Partial set up of electronic medication systems in NHS puts patients at risk

Poorly implemented electronic prescribing and medicines administration systems can result in potentially fatal medication errors, Healthcare and Safety Investigation Branch (HSIB) warns today.

The report comes after HSIB looked at the case of 75-year old Ann Midson, who was left taking two powerful blood thinning medications after a mix-up at her local hospital where she was receiving treatment whilst suffering from incurable cancer.

Ann sadly died from her cancer 18 days after being discharged and the error with her medication was only picked up three days before. This led to our investigation to question why this happened, even when the hospital had an ePMA system in place.

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Source: HSIB, 24 October 2019