Document Detail


Use of a codified medication process for documentation of home medications.
MedLine Citation:
PMID:  20819872     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
To determine the quality and completeness of the list of home medications documented by nurses using a codified process, authors conducted a comparative study of home medications using a non-codified and codified process for documentation of required data fields including drug, dose, route of administration, frequency, and schedule. Each documented home medication (DHM) was evaluated based on the ability to convert to an inpatient medication order. The home medication was classified as non-convertible if one or more of the required data fields were missing, inaccurate, or incomplete. The study compared 176 patients with 1618 DHM in the non-codified group to 94 patients with 646 DHM in the codified group. All DHM could be converted to inpatient orders for 70% of the patients in the codified group compared with 42% in the non-codified group. Based on each DHM, the codified process resulted in 92% of the DHM being able to convert to inpatient orders compared with 82% for the non-codified process. Authors conclude that use of a codified process to document home medications has the potential to increase the number of complete drug entries and in the number of patients with a DHM list in which all of the medication entries have all of the dosing information.
Authors:
David L Green; Jan A Boonstra; Marlene A Bober
Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of the American Medical Informatics Association : JAMIA     Volume:  17     ISSN:  1527-974X     ISO Abbreviation:  J Am Med Inform Assoc     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-09-07     Completed Date:  2010-11-15     Revised Date:  2011-09-13    
Medline Journal Info:
Nlm Unique ID:  9430800     Medline TA:  J Am Med Inform Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  608-12     Citation Subset:  IM    
Affiliation:
Department of Pharmacy Services, Walter Reed Army Medical Center, Washington, DC, USA. david.l.green1@us.army.mil
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MeSH Terms
Descriptor/Qualifier:
Documentation*
Home Nursing
Humans
Medical Order Entry Systems
Medical Records
Pharmaceutical Preparations / administration & dosage,  classification*
Chemical
Reg. No./Substance:
0/Pharmaceutical Preparations
Comments/Corrections

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


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