Hon, Jacqueline
(2024)
Audit and Evaluation of Medication Overrides at a Tertiary Care Center.
Master Essay, University of Pittsburgh.
Abstract
Purpose: Medication overrides allow removal of a medication from an automated dispensing cabinet (ADC) before a pharmacist reviews the order in an emergent situation. Administration of medications prior to a medication order and pharmacist review increases the risk for medications errors. Unsafe medication practices and medication errors are the leading cause of avoidable harm to patients and represents a major public health issue. The public health significance of this project was to audit medication override practices at Allegheny General Hospital (AGH) to ensure safe medication practices.
Method: A randomly selected day in 2022 was audited. Override information was collected retrospectively from ADC data and matched to a patient using the electronic health record. The primary outcome of the study was to measure AGH’s compliance to the Medication Override Policy. Override compliance was defined as timely administration (within one hour), linkage to a medication order, and timely link (within one hour). The secondary outcome of this study was to evaluate if changes should be made to the current medication override list.
Results: On the randomly selected day, there were a total of 95 overrides. There was 98.6% compliance in timely administration, 87.5% compliance in linking or medications, and 98.3% compliance in timely linking of medications. Overall compliance was 84%. The AGH medication override list contained 269 medications. 93 medications were recommended for removal from the override list.
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Details
| Item Type: |
Other Thesis, Dissertation, or Long Paper
(Master Essay)
|
| Status: |
Unpublished |
| Creators/Authors: |
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| Contributors: |
| Contribution | Contributors Name | Email | Pitt Username | ORCID  |
|---|
| Thesis advisor | Batra, Tina | tbh16@pitt.edu | tbh16 | UNSPECIFIED | | Committee Member | Felter, Elizabeth | emfelter@pitt.edu | emfelter | UNSPECIFIED | | Committee Member | Sokol, Jamie | jsokol@pitt.edu | jsokol | UNSPECIFIED |
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| Date: |
3 January 2024 |
| Date Type: |
Completion |
| Submission Date: |
13 December 2023 |
| Access Restriction: |
2 year -- Restrict access to University of Pittsburgh for a period of 2 years. |
| Number of Pages: |
25 |
| Institution: |
University of Pittsburgh |
| Schools and Programs: |
School of Public Health > Multidisciplinary MPH |
| Degree: |
MPH - Master of Public Health |
| Thesis Type: |
Master Essay |
| Refereed: |
Yes |
| Uncontrolled Keywords: |
Healthcare administration |
| Date Deposited: |
03 Jan 2024 15:16 |
| Last Modified: |
14 Feb 2025 13:54 |
| URI: |
http://d-scholarship.pitt.edu/id/eprint/45672 |
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