Hospital Pharmacists: Protecting Patients From Electronic Medical Record Errors May Be Their Most Important New Role

Most hospitalized patients and families don’t realize that life-threatening medication errors are regularly thwarted by pharmacists. They are truly the unsung heroes of patient care. I just finished a locum tenens assignment at a hospital that uses EPIC as their electronic medical records system, and I was stunned by the impossibly complex medication reconciliation process. Each time a patient is admitted to the hospital, or transferred to another part of the hospital, a physician must review, approve, and re-order their medications. While this may seem like a good way to insure that medication errors are avoided, it actually has the exact opposite effect.
Because EPIC keeps lists of home meds, discontinued meds, and current meds available for review and reactivation, it takes little more than one misplaced check box to order the wrong dose or type of medication. Physicians who transfer a patient to another service can indicate their intended medication list and keep it “on hold” for the receiving physician to review and approve. Unfortunately, the software’s tab system is so complex that it’s extremely difficult to find that list and activate it. Lost in a sea of admissions tasks and order boxes in different fonts, colors, and drop down menus, one often accidentally reviews and approves discontinued types and doses of medicines. The only protection against such errors is the hospital pharmacist.
With each new admission to the inpatient rehabilit...

Source: Better Health - November 3, 2014 Category: American Health Authors: Dr. Val Jones Tags: Health Tips Opinion Dangers Electronic Medical Records EMR EPIC Excessive Complexity fail Hospital Pharmacists Medical Errors Medication Errors Medication Reconciliation Source Type: blogs