Evidence map›Paper›PMID 31436876›Full record

ArticleEuropean journal of cancer care2019

Medication safety incidents in paediatric oncology after electronic medication management system implementation.

Valentina Lichtner, Melissa Baysari, Peter Gates, Luciano Dalla-Pozza, Johanna I Westbrook

Open access · hybridAbstract read
In one paragraph

Article in European journal of cancer care, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 30 citations in OpenAlex.

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  9. Effects of Guideline-based Computerized Provider Order Entry Systems on the Chemotherapy Order Process: a Systematic Review.Acta informatica medica : AIM : journal of the Society for Medical Informatics of Bosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH · 2022
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 2 countries.

Valentina LichtnerDepartment of Practice and Policy, School of Pharmacy, UCL, London, UK.ORCID https://orcid.org/0000-0003-3956-3743
Melissa BaysariCentre for Health Systems and Safety Research, AIHI, Macquarie University, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0003-1645-9126
Peter GatesCentre for Health Systems and Safety Research, AIHI, Macquarie University, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0001-6220-4007
Luciano Dalla-PozzaCancer Centre for Children, The Children Hospital at Westmead, Sydney, Australia.ORCID https://orcid.org/0000-0001-6826-764X
Johanna I WestbrookCentre for Health Systems and Safety Research, AIHI, Macquarie University, Sydney, NSW, Australia.ORCID https://orcid.org/0000-0003-1083-8192
Macquarie University · AUChildren's Hospital at Westmead · AUThe London College · GBThe University of Sydney · AU

Funding

H2020 Marie Skłodowska-Curie Actions 740131National Health and Medical Research Council 1094878
6 · The paper itself

Abstract

objectiveTo explore medication safety issues related to use of an electronic medication management system (EMM) in paediatric oncology practice, through the analysis of patient safety incident reports.

methodsWe analysed 827 voluntarily reported incidents relating to oncology patients that occurred over an 18-month period immediately following implementation of an EMM in a paediatric hospital in Australia. We identified medication-related and EMM-related incidents and carried out a content analysis to identify patterns.

resultsWe found ~79% (n = 651) of incidents were medication-related and, of these, ~45% (n = 294) were EMM-related. Medication-related incidents included issues with: prescribing; dispensing; administration; patient transfers; missing chemotherapy protocols and information on current stage of patient treatment; coordination of chemotherapy administration; handling or storing medications; children or families handling medications. EMM-related incidents were classified into four groups: technical issues, issues with the user experience, unanticipated problems in EMM workflow, and missing safety features.

conclusionsIncidents reflected difficulties with managing therapies rich in interdependencies. EMM, and especially its 'automaticity', contributed to these incidents. As EMM impacts on safety in such high-risk settings, it is essential that users are aware of and attend to EMM automatic behaviours and are equipped to troubleshoot them.

Indexed as

Medication ErrorsMedication Systems, HospitalPatient SafetyPediatricsAdolescentAustraliaChildChild, PreschoolElectronic PrescribingHospitals, PediatricHumansInfantInfant, NewbornNeoplasmsRisk ManagementTertiary Care Centerscomputerized provider order entry systemevaluation researchhospital oncology servicesmedication errorspaediatricspatient safety

Identifiers

PMID31436876
PMCPMC7161912
OpenAlexW2969220438

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.