.

In: Proceedings / AMIA ... Annual Symposium. AMIA Symposium, 2002, p. 106-110.

Research output: Contribution to journalArticle

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