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Computerized medication administration records decrease medication occurrences.

A L Wilson1, J J Hill, R G Wilson

  • 1Saint Louis University Health Sciences Center, MO, USA.

Pharmacy Practice Management Quarterly
|March 8, 1997
PubMed
Summary
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Implementing a shared computerized medication record significantly reduced medication errors and improved therapy delivery. This enhanced communication between pharmacists and nurses led to better patient care and increased efficiency.

Area of Science:

  • Health Informatics
  • Patient Safety
  • Pharmacy Practice

Background:

  • Medication errors are a significant concern in healthcare, occurring at various stages from ordering to administration.
  • Computerized medication profiles can potentially improve communication and reduce errors, but empirical evidence has been limited.

Purpose of the Study:

  • To assess the impact of a shared computerized medication record on medication occurrences.
  • To evaluate improvements in medication delivery accuracy and timeliness through enhanced interprofessional communication.

Main Methods:

  • A retrospective analysis comparing two periods: separate pharmacy and nursing medication records versus a shared computerized record.
  • Utilized a broad definition of medication occurrences, including errors, delays, and profile discrepancies.

Related Experiment Videos

  • Analyzed medication occurrences per admission and per dose.

    • Main Results:

    • Average medication occurrences per admission decreased significantly from 0.1084 to 0.0658 (p < 0.01).
    • Medication occurrences per dose also showed a statistically significant decrease from 0.0005 to 0.0003 (p < 0.01).

    Conclusions:

    • The adoption of a shared computerized medication record by pharmacy and nursing resulted in a statistically significant reduction in medication errors.
    • Improved information sharing facilitated timely discrepancy resolution, leading to enhanced drug therapy execution, fewer errors, and greater efficiency.