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The uptake of technologies designed to influence medication safety in Canadian hospitals |
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| Authors: | Saginur Michael Graham Ian D Forster Alan J Boucher Michel Wells George A |
| Affiliation: | Pediatrics Resident, Memorial University of Newfoundland, St. John's, Canada; Vice-president for Knowledge Translation, Canadian Institutes of Health Research, Ottawa, Canada; Associate Professor, Clinical Epidemiology, Ottawa Health Research Institute, Ottawa, Canada;and Assistant Professor, Department of Medicine, University of Ottawa, Ottawa, Canada; Research Officer, Canadian Agency for Drugs and Technologies in Health, 600-865 Carling Avenue, Ottawa, Ontario, Canada; Professor, Department of Epidemiology and Community Medicine, University of Ottawa and Director, Cardiovascular Research Methods Centre, University of Ottawa Heart Institute, Ottawa, Canada |
| Abstract: | Background There are many technologies designed to improve medication safety. Although limited evidence supports their use, there are pressures to implement them. Objective To determine the uptake of technologies designed to improve medication safety, plans for adopting technologies, attitudes towards technology use, and perceptions of medication error. Methods We performed a cross‐sectional survey of pharmacy directors at Canada’s 100 largest acute‐care hospitals. Results Seventy‐eight per cent of surveyed hospitals responded. Responding hospitals averaged 499 beds and 29% were teaching facilities. Hospital frequently used clinical pharmacy services (97% of hospitals), pharmacy‐based intravenous admixture services (81%), computerized decision support modules for pharmacy order entry systems (77%), unit‐dose drug distribution systems (75%) and computerized medication administration records (67%). Hospitals infrequently used bar‐coding (9% of hospitals) and computerized physician order entry (9%). A majority of respondents and hospitals favoured expanded use of new technologies and planned for increased uptake. Respondents chose as their hospital’s next investment: automated dispensing (33%), bar‐coding (25%) and computerized physician order entry (12%). Conclusion Canadian hospitals appear poised to make sizeable investments in poorly evaluated technologies that address medication safety. |
| Keywords: | medication error patient safety quality improvement |
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