Efficiency analysis of a barcode-enabled and integrated medication-tracking system

Louden, Les; Mirtallo, Jay M.; Worley, Marcia M.; Naseman, Ryan W.; Hafford, Amanda; Brown, Nicole V.

doi:10.2146/ajhp160877

Cited by 4 publications

(1 citation statement)

References 4 publications

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“…10 Several institutions implemented medication tracking and visibility to nursing staff as a means of addressing missing medication requests, and these programs demonstrated a reduction in missing medication requests that the pharmacy received. 11,12 All of these mentioned processes require additional human or technological capital that may present a financial barrier to other institutions depending on their available resources.…”

Section: Introductionmentioning

confidence: 99%

Conversion to an electronic missing medication request system at an academic medical center

Peters

Finch

Roberts

et al. 2021

Health Informatics J

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Missing medications can negatively contribute to the financial and operational workflows of pharmacy departments and add medication safety challenges. The missing medication request (MMR) system at the study institution converted to entirely electronic in June 2018 from a hybrid electronic system. This study evaluated 4-week periods pre- and post-conversion. The objective of this study was to evaluate the impact of conversion to an electronic MMR system on the quantity of requests received at an academic medical center. The average daily number of MMR’s decreased from the pre-conversion group to the post-conversion group (1.77 (±0.16) vs 1.48 (±0.17), p < 0.001). During post-conversion, the median triage time was 8 min [3 min–19 min], pharmacists triaged 62.4% of requests, and 29.6% of requests were declined. Conversion to an electronic MMR system represents one solution to decreasing missing medications. Future studies are needed to evaluate the financial, operational, and medication safety impact of conversion.

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Section: Introductionmentioning

confidence: 99%

Conversion to an electronic missing medication request system at an academic medical center

Peters

Finch

Roberts

et al. 2021

Health Informatics J

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Implementation and evaluation of an EHR-integrated mobile dispense tracking technology in a large academic tertiary hospital

Bhakta

Deyhim

Zafar

et al. 2022

American Journal of Health-System Pharmacy

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Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose The purpose of this study was to evaluate the impact of implementing an electronic health record (EHR)–integrated mobile dispense tracking solution. Methods This quasi-experimental study was conducted at Houston Methodist Hospital. The study timeframe consisted of 1-year pre- and postimplementation phases, with a 1-month washout period. The medication tracking function was implemented in a multiphase approach. The primary endpoint was the weekly redispense rate due to missing medication or delay in delivery. The secondary endpoints were total redispenses due to missing medication or delay in delivery per 1,000 medication messages and per 1,000 inpatient discharges and dispense tracking scanning compliance post implementation. Results Analyses demonstrated a sustained decrease in redispenses from 3.24% to 2.70% (95% CI, 0.10-0.60; P = 0.006). The study also demonstrated a statistically significant decrease in redispenses per 1,000 medication messages from 190 to 127 (95% CI, –27.21 to –4.23, P = 0.008). Analysis of redispenses per 1,000 patient discharges showed a nonsignificant reduction after implementation, from 216 to 194 (95% CI, 54.63 to –77.71; P = 0.730). The department achieved 90.7% dispense tracking compliance. Conclusion EHR-integrated mobile dispense tracking technology effectively reduced the redispense rate and total redispenses normalized to medication messages for missing medication and delay in delivery. Interprofessional collaboration and effective change management strategies are essential to the successful implementation of medication dispense tracking technology.

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Automated System for Medication Stocks Management

Mira

Albu

2018

2018 22nd International Conference on System Theory, Control and Computing (ICSTCC)

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Efficiency analysis of a barcode-enabled and integrated medication-tracking system

Abstract: A barcode-enabled and integrated medication-tracking system was successfully implemented into the medication distribution process in the ED. The process change increased operational pharmacy efficiencies by decreasing medication status phone calls, redispensed doses, and MAR messages.

Cited by 4 publications

References 4 publications

Conversion to an electronic missing medication request system at an academic medical center

Conversion to an electronic missing medication request system at an academic medical center

Implementation and evaluation of an EHR-integrated mobile dispense tracking technology in a large academic tertiary hospital

Automated System for Medication Stocks Management

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