A practical tool to reduce medication errors during patient transfer from an intensive care unit

Peter Pronovost, Deborah Baugher Hobson, Karen Earsing, Elizabeth S. Lins, Michael L. Rinke, Katherine Emery, Sean M. Berenholtz, Pamela A. Lipsett, Todd Dorman

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

• Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. • Design: Prospective cohort study. Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. • Measurement: Proportion of medical records with at least 1 error identified. Secondary outcomes included compliance with the tool and number of medication orders changed. • Results: Over the 1-year study period, 1455 medication reconciliation forms were completed. 636 medication orders were changed as a result of the medication form, and 299 (21%) individual patients required at least 1 change. An average of 12.2 orders were changed per week, affecting an average of 6 patients per week. There was a high rate of compliance with the form. • Conclusion: The implementation of a simple, inexpensive tool is associated with a decrease in medication errors that reach patients during transfer from a surgical ICU.

Original languageEnglish (US)
Pages (from-to)26-33
Number of pages8
JournalJournal of Clinical Outcomes Management
Volume11
Issue number1
StatePublished - Jan 2004
Externally publishedYes

Fingerprint

Patient Transfer
Medication Errors
Critical Care
Medication Reconciliation
Intensive Care Units
Medical Records
Cohort Studies
Prospective Studies
Intensive care unit
Medication

ASJC Scopus subject areas

  • Medicine(all)
  • Strategy and Management

Cite this

Pronovost, P., Hobson, D. B., Earsing, K., Lins, E. S., Rinke, M. L., Emery, K., ... Dorman, T. (2004). A practical tool to reduce medication errors during patient transfer from an intensive care unit. Journal of Clinical Outcomes Management, 11(1), 26-33.

A practical tool to reduce medication errors during patient transfer from an intensive care unit. / Pronovost, Peter; Hobson, Deborah Baugher; Earsing, Karen; Lins, Elizabeth S.; Rinke, Michael L.; Emery, Katherine; Berenholtz, Sean M.; Lipsett, Pamela A.; Dorman, Todd.

In: Journal of Clinical Outcomes Management, Vol. 11, No. 1, 01.2004, p. 26-33.

Research output: Contribution to journalArticle

Pronovost, P, Hobson, DB, Earsing, K, Lins, ES, Rinke, ML, Emery, K, Berenholtz, SM, Lipsett, PA & Dorman, T 2004, 'A practical tool to reduce medication errors during patient transfer from an intensive care unit', Journal of Clinical Outcomes Management, vol. 11, no. 1, pp. 26-33.
Pronovost, Peter ; Hobson, Deborah Baugher ; Earsing, Karen ; Lins, Elizabeth S. ; Rinke, Michael L. ; Emery, Katherine ; Berenholtz, Sean M. ; Lipsett, Pamela A. ; Dorman, Todd. / A practical tool to reduce medication errors during patient transfer from an intensive care unit. In: Journal of Clinical Outcomes Management. 2004 ; Vol. 11, No. 1. pp. 26-33.
@article{72d6629b9ec04112a40f05b150f285be,
title = "A practical tool to reduce medication errors during patient transfer from an intensive care unit",
abstract = "• Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. • Design: Prospective cohort study. Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. • Measurement: Proportion of medical records with at least 1 error identified. Secondary outcomes included compliance with the tool and number of medication orders changed. • Results: Over the 1-year study period, 1455 medication reconciliation forms were completed. 636 medication orders were changed as a result of the medication form, and 299 (21{\%}) individual patients required at least 1 change. An average of 12.2 orders were changed per week, affecting an average of 6 patients per week. There was a high rate of compliance with the form. • Conclusion: The implementation of a simple, inexpensive tool is associated with a decrease in medication errors that reach patients during transfer from a surgical ICU.",
author = "Peter Pronovost and Hobson, {Deborah Baugher} and Karen Earsing and Lins, {Elizabeth S.} and Rinke, {Michael L.} and Katherine Emery and Berenholtz, {Sean M.} and Lipsett, {Pamela A.} and Todd Dorman",
year = "2004",
month = "1",
language = "English (US)",
volume = "11",
pages = "26--33",
journal = "Journal of Clinical Outcomes Management",
issn = "1079-6533",
publisher = "Turner White Communications Inc.",
number = "1",

}

TY - JOUR

T1 - A practical tool to reduce medication errors during patient transfer from an intensive care unit

AU - Pronovost, Peter

AU - Hobson, Deborah Baugher

AU - Earsing, Karen

AU - Lins, Elizabeth S.

AU - Rinke, Michael L.

AU - Emery, Katherine

AU - Berenholtz, Sean M.

AU - Lipsett, Pamela A.

AU - Dorman, Todd

PY - 2004/1

Y1 - 2004/1

N2 - • Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. • Design: Prospective cohort study. Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. • Measurement: Proportion of medical records with at least 1 error identified. Secondary outcomes included compliance with the tool and number of medication orders changed. • Results: Over the 1-year study period, 1455 medication reconciliation forms were completed. 636 medication orders were changed as a result of the medication form, and 299 (21%) individual patients required at least 1 change. An average of 12.2 orders were changed per week, affecting an average of 6 patients per week. There was a high rate of compliance with the form. • Conclusion: The implementation of a simple, inexpensive tool is associated with a decrease in medication errors that reach patients during transfer from a surgical ICU.

AB - • Objective: To decrease medication errors that occur during the transfer of patients from a surgical intensive care unit (ICU) by institution of a computerized medication reconciliation tool. • Design: Prospective cohort study. Setting and participants: Patients admitted to a 16-bed surgical ICU in an academic medical center. • Measurement: Proportion of medical records with at least 1 error identified. Secondary outcomes included compliance with the tool and number of medication orders changed. • Results: Over the 1-year study period, 1455 medication reconciliation forms were completed. 636 medication orders were changed as a result of the medication form, and 299 (21%) individual patients required at least 1 change. An average of 12.2 orders were changed per week, affecting an average of 6 patients per week. There was a high rate of compliance with the form. • Conclusion: The implementation of a simple, inexpensive tool is associated with a decrease in medication errors that reach patients during transfer from a surgical ICU.

UR - http://www.scopus.com/inward/record.url?scp=2942580873&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=2942580873&partnerID=8YFLogxK

M3 - Article

VL - 11

SP - 26

EP - 33

JO - Journal of Clinical Outcomes Management

JF - Journal of Clinical Outcomes Management

SN - 1079-6533

IS - 1

ER -