CoWs get the medicine right
All it takes is shoddy handwriting on a prescription to cause serious injury or even death.
But a shift to computerised prescribing at the Auckland District Health Board could improve patient safety by taking human error out of the equation.
Doctors and nurses are already using mobile computer stations across 210 beds throughout the Waitemata health board.
‘‘One case we’ve seen was when a doctor had prescribed 2.5mg of a medication, but when the nurse read it she saw 25mg,’’ project leader David Ryan says. ‘‘The decimal point was barely legible.
‘‘When you are potentially administering 10 times the prescribed dose because of poor handwriting that’s a huge concern,’’ he says.
North Shore Hospital introduced the Computers on Wheels or ‘‘ CoWs’’ in November last year as one of three hospitals in a national pilot. The system will be rolled out to Waitakere Hospital by early next year.
There is no timeframe set for its implementation throughout the Auckland Health Board but a spokeswoman says it is a priority.
The investment lives, Dr Ryan says
Waitemata health board alone prescribes 4.7 million doses of medicine a year.
‘‘With that level of workflow you are bound to see some human error creep in,’’ he says.
‘‘Since bringing in the CoWs we have seen a significant reduction in the reporting of incidents.’’
Medication errors were the third leading cause of death or injury in New Zealand hospitals in the year ending June 2012, according to the Health Quality and Safety Committee.
There were 91 reported deaths related to medication error and a total of 360 serious incidents across the eight health boards in New Zealand.
‘‘The big thing is it has increased legibility of prescriptions. Doctors’ handwriting in general is atrocious,’’ Dr Ryan says.
The e-prescribing software allows streamlined sharing of patient information between wards, departments and pharmacies.
Red flags are raised to warn if a patient has an allergy, of potentially harmful drug combinations and if a dose exceeds the safe range.
It also allows doctors to prescribe from anywhere in the health board, not just the patient’s bedside.
Nurses say the CoWs have enabled them to spend more time with their patients as a result of less paperwork and travel between workstations.
Mobile meds: Waitemata District Health Board e-prescribing project leader David Ryan with nurse Anne Leighton using a Computer on Wheels at North Shore Hospital.