Since the EMAR is new, the nurses are still getting used to it. The nurse’s patient is having cancer pain and is ordered two different morphine orders: extended release every 12 hours and immediate release as needed. The EMAR screen only showed the name of the drug instead of other facts about it. The nurse gave both at the same time and sent the patient into respiratory arrest. They intubated and the patient is stable. IT administration changed the settings to display drug name and drug formulation. A type of IT situation happened in this case study.
The type of IT Incident that happened was software malfunctions. The software within the EMAR wasn’t what it should have been and didn’t show the correct dosage function (ECRI Institute, 2013, p. 10). This led to a medication error. In my practice, we give Tylenol and Tylenol with codeine. We could make the same error if the drug formula wasn’t posted in our EMAR. This could have caused several consequences that could have led to a bad