The Impact of an Electronic Medication Administration Record On Medication Administration Efficiency and Medication Errors

Thesis
Description: 

A prospective, observational study utilizing time-and-motion technique and a retrospective review of hospital Midas+ database were conducted to compare the medication administration efficiency and monthly rate of medication errors before and after the implementation of electronic medication administration records (eMAR). The pre- and post-eMAR medication administration process time intervals were measured over approximately two-week periods before and after implementation of eMAR, with a 2-month break in-between (N=156). A significant increase was found in medication administration time pre- vs. post-implementation of eMAR (11.3 minutes vs. 14.4 minutes; p = 0.039). In multivariate analysis, the eMAR implementation showed no effect on medication administration time. As expected, the total number of medication, IV push medication, caring for the patient and interaction with physician were significant positive predictors of medication administration time. A retrospective review of the hospital Midas+ database for 6 months before and after implementation of eMAR revealed a statistically significant decrease in medication errors pre- vs. post-implementation of eMAR (mean events 11 vs. 5.3; p = 0.034). Although no improvement in medication administration efficiency was observed, implementation of eMAR appeared to improve the quality of care through a significant decrease in medication errors.

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WHDL-00006107
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