Hello everyone!

Does anyone have processes in place to mitigate transcription errors? We are an Epic based system and often times ERXs are being updated or we are constantly having to swap orders due to shortages. Therefore transcribing or swapping orders is not uncommon. Does anyone have a standardized double check process in place for when high risk medications are being transcribed? We've had instances where administration instructions were forgotten on titratable drips or dosage units were mixed up (weight based vs non weight based), etc.

Some nurses have asked pharmacy to have a double check process - but the question is how this would be regulated/standardized. Do we use a smartphrase? Do we develop an SOP outlining what medications this would be required with? Theoretically the list could get very large and this does not really seem like a feasible workflow..

Wondering how other facilities have tackled this.

Thank you!