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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | McComas, Jeffery Riingen, Michelle Chae Kim, Son |
| Description | Country affiliation: Canada Author Affiliation: McComas J ( Author Affiliations: Scripps Memorial Hospital, La Jolla (Mr McComas)) |
| Abstract | The study aims were to evaluate the impact of electronic medication administration record implementation on medication administration efficiency and occurrence of medication errors as well as to identify the predictors of medication administration efficiency in an acute care setting. A prospective, observational study utilizing time-and-motion technique was conducted before and after electronic medication administration record implementation in November 2011. A total of 156 cases of medication administration activities (78 pre- and 78 post-electronic medication administration record) involving 38 nurses were observed at the point of care. A separate retrospective review of the hospital Midas+ medication error database was also performed to collect the rates and origin of medication errors for 6 months before and after electronic medication administration record implementation. The mean medication administration time actually increased from 11.3 to 14.4 minutes post-electronic medication administration record (P = .039). In a multivariate analysis, electronic medication administration record was not a predictor of medication administration time, but the distractions/interruptions during medication administration process were significant predictors. The mean hospital-wide medication errors significantly decreased from 11.0 to 5.3 events per month post-electronic medication administration record (P = .034). Although no improvement in medication administration efficiency was observed, electronic medication administration record improved the quality of care with a significant decrease in medication errors. |
| File Format | HTM / HTML |
| ISSN | 15382931 |
| Issue Number | 12 |
| Volume Number | 32 |
| e-ISSN | 15389774 |
| Journal | CIN: Computers, Informatics, Nursing |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2014-12-01 |
| Publisher Place | United States |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Medical Informatics Discipline Nursing Medical Order Entry Systems Medication Errors Prevention & Control Medication Systems, Hospital Organization & Administration Efficiency, Organizational Humans Nursing Nursing Staff, Hospital Prospective Studies Time And Motion Studies Journal Article Observational Study |
| Content Type | Text |
| Resource Type | Article |
| Subject | Nursing Health Informatics |
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