ArticleHealthcare (Basel, Switzerland)2022
Implementing a New Electronic Health Record System in a University Hospital: The Effect on Reported Medication Errors.
Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 25 citations in OpenAlex.
- User Experiences of Electronic Controlled Substance Surveillance Among Health Care Professionals in a Large Academic Hospital: Cross-Sectional Survey.Journal of medical Internet research · 2026Article
- Impact of a Hospital Information System-Integrated Automated Dispensing Cabinet on Medication Use and Safety in a Tertiary Hospital Emergency Department: A Prospective Before-and-After Study.Journal of clinical medicine · 2026Article
- SmUDo (Smart Unit-Dose): Redefining efficiency, quality, and staffing strategies for optimized processes.PloS one · 2026Article
- Changes in Medication Errors after Implementation of an Electronic Health Record System in a Canadian Community Hospital.The Canadian journal of hospital pharmacy · 2026Article
- Facilitators and Barriers Associated With the Use of Barcode Technologies in Drug Preparation and Administration in Hospital Settings-A Narrative Review of Qualitative Studies.Journal of patient safety · 2025Article
- Introducing Unit Dose Dispensing in a University Hospital - Effects on Medication Safety and Dispensing Time.Risk management and healthcare policy · 2025Article
- A retrospective study on prevalence, characteristics, and outcomes of transcribing error: analysis of data from the National Medication Error Reporting System in Malaysia.Journal of pharmaceutical policy and practice · 2025Article
- Perceptions of nursing informatics on quality of nursing practice and competency among nurses in Jordan.Frontiers in digital health · 2025Article
- Methods for studying medication safety following electronic health record implementation in acute care: a scoping review.Journal of the American Medical Informatics Association : JAMIA · 2024Article
- Effect of a closed-loop medication order executive system on safe medication administration at a tertiary hospital: a quasi-experimental study.Therapeutic advances in drug safety · 2024Article
- Closed-Loop Medication Management with an Electronic Health Record System in U.S. and Finnish Hospitals.International journal of environmental research and public health · 2023Review
- Nurses' Attitudes and Factors Affecting Use of Electronic Health Record in Saudi Arabia.Healthcare (Basel, Switzerland) · 2023Article
- Developing an In-House Comprehensive Medication Review Training Program for Clinical Pharmacists in a Finnish Hospital Pharmacy.International journal of environmental research and public health · 2023Review
- Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Closed-loop electronic medication management systems (EMMS) have been seen as a potential technology to prevent medication errors (MEs), although the research on them is still limited. The aim of this paper was to describe the changes in reported MEs in Helsinki University Hospital (HUS) during and after implementing an EPIC-based electronic health record system (APOTTI), with the first features of a closed-loop EMMS. MEs reported from January 2018 to May 2021 were analysed to identify changes in ME trends with quantitative analysis. Severe MEs were also analysed via qualitative content analysis. A total of 30% (n = 23,492/79,272) of all reported patient safety incidents were MEs. Implementation phases momentarily increased the ME reporting, which soon decreased back to the earlier level. Administration and dispensing errors decreased, but medication reconciliation, ordering, and prescribing errors increased. The ranking of the TOP 10 medications related to MEs remained relatively stable. There were 92 severe MEs related to APOTTI (43% of all severe MEs). The majority of these (55%, n = 53) were related to use and user skills, 24% (n = 23) were technical failures and flaws, and 21% (n = 21) were related to both. Using EMMS required major changes in the medication process and new technical systems and technology. Our medication-use process is approaching a closed-loop system, which seems to provide safer dispensing and administration of medications. However, medication reconciliation, ordering, and prescribing still need to be improved.
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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.