Clinical Decision Support as a Prevention Tool for Medication Errors in the Operating Room: A Retrospective Cross-Sectional Study
Authors' conclusion
Ninety-five percent of self-reported medication errors in the operating room were classified as preventable by CDS.
Study context
- Population
- Self-reported intraoperative medication errors documented by anesthesia clinicians in safety reports, 1046-bed tertiary care academic medical center, August 2020–August 2022
- Participants
- 80 medication errors
- Outcome
- Percentage of medication errors preventable by clinical decision support (CDS)
Methodological detailssingle-centre, Reviewers classified each error by stage, type, adverse medication event, severity and clinical decision support (CDS) preventability; disagreements resolved by consensus
- Single-centre
- Reviewers classified each error by stage, type, adverse medication event, severity and CDS preventability; disagreements resolved by consensus
Main finding
As reported in the abstract
Errors preventable by CDS
Errors classified as preventable by CDS: 76/80
95%
Observational data: associations, not effects.
Secondary outcomes
Preventability by CDS by error type
- Difference in preventability between error types
- P < 0.001
- Wrong medication (N = 36) rated preventable
- 100%
- Wrong dose (N = 30) rated preventable
- 100%
- Documentation errors (N = 3) rated preventable
- 100%
- Inadvertent bolus (N = 3) rated preventable
- 0
Original publication
Clinical Decision Support as a Prevention Tool for Medication Errors in the Operating Room: A Retrospective Cross-Sectional Study. Anesth Analg. Published 4 September 2024. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →