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Potential Effects

Potential Effects. Medication Safety When Adding EMR. Last year. Inpatient Unit converted from paper charts to electronic documentation Pharmacy entering orders electronically Phased approach Bedside Medication Verification (BMV) not planned until August 2012, so nursing using printed MAR.

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Potential Effects

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  1. Potential Effects Medication Safety When Adding EMR

  2. Last year • Inpatient Unit converted from paper charts to electronic documentation • Pharmacy entering orders electronically • Phased approach • Bedside Medication Verification (BMV) not planned until August 2012, so nursing using printed MAR

  3. Complaints • Complaints surfacing about variance between paper MAR and orders during chart checks • Nurses felt that pharmacists were making errors • Pharmacists felt nursing complaints were unfounded • Chart checks took a long time • Nurses were handwriting corrections

  4. First Steps • Created a reporting mechanism • Encouraged reporting • Encouraged reporting • Encouraged reporting • Encouraged reporting • Encouraged reporting

  5. Action Steps • Reviewed each entry with pharmacy and nursing • Grouped similar items • Started with low-hanging fruit • Looked at processes and re-education • Continued each month

  6. Looking at the Problem 63 discrepancies in the first month of measurement

  7. Looking at the Problem

  8. PfP Metrics Note: ADE increase in May due to inclusion of nausea or itching

  9. Changing Landscape • eMAR and Bedside Medication Verification • Scanning problems • Barcode issues • Training and training and training • Printed MAR versus eMAR

  10. Current and Future • Fewer discrepancies or less reporting? • User error or system error?

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