Keywords

medication use system, idealized design, medication safety, medication errors, patient safety

Authors

1. Dang, Deborah PhD, RN
2. Robert Feroli, E. PharmD, FASHP
3. Gill, Carla RPh, MBA
4. Paine, Lori MS, RN
5. Shermock, Kenneth PharmD
6. Suflita, Jeannette MA, MS
7. Walrath, Jo M. PhD, RN

Abstract

Medication use systems in hospitals are complex and prone to error. A redesign of the system using idealized design methodology is a starting point in preventing patient harm from medication errors. An interdisciplinary team identified system properties, proposed and gathered feedback on an ideal design, and established a structure to plan changes in the system and monitor their impact.