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Study points to methods for safe drug dispensing via computer

eagues are helping create version 3.0, which will address some of the problems found during the study. After that, Patterson and her colleagues will continue to help the system evolve over time.

Patterson cited a 1999 study at Brigham and Women's Hospital and Harvard Medical School that found medication errors fell 86 percent when doctors began entering their prescriptions orders via computer. When computer systems are optimized for taking human factors into account, errors can decrease even further, she said.

The new Ohio State study found five unanticipated negative side effects of introducing BCMA to hospitals:

Sometimes the computer automatically removed medications from a patient's prescription list. For example, one patient could not receive his dose of a drug on time, because he had been away in another part of the hospital when he was supposed to receive it. When the patient returned to the ward and the nurse administered his medications, BCMA no longer displayed the medication because it was dropped when a time window had elapsed. In most cases, the nurses knew to administer the medication and so asked a pharmacist to add it back to the prescription list. There was less coordination between doctors and nurses, compared to a paper-based system. Doctors reviewed patient's medication orders less often, becau
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Contact: Emily Patterson
Patterson.150@osu.edu
614-688-3938
Ohio State University
7-Jan-2003


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