Adverse Drug Events at the hospital, many are not calculating, so the true picture may not be available. Trigger tools, something worth looking at if not being reported. More information about Trigger tools is available here. Who’s job is it to get the ball rolling, the answer is it is a team effort of both the CIO and IT departments working with clinical staff to implement. With the up and coming new Medicare policies regarding the no pay events, some of which can fall under the medication categories, this might not be a bad time to explore how Trigger tools could be an asset. BD
Ninety three percent of CIOs surveyed by HIMSS feel that medication safety is an issue that technology can address (the number two answer was mentioned by only fifty four percent of respondents). Perhaps as a result, the sale of technological solutions to increase medication safety in hospitals (e.g., CPOE, bar coding, smart pumps) is booming.
Why are almost all hospitals still using self-reporting, when a cheap solution with 1,000 to 10,000 percent greater accuracy is available? Perhaps it’s hospital politics (conflicts over ownership of medication safety reporting between Pharmacists, nurses, physicians, the quality department, etc.). It may be the required cultural changes (Trigger Tool reporting changes the focus from processes (errors) to results (events)). It may be that hospitals don’t want to know the real numbers because they might then be liable for higher levels of harm, or responsible to rapidly improve the currently high levels of ADE incidence. Or it could be that key decision-makers are not aware of the advantages and low costs of trigger tools.
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