A student pharmacist-led medication reconciliation service and its impact on the identification of drug-related problems in an ambulatory clinic

Stewart, Autumn L.; Snodgrass, Joshua; Schontz, Michael; Parekh, Mousam

doi:10.1016/j.cptl.2015.06.020

Cited by 1 publication

(6 citation statements)

References 29 publications

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“…The VAMCs medication documentation practice may be considered complicated because nurses must toggle between CPRS and BCMA for medication documentation 5 . The nurse choosing not to use BCMA technology to document administered staff were identified as performing unsafe workarounds to process patients through their unit quickly 1,3,5,7–11,13,15–27 . This study has revealed workarounds for documenting medication within the EHR 25 .…”

Section: Discussionmentioning

confidence: 99%

“…According to the American MEDMARX database, 33% of reported medication errors were associated with the medication administration phase before using BCMA software technology 4 . In previously cited studies, the use of BCMA software technology reduced medication errors by 50% on average (41.4% to 55.4%) 5,7,10,11,13,15,17,18 . The symbol P1 and P2 represents the proportions of event interest for each timeframe within the study.…”

Section: Methodsmentioning

confidence: 99%

“…4 In previously cited studies, the use of BCMA software technology reduced medication errors by 50% on average (41.4% to 55.4%). 5,7,10,11,13,15,17,18 The symbol P1 and P2 represents the proportions of event interest for each timeframe within the study. Therefore, a P1 of 0.33 and P2 of 0.165 were used, respectively.…”

Section: Sample Sizementioning

confidence: 99%

“…Barcodes, affixed to a patient's wristband and medication, help ensure a match between patients and their medications at the time of drug administration 6 . Interestingly, even though EHR systems have been adopted in healthcare facilities throughout the country, one of the leading causes of serious harm is fragmented care related to medication administration errors 7 …”

mentioning

confidence: 99%

“…6 Interestingly, even though EHR systems have been adopted in healthcare facilities throughout the country, one of the leading causes of serious harm is fragmented care related to medication administration errors. 7 The BCMA electronic medication documentation process involves the nurse logging into the BCMA software system by provider-specific access and verifying codes. Then, the nurse scans the patient's wristband, which generates the patient's electronic medication administration record within the BCMA software system, and scans the ordered medication(s).…”

mentioning

confidence: 99%

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Barcode Medication Administration Software Technology Use in the Emergency Department and Medication Error Rates

Gauthier-Wetzel

2022

CIN: Computers, Informatics, Nursing

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High-quality care during and after a medication process requires complete and accurate medication administration documentation. Veterans Affairs Medical Centers use barcode medication administration technology to document medication administered to Veterans throughout the inpatient and long-term care areas of the hospital. Barcode medication administration has demonstrated a reduction in medication administration errors; however, it is not commonly used in Veterans Affairs Medical Center clinical areas or emergency departments. During this study, only 39% of the recorded 165 Veterans Affairs Medical Centers that use barcode medication administration technology in their inpatient areas stated that barcode medication administration was also used in clinical areas of the hospital. Of these facilities, only 14% had implemented barcode medication administration in their emergency department. This study evaluated medication error rates before and after barcode medication administration technology was implemented in the emergency department of a Veterans Affairs Medical Center located in the Southeastern region of the United States. A total of 258 charts, 129 before and 129 after barcode medication administration technology implementation in the emergency department, were reviewed for Veterans who were evaluated and ordered to receive medication in the emergency department before transferring to an inpatient unit at the Veterans Affairs Medical Center where this study was conducted. A quantitative nonexperimental descriptive comparison demonstrated a 10.8% reduction in medication error rates and 21% reduction in the average number of medications given in error per chart after barcode medication administration technology was implemented in the emergency department. In addition to the study outcome, a potentially unsafe workaround was identified. Stakeholders that use barcode medication administration technology in their emergency departments would benefit from assessing the association between barcode medication administration use and medication administration error rates. However, assessing whether barcode medication administration technology remains useful and continues to provide safe medication administration practices for our Veterans is also recommended.

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Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%