Abstract:
PURPOSES:This study aimed to compare between electronic medication administration records and paper-based records in the nursing time spent on various activities in a medication round and the medication administration processes followed by nurses in an Australian residential aged care home. It also aimed to identify the benefits and unintended adverse consequences of using the electronic medication administration records. METHODS:Time-motion observation, taking of field notes, informal conversation and document review were used to collect data in two units of a residential aged care home. Each unit had one nurse administer medication. Seven nurses were observed over 12 morning shifts. Unit 1 used electronic medication administration records and Unit 2 used paper-based records. RESULTS:No significant difference between the two units was found in the nursing time spent on various activities in a medication round, including documentation, verbal communication, medication administration, infection control and transit. Comparison of the medication administration processes between the electronic and paper-based medication administration records identified a procedural problem which violated the organization's documentation requirement. This problem was documenting before providing medication to a resident when using the paper-based records. It was not observed with the electronic medication administration records. Benefits of introducing the electronic medication administration records included improving nurses' compliance with documentation requirements, freedom from the error of signing twice, reducing the possibility of forgetting to medicate a resident, facilitating nurses to record the time of medication administration to a resident and increasing documentation space. Unintended adverse consequences of introducing the electronic medication administration records included inadequate information about residents, late addition of a new resident's medication profile in the records and nurses' forgetting to medicate a resident due to power outage of the portable device. CONCLUSIONS:The electronic medication administration records may not change nursing time spent on various activities in a medication round or substantially alter the medication administration processes, but can generate both benefits and unintended adverse consequences. Future research may investigate whether and how the adverse consequences can be prevented.
journal_name
Int J Med Informjournal_title
International journal of medical informaticsauthors
Qian S,Yu P,Hailey DMdoi
10.1016/j.ijmedinf.2015.08.002subject
Has Abstractpub_date
2015-11-01 00:00:00pages
966-73issue
11eissn
1386-5056issn
1872-8243pii
S1386-5056(15)30026-5journal_volume
84pub_type
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2006.07.002
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2007.08.007
更新日期:2008-07-01 00:00:00
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journal_title:International journal of medical informatics
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journal_title:International journal of medical informatics
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更新日期:2010-03-01 00:00:00
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journal_title:International journal of medical informatics
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更新日期:2020-02-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章,评审
doi:10.1016/j.ijmedinf.2010.11.006
更新日期:2011-02-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2011-07-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:1999-07-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2019-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2010-05-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2008.10.003
更新日期:2009-04-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(01)00176-9
更新日期:2001-09-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.06.006
更新日期:2011-09-01 00:00:00
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更新日期:2017-06-01 00:00:00
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更新日期:2012-01-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2017-10-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2005-12-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/j.ijmedinf.2011.05.002
更新日期:2011-08-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2003-03-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2014-11-01 00:00:00
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journal_title:International journal of medical informatics
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更新日期:2017-11-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
doi:10.1016/s1386-5056(98)00019-7
更新日期:1998-03-01 00:00:00
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journal_title:International journal of medical informatics
pub_type: 杂志文章
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更新日期:2007-10-01 00:00:00