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Related Experiment Video

Updated: Oct 16, 2025

TBase - an Integrated Electronic Health Record and Research Database for Kidney Transplant Recipients
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Identifying Electronic Medication Administration Record (eMAR) Usability Issues from Patient Safety Event Reports.

Adeel R Iqbal, Codrin A Parau, Sadaf Kazi

    Joint Commission Journal on Quality and Patient Safety
    |October 18, 2021
    PubMed
    Summary
    This summary is machine-generated.

    Electronic medication administration record (eMAR) usability challenges contribute to medication errors. Improving eMAR interface design and usability testing is crucial for enhancing patient safety and reducing errors.

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    Area of Science:

    • Health Informatics
    • Patient Safety
    • Human-Computer Interaction

    Background:

    • Medication errors are a significant concern in healthcare.
    • Health information technology (health IT) usability is increasingly recognized as a factor in patient safety.
    • Understanding the link between health IT usability and medication errors is vital for error reduction.

    Purpose of the Study:

    • To investigate the contribution of electronic medication administration record (eMAR) usability challenges to medication errors.
    • To analyze patient safety event reports (PSEs) to identify specific eMAR-related usability issues.
    • To provide evidence-based recommendations for improving eMAR technology and patient safety.

    Main Methods:

    • Analysis of 849 free-text descriptions from medication-related patient safety event reports (PSEs).
    • Identification of health IT components, usability challenge categories, and themes contributing to PSEs.
    • Thematic analysis to refine categorizations and identify emerging themes, focusing on eMAR's role in errors.

    Main Results:

    • The electronic medication administration record (eMAR) contributed to 473 PSEs.
    • eMAR was the origin of 17.8% of these errors, with workflow support and display/visual clutter as key challenges.
    • In 82.2% of cases, eMAR contributed downstream, primarily due to issues with Pharmacy IT and computerized provider order entry (CPOE), with display/visual clutter being a prominent secondary challenge.

    Conclusions:

    • Specific eMAR usability challenges significantly contribute to medication errors.
    • Improving the eMAR user interface is critical for patient safety.
    • Recommendations include enhanced interface design, vendor and facility usability testing, and consideration of work system factors.