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Title	Medical errors / patient safety : hospital medication errors pre- & post-electronic health records (EHR) / meaningful use act
Alternative Title	Medical errors / patient safety : hospital medication errors pre- and post-electronic health records (EHR) / meaningful use act
Author	Chukwudi, Emmanuel C.
Date	2019
Affiliation/College	College of Health Professions
Subject.MeSH	Academic Dissertations Academic Dissertations--South Carolina Meaningful Use Patient Safety Patient Care Electronic Health Records Hospitals Medication Errors--United States Medical Errors American Recovery and Reinvestment Act Problem Solving Patient Harm Information Science Medical Informatics
Keywords	Medical Errors, Medication Errors, Patient Safety, Electronic Health Record (EHR), Meaningful Use, Health Information Technology for Economic and Clinical Health (HITECH) Act, Electronic Medical Records (EMR), Patient Harm, In-Hospital Medication Errors, Problem Solving, Patient-Centeredness, Preventable Medical Errors
Collection	MUSC Theses and Dissertations
Contributing Institution	Waring Historical Library (MUSC)
Rights	Copyright is held by the author.
Language	English
Type	Text
Format	application/pdf
Media Type	Manuscripts
Resource Identifier	mtd2019_chukwudi_ec
Abstract	The current dissertation study analyzes whether the volume of medication errors in which years prior to the adoption and implementation of the HITECH / Meaningful Use Act or the EHR (2007-2010) was higher, lower, or remained unchanged versus in which years after implementation of the Meaningful Use Act / HITECH Act (2011-2014). The study employed secondary data sources from the Center for Drug Evaluation and Research (CDER) / Healthcare Cost and Utilization Project (HCUP). A time series analysis was used to assess the effect of the regulation implementation. Purpose: Medical errors ranked as the third top leading cause of all hospital deaths in the United States, and as many as 400, 000 patients are harmed annually, as a result of preventable medical errors. This problem creates the need to enhance patient safety in the US. Methods: Medication error was measured using the monthly recorded Rxper OE variable (medication error percent as a % of the total non-medication medical errors of the month).The Rxper OE was recorded from 2007 -2014, and data analyzed to make an inference as to whether the volumes of medication errors increased, decreased, or stayed the same between the years 2007 to 2014. Scope: Medical errors, a major challenge facing the US healthcare system, are found in every region of the country. To address this problem as well as improve the overall quality of care, the US government implemented the HITECH Act / Meaningful Use Act on February 17, 2009. Results and Findings: Although medication errors in the U.S. increased as a proportion of all medical errors after the implementation of the HITECH Act (6.78% versus 7.98% Averages), those proportional increases were due to a decrease in non-medication / other types of medical errors, while the rate of the medication errors overall remained stable. This trend was further explored, and found to only increase by 6%/year after 2011, with a p-value of (p=0.6397), which is not statistically significant. Conclusion: The study findings do not support the hypothesis that there was a change in the volume or levels of in-hospital medication errors between the Pre-and Post-Electronic Health Records (EHR) timeframe. Recommendations: Recommendations included the following 7 ideas: Employee (re)training and Awareness campaigns; strategic recruitment; effective policy; problem acknowledgment and transparent reporting; patient-centeredness; problem solving / documentation, and being proactive (versus reactive).

Medical errors / patient safety : hospital medication errors pre- & post-electronic health records (EHR) / meaningful use act

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