KMID : 0388320210280020149
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Journal of Korean Academy of Fundamental Nursing 2021 Volume.28 No. 2 p.149 ~ p.155
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Characteristics of Medication Administration Error Alerts in Application of Mobile Medication System
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Song Suk-Hee
Back Ju-Won Han In-Seon Kim Eun-Hye Byun Nyeon-Im Cho Eun-Mi An Tae-Sea Hong Hui-Joeng
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Abstract
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Purpose: To assess characteristics the application of mobile medication system and medication administration error (MAE) alerts in a general hospital.
Methods: The subject hospital adopted a mobile medication system in 2016. All medication administrations in the general wards and ICUs were automatically recorded in real-time using identification barcodes, drug barcodes, and hand-held point-of-care devices. MAE alert logs were recorded from April 1st 2017 to March 31st 2018. For this study analysis was done using Pearson¡¯s chi-squared test for potentially related factors of MAE alerts included administration time, order type, medication route, and length of nurse¡¯s employment.
Results: The total number of medications during the period of this study was 3,227,990. Among them, 2,698,317 medication doses were recorded, resulting in the system application rate of 83.6%. The system application rate was significantly correlated with all factors related to potential MAE alters. In this study 23,314 MAE alerts (0.9% of the total medication doses) were identified. The MAE alerts were related to new(OR=2.26, p<.001) and emergency(OR=2.25, p<.001) orders, and administration at a non-standard time(OR=2.032, p<.001). Medication route (p<0.001), and nurse¡¯s employment duration (p<0.001) were also related.
Conclusion: A mobile medication system contributes to improving patient safety by preventing potential MAEs. The MAE alerts were related to administration time, order type, medication route, and duration of nurse¡¯s employment. In order to prevent medication administration errors, it is necessary to standardize the process of medication and create an environment in which medication administration can be performed in a planned situation.
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KEYWORD
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Mobile applications, Medication systems, Medication errors, Electronic data processing, Patient safety
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