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Improve Core Processes for Ordering Medications

Core processes for ordering medications have become enormously complex, and the risk of errors and process failures has grown in turn. Either an error or a process failure can start a chain of events leading to an adverse drug event. Several practices have been shown to improve the overall safety of ordering processes. Tools such as Failure Modes Effects Analysis (FMEA) can identify potential failures in your own ordering processes and show you which practices to test first to reduce the risk in your organization.


Changes for Improvement
Eliminate or Reduce Availability of Multiple Strengths
Implement Pharmacy-Based Dosing
Ensure that Allergy Information Accompanies Patients
Include Renal Function Data on CPOE Screens
Use Pre-Typed Medication Records, Orders, and Flowsheets
Use Standard Scales for Dosing High-Risk Drugs
Use Drug Interaction Software
Ensure Pharmacist Review of All Medication Orders
Carry Reference Materials in Handheld Electronic Devices
Provide Patient Information and Drug Profiles to Prescribers
Limit Over-Ride Options on Computer and Medical Device Safety Features
Provide Reference Materials at Point of Care
Check Multiple Variables When Ordering Medications
Share Patient Information among Clinical Disciplines
Make Allergy Information Available in Multiple Locations
Provide Medication and Food Interaction Information
Assign Pharmacists to Patient Care Units
Provide Allergy Alerts with a Computerized Prescriber Order Entry System
Collect Allergy Information on Admission
Have Pharmacists Determine All Doses for Renal Patients
Provide the Pharmacy with Renal Function Data
Connect Medication Orders to Lab Results
Use Protocols and Order Sets for at Least 75 Percent of Medications




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