Effect of an electronic medication administration record application on patient safety

Oliveros, Noelia Vicente; Gramage, T; Menéndez-Conde, C. Pérez; Álvarez-Díaz, Ana; Martín‐Aragón, Sagrario; Vicedo, T. Bermejo; Silveira, Eva Delgado

doi:10.1111/jep.12753

Cited by 18 publications

(15 citation statements)

References 26 publications

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“…The development of healthcare information technology has given the prospect for expediting improvement (Vicente Oliveros et al, 2017). The nature of the patient care process, intermingled with a system-defined process can cause a disconnect within the actual working process and result in negative patient outcomes (Lee, Lee, Kwon, & Yi, 2015).…”

Section: Significance Of the Problem To Nursing Practicementioning

confidence: 99%

“…Vicente Oliveros et al (2017) discuss patient safety with the use of technology, specifically an electronic medication administration record. The implementation of health information technology has provided the means to continually improve patient safety outcomes.…”

Section: Patient Safetymentioning

confidence: 99%

“…Safety is an emergent system property that should be addressed throughout all health information technology design, implementation, and use (Vicente Oliveros et al, 2017). Safety concerns tend to emerge from interactions of health information components and human users.…”

mentioning

confidence: 99%

“…Safety concerns tend to emerge from interactions of health information components and human users. Patient safety should be addressed during and after the implementation of these systems and promptly mitigated (Vicente Oliveros et al, 2017). Keers et al (2015) assert that research evidence reveals that patients may suffer from a preventable injury resulting from miscommunication of information and medication errors.…”

mentioning

confidence: 99%

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The Importance of Obtaining Verbal Confirmation of Patient Identifiers While Using Technology during Medication Administration

Ouzts¹

2019

IJN

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The use of technology in healthcare provides phenomenal opportunity for improved workflow and safer patient care. There is a concern that due to the ability to expedite patient care processes, technology can lead to nurses abandoning the need to continue the use of the-five rights‖ of medication administration, specifically with the use of a barcode medication administration system. This study examines the practices of nurses at a local acute care facility to determine the usage of verbal patient verification during medication administration through direct observation. The information gained from the direct observations will be used to educate the nursing staff of the importance to continue the usage of patient safety measures to reduce medication errors and sentinel events. The results of the observations will be reported to a third party reporting agency (LeapFrog) to provide area healthcare consumers with a patient safety score for the facility.

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Section: Significance Of the Problem To Nursing Practicementioning

confidence: 99%

Section: Patient Safetymentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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The Importance of Obtaining Verbal Confirmation of Patient Identifiers While Using Technology during Medication Administration

Ouzts¹

2019

IJN

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“…However little research has investigated whether the electronic medication administration records in these systems, used by nurses for the preparation and administration of medications, are associated with reduced MAE rates. A small number of before and after studies have been undertaken, 12 13 but none has applied a controlled study design and all have been in single sites.…”

Section: Introductionmentioning

confidence: 99%

Changes in medication administration error rates associated with the introduction of electronic medication systems in hospitals: a multisite controlled before and after study

Westbrook

Sunderland

Woods

et al. 2020

BMJ Health Care Inform

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BackgroundElectronic medication systems (EMS) have been highly effective in reducing prescribing errors, but little research has investigated their effects on medication administration errors (MAEs).ObjectiveTo assess changes in MAE rates and types associated with EMS implementation.MethodsThis was a controlled before and after study (three intervention and three control wards) at two adult teaching hospitals. Intervention wards used an EMS with no bar-coding. Independent, trained observers shadowed nurses and recorded medications administered and compliance with 10 safety procedures. Observational data were compared against medication charts to identify errors (eg, wrong dose). Potential error severity was classified on a 5-point scale, with those scoring ≥3 identified as serious. Changes in MAE rates preintervention and postintervention by study group, accounting for differences at baseline, were calculated.Results7451 administrations were observed (4176 pre-EMS and 3275 post-EMS). At baseline, 30.2% of administrations contained ≥1 MAE, with wrong intravenous rate, timing, volume and dose the most frequent. Post-EMS, MAEs decreased on intervention wards relative to control wards by 4.2 errors per 100 administrations (95% CI 0.2 to 8.3; p=0.04). Wrong timing errors alone decreased by 3.4 per 100 administrations (95% CI 0.01 to 6.7; p<0.05). EMS use was associated with an absolute decline in potentially serious MAEs by 2.4% (95% CI 0.8 to 3.9; p=0.003), a 56% reduction in the proportion of potentially serious MAEs. At baseline, 74.1% of administrations were non-compliant with ≥1 of 10 procedures and this rate did not significantly improve post-EMS.ConclusionsImplementation of EMS was associated with a modest, but significant, reduction in overall MAE rate, but halved the proportion of MAEs rated as potentially serious.

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Developing and Exploring the Usability of an Immersive Virtual Reality Simulator on Medication Administration Safety

Rossler,

Sankaranarayanan,

Ryason

et al. 2024

Clinical Simulation in Nursing

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Effect of an electronic medication administration record application on patient safety

Abstract: Use of the eMAR application significantly reduces the rate of ME-MAR and their potential risk. The main cause of ME-MAR was the failure to follow work procedures.

Cited by 18 publications

References 26 publications

The Importance of Obtaining Verbal Confirmation of Patient Identifiers While Using Technology during Medication Administration

The Importance of Obtaining Verbal Confirmation of Patient Identifiers While Using Technology during Medication Administration

Changes in medication administration error rates associated with the introduction of electronic medication systems in hospitals: a multisite controlled before and after study

Developing and Exploring the Usability of an Immersive Virtual Reality Simulator on Medication Administration Safety

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