Of the 583 event reports related to the use of overrides, the most commonly mentioned technology was automated dispensing cabinets (77.0%, n = 449), followed by computerized prescriber order entry (8.2%, n = 48) and bar-code medication administration devices (7.5%, n = 44).The most common classes of medications cited were antibiotics (12.0%, n = 70), opioids, (12.0%, n = 70), and anticoagulants (7.4%, n = 43) and 26.4% (n = 154) of the reports involved at least one high-alert medication. Analysts reviewed medication error event reports that indicated the use of overrides submitted from January 2013 through December 2014 to the Pennsylvania Patient Safety Reporting System.
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