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When the computer messes up and it leads to errors in the prescription

The doctor decides whether a medicine should be given weekly or daily. When the computer programme changes the frequency on its own, we need to find out what has happened so that we can prevent it in the future.

During this webinar we examined the error that arose this summer in the e-presecription chain.

Webinar: An error in the e-prescription chain
Elin H. Kindingstad og Kari Gjerde forteller historien om feilen i e-reseptkjeden som ble oppdaget i juni 2024.
Even if it looks right to you, it doesn't mean the mistake has been corrected. It can look right to you, and still be wrong to others.

In June, a critical error was discovered in the e-prescription chain. The error meant that the dosage of some medicines was changed from weekly to daily in the prescription mediator. It was discovered by an alert pharmacist at the hospital pharmacy in Trondheim.

An alarm was raised in the Norsk helsenett and the Norwegian Directorate of Health. The cause of the error was quickly found and corrected, but we are left with important questions.

  • How could this data error have occurred?
  • What were the consequences?
  • How are the Norwegian Directorate of Health and the Norsk helsenett working together to correct the error?
  • What kind of clean-up is required of doctors and pharmacists?
  • What can we learn from this incident?

Presentation by Elin Høyvik Kindingstad, department director for digital health services in the Norwegian Directorate of Health, and Kari Gjerde, service owner for Reseptformidleren in Norsk Helsenett SF.

Recording

You can download the podcast to your mobile on Apple Podcasts, Spotify or Podbean. Search for ‘Norwegian Centre for E-health Research’.