weight-based bolus MAR display in EPIC

PLEASE NOTE:   Posts made to this forum should not be considered as the expressed opinions of, nor should be considered endorsed by, the Medication Safety Officer’s Society (MSOS) or the Institute for Safe Medication Practices (ISMP). 

Make sure your email is up-to-date
In order to continue to receive updates from MSOS, as well as forum posts and other valuable information as a member of MSOS, please be sure to update your email address with us, whenever it changes. If you need assistance doing so, please send an email to jgold@ismp.org

3 posts / 0 new
Last post
Lauren Gashlin
Lauren Gashlin's picture
Offline
Last seen: 2 weeks 15 hours ago
Joined: 12/08/2014 - 09:22
weight-based bolus MAR display in EPIC

Hello,

We have had recurrent errors in our pediatric hospital with programming weight-based bolus doses into the pumps (Alaris). The root cause appears to be the way these are displayed on the MAR: The most common error is programming the "Ordered Admin Dose" (volume in mL calculated from the mg/kg dose and concentration) instead of the "ordered dose" in mg/kg, sometimes resulting in 10 fold errors.

Our EPIC build teams have said there is nothing different that they can do on the MAR, wondering if there are any other EPIC hospitals out there that have found a safer way to display these orders? DERS is employed, challenging to set limits that can prevent these errors with the wide range of appropriate doses.

Thank you!
Lauren Gashlin
UR Medicine, Rochester, NY

Attach files :