Transcript Clinical Evaluation Online Inc. transform your practice

Jacqueline Ellis, RN, PhD
Stephanie Langford, RN, MEd
iDoseCheck
Visualize Safety
Powered by Clinical Evaluation Online (CEO) Inc
Problem
• Drug calculation errors common and deadly
– 5 and 10- fold errors range from 6% to 15% of reported pediatric drug errors
– morphine most commonly associated with error
• Specialty pediatric hospitals not immune to errors
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6,000 medication incident reports from SickKids (2004-2009)
4% were 10-fold errors (240 errors)
patient harm noted in 22 cases
18 errors were 100-fold overdoses
• Wrong dose errors occur in a global context
– UK-study 5,000 incidents involving chemotherapy were analyzed (2003-2008)
– 32% were wrong dose, including wrong strength (1600 errors)
– 7 fatalities, 9 episodes of moderate harm and 9 episodes of severe harm
resulted from errors
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Problem
• Drug errors end lives and careers
• Drug errors cost money
• Lack of confidence with
calculations wastes valuable time
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Solutions
Typical text based calculator
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iDoseCheck
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Value Added Solutions
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Value Added Solutions
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Research Program
Study 1 A human factors approach to understanding medication errors related to
intravenous morphine administration in a pediatric hospital (2009)
Study 2 Preventing Medication Errors with High Alert Drugs: Testing a
Computerized Double Check (2009-211)
Research Team
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Business Team
connected
networks
Vivian Joseph Mathews, BEng
Jacqueline Ellis, RN, PhD
Stephanie Langford, RN MEd
contextual
knowledge
relevant
experience
manage
information
people,
money
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Thank You
Questions?