Document Detail

Detection and prevention of medication errors using real-time bedside nurse charting.
MedLine Citation:
PMID:  15802486     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: Charting systems with decision support have been developed to assist with medication charting, but many of the features of these programs are not properly used in their clinical application. An analysis of medication error reports at LDS Hospital revealed the occurrence of errors that should have been detected and prevented by decision support features if real-time entry at the bedside had taken place. The aim of this study was to increase the real-time bedside charting behavior of nurses.
DESIGN: A quasiexperimental before and after design was used. The study took place in two 40-bed surgical units, one of which served as the study unit, the other as control unit. The study unit received educational intervention about error avoidance through real-time bedside charting, and 12 weeks of monitoring and performance feedback. The real-time and bedside charting rates for the study and control units were measured before and after the intervention.
RESULTS: Before the intervention on the study unit, the real-time charting rate was 59% and the bedside rate was 40%. At the conclusion of a 12-week intervention period, the real-time rate increased to 73% and the bedside rate increased to 63%. Postintervention real-time rates were 75% after eight weeks and remained at 75% after one year. Equivalent control unit real-time rates varied from 53% to 57%, and bedside rates varied from 34% to 44% during the same intervals.
CONCLUSION: Targeted educational intervention and monitored feedback yielded measurable improvements in the effective use of the computerized medication charting system and must be an ongoing process.
Nancy C Nelson; R Scott Evans; Matthew H Samore; Reed M Gardner
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Publication Detail:
Type:  Journal Article     Date:  2005-03-31
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  12     ISSN:  1067-5027     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2005 Jul-Aug
Date Detail:
Created Date:  2005-07-11     Completed Date:  2005-08-16     Revised Date:  2013-06-09    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  390-7     Citation Subset:  IM    
Department of Medical Informatics, LDS Hospital, Salt Lake City, UT 84143, USA.
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MeSH Terms
Computer Systems*
Decision Support Systems, Clinical*
Drug Therapy, Computer-Assisted*
Forms and Records Control*
Medical Records Systems, Computerized
Medication Errors / prevention & control*
Medication Systems, Hospital*
Nursing Process
Nursing Records
Nursing Staff, Hospital
Quality Assurance, Health Care

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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