NURSING ROLE
Impact of an Electronic Medication Administration Record on Medication Administration Efficiency and Errors
JEFFERY MCCOMAS, MSN, RN, CNS
MICHELLE RINGEN,DNP, RN, CNS-BC
SON CHAE KIM, PhD, RN
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CIN: Computers, Informatics, Nursing & Vol. 32, No. 12, 589–595 & Copyright B 2014 Wolters Kluwer Health | Lippincott Williams & Wilkins
http://www.nursingcenter.com/lnc/JournalArticle?Article_ID=2685255
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ALKA SINGH
ID : 1501082
SUMMARY OF NURSING ROLE AND ISSUE ON ELECTRONIC MAR.
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