Integrated Clinical Information System Collaboration Project
Abstract
Objective: Identify adverse events as they relate to the identification of harm or injury to the patient due to medication administration. Hypothesis: CPOE with decision support decreases the probability of adverse events caused by medication administration. The IHI s trigger tool process consists of a retrospective patient chart review completed by a team of nursing staff receiving training and direction from a staff physician. Charts are reviewed using a structured approach to identify significant medication events with harm. Based on the large size, 7,500 each population, of the comparison samples, a convenience sampling methodology should be sufficient to insure randomness. Samples were pulled based on admission or discharge dates from a representative time period for both before and after CPOE implementation. In order to eliminate any seasonal bias, the time periods should be consistent for both samples. With an approximate 3,300 admissions per month, a timed based convenience sample should minimize any other bias as the population for that time period will become the sample. Other qualifiers may be included in both samples to exclude certain patient populations from the study. Currently, approximately 6,700 unique charts have been reviewed with 97% of the work completed.
Document Details
- Document Type
- Technical Report
- Publication Date
- Oct 01, 2010
- Accession Number
- ADA563850
Entities
People
- James F. Keel
- Karen Roby