Allowed dosage units in medication reconciliation activity

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Lauren Gashlin
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Joined: 12/08/2014 - 09:22
Allowed dosage units in medication reconciliation activity

For EPIC hospitals, have you configured/disabled system settings around which units can be used for patient-reported medication in medication reconciliation? Our system currently allows dispensing units to be used during med reconciliation which contributed to recent medication error in which a patient was inadvertently ordered for 7.5 tablets instead of 7.5 mg - beginning with the admission medication reconciliation. The medication is dosed in milligrams and this is the only allowed order dose unit but since the dispense units of tablet are allowed in medication reconciliation the dose in that activity was entered in tablets, converted to mg by the system and carried forward. Many layers to this event and possible risk reduction strategies, I'm interested in whether other EPIC hospitals have modified the system setting as a safety strategy and if so, any tips for successful presentation to IT governance?

Thanks!