Format

Send to

Choose Destination
J Gen Intern Med. 2016 Jul;31(7):808-11. doi: 10.1007/s11606-016-3606-5. Epub 2016 Feb 16.

Automatic Errors: A Case Series on the Errors Inherent in Electronic Prescribing.

Author information

1
Department of Pharmacy, University of Chicago, Chicago, IL, USA.
2
Department of Pharmacy Practice (MC 886), University of Illinois at Chicago College of Pharmacy, 833 South Wood Street, 164 PHARM, Chicago, IL, 60612-7230, USA.
3
Department of Pharmacy Practice (MC 886), University of Illinois at Chicago College of Pharmacy, 833 South Wood Street, 164 PHARM, Chicago, IL, 60612-7230, USA. vjust@uic.edu.

Abstract

The adoption of electronic prescribing is on the rise, as it reduces medication errors compared to handwritten orders. The inadvertent dispensing of discontinued medications is a type of medication error that is less well described, but one that can lead to adverse events. Software for electronic prescriptions transmits orders for refills or new prescriptions, but not discontinuations, to the pharmacy. Medications that have been stopped are displayed only at the prescribing facility's electronic medical record (EMR). This report describes five cases in which the pharmacy dispensed electronically discontinued medications, two of which contributed to adverse outcomes.

KEYWORDS:

electronic prescribing; medication error; transitions of care

PMID:
26883522
PMCID:
PMC4907943
DOI:
10.1007/s11606-016-3606-5
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Springer Icon for PubMed Central
Loading ...
Support Center