Temporarily holding medication orders safely in order to prevent patient harm.
ISMP Medication Safety Alert! Acute care edition. October 19, 2023;28(21):1-4.
Process disconnects can cause administration mistakes that lead to harm. This article discusses reasons for holding medications and how workflow issues can contribute to medication temporary stop order problems. Recommendations for improvement include examining electronic health record alerts, assigning one prescriber to oversee medication reconciliation, and instituting a policy on hold orders.