Errors Reduced with Electronic Medication Administration Record App

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Clinicians can reduce instances of medication errors with use of an electronic drug administration record app.
Clinicians can reduce instances of medication errors with use of an electronic drug administration record app.

HealthDay News — Use of an electronic medication administration record (eMAR) application can reduce the rate of medication errors in medication administration recording (ME-MAR), according to a study published online in the Journal of Evaluation in Clinical Practice.

Noelia Vicente Oliveros, PharmD, from the Hospital Universitario Ramón y Cajal in Madrid, and colleagues conducted a before and after quasi-experimental study in a university hospital that implemented the eMAR application in March 2014. Data were obtained in April 2012 and June 2014, pre- and post-implementation.

A total of 2,835 pre- and 2,621 post-implementation medication administration records were analyzed. The researchers observed a decrease in the rate of ME-MAR overall, from 48% to 36.9% (P <.05). In both phases, the same types of ME-MAR were observed, except for "MAR with incomplete information," which was not seen in the post-implementation phase. The most frequent ME-MAR in both phases was "MAR at the wrong time" (before or after medication administration: 31.6% vs 30.2%). In both phases, the main cause of ME-MARs was the failure to follow work procedures. After implementation of eMAR, the potential future risk of ME-MARs decreased significantly (P < .05).

"Use of the eMAR application significantly reduces the rate of ME-MAR and their potential risk," the authors write.

Reference

Oliveros NV, Caro TG, Menendez-Conde CP, et al. Effect of an electronic medication administration record application on patient safety [published online April 18, 2017]. J Eval Clin Pract. doi: 10.1111/jep.12753

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