An Analysis of Medication Errors at the Military Medical Center: Implications for a Systems Approach for Error Reduction
Abstract
An analysis was accomplished of all inpatient medication errors at a military academic medical center during the year 2000, based on the causes of medication errors as described by current research in the field. The results of this analysis, which showed errors most often associated with information systems deficits and with the ordering process, were used as a framework for prioritizing elements of the current system which offer opportunities for significant error reduction. This framework, when combined with a detailed examination of the current inpatient medication processes, a review of recommendations on error reduction from the literature, and an investigation into the currently available information technologies, was used to develop a prioritized plan of action to address the root causes of reported inpatient medication errors at this medical center. The results of the analysis and the recommended actions to address systemic causes of errors were presented to the executive leadership for conceptual validation and future resource allocation decisions.
Document Details
- Document Type
- Technical Report
- Publication Date
- Apr 02, 2001
- Accession Number
- ADA420601
Entities
People
- Katherine Scheirman
Organizations
- Academy of Health Sciences