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Conversion to an electronic missing medication request system at an academic medical center
Michael J Peters1, Chris K Finch1, Lauchland Roberts1
1Methodist University Hospital, USA.
Health Informatics Journal
|February 24, 2021
Summary
Implementing an electronic missing medication request (MMR) system reduced the daily number of requests. This digital transformation improved pharmacy operations and medication safety workflows.
Area of Science:
- Pharmacy Practice
- Health Informatics
- Medication Safety
Background:
- Missing medications disrupt pharmacy workflows, incur financial costs, and pose safety risks.
- The study institution transitioned from a hybrid to a fully electronic missing medication request (MMR) system in June 2018.
Purpose of the Study:
- To assess the impact of converting to an electronic MMR system on the volume of requests received.
- To evaluate changes in request quantity at an academic medical center following system implementation.
Main Methods:
- A comparative study evaluating 4-week periods before and after the electronic conversion.
- Statistical analysis of daily missing medication requests (MMRs) pre- and post-implementation.
Main Results:
- The average daily number of MMRs significantly decreased post-conversion (1.77 to 1.48, p < 0.001).
- Post-conversion, median triage time was 8 minutes, with pharmacists handling 62.4% of requests.
- Approximately 29.6% of electronic MMRs were declined during the post-conversion period.
Conclusions:
- Transitioning to an electronic MMR system is an effective strategy for reducing the number of missing medication requests.
- Further research is recommended to explore the broader financial, operational, and safety implications of this electronic system.
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