Quest for the ideal: a redesign of the medication use system.
Medication use systems in hospitals are complex and prone to error. A redesign of the system using idealized design methodology is a starting point in preventing patient harm from medication errors. An interdisciplinary team identified system properties, proposed and gathered feedback on an ideal design, and established a structure to plan changes in the system and monitor their impact.
Dang
Deborah
D
Johns Hopkins Hospital, Baltimore, MD 21287, USA. ddang@jhmi.edu
Robert Feroli
E
E
Gill
Carla
C
Paine
Lori
L
Shermock
Kenneth
K
Suflita
Jeannette
J
Walrath
Jo M
JM
D011307:Drug Prescriptions / Q000592:standards*; D006801:Humans; D019300:Medical Errors / Q000517:prevention & control / Q000706:statistics & numerical data*; D008509:Medication Systems / Q000592:standards* / Q000639:trends; D012449:Safety; D014481:United States