Medication Error Documentation in EHR

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 jrufo@ismp.org. 

3 posts / 0 new
Log in or register to post comments
Last post
Thu, 12/26/2019 - 16:13
#1
Diane Schultz
Diane Schultz's picture
Offline
Last seen: 3 years 6 months ago
Joined: 02/06/2015 - 15:07
Medication Error Documentation in EHR

Hello,
We are in the Epic design build and looking for ideas around how to document a medication given in error in the EHR. Currently our process involves several steps: entering a one-time order for the wrong medication using "Medication error" in the provider field, which allows for MAR documentation, and then the order is immediately disconsintued. The provider also documents that the error was made in his notes, as well as an incident report is completed.
There are risks involved in this (forgetting to d/c, several "human" steps etc) but the documentation is complete.
How do others chart errors in the EHR to best account for documentation and charting for meds given in error?
Thank you for any ideas you may have. Diane

Top