Second, although the chart reviewers were not involved in the care of these patients, and therefore were blinded to the medication administration process and documentation, the analysis was done by the same team that collected the data, leaving the possibility of investigator bias.
prescribing dispensing (preparation and labelling of the medication in the pharmacy) supply, transport and storage (including release of medication from the pharmacy) administration of medication to the patient documentation (including documentation of medication administration and the associated audit trail).
In a laboratory user testing, eight nurses used the think-aloud method in a simulation of the preparation of medication dispensers and the validation and documentation of medication administration.
To determine the accuracy of documentation of vasoactive medication administration in anesthetic records.
Documentation error: Medication that is administered to the patient but not documented in medication administration record sheet.
Errors were categorized into: Prescribing errors, transcription errors and administration documentation errors on the nurses' medication lists.
Seven cases related to dispensing, six to documentation and four each to prescribing and medication administration.
Training and competency of the nurse, medication administration policies, continuous quality improvement efforts of the nurse, clear and accurate documentation, patient education, and teamwork help decrease medication administration error in hospitals [ 18].
The following operational definitions were used: Medication administration error: A medication error (time, dose, missed drug, unauthorized, route, technique, and documentation errors) that occurs while the time of administering IV, IM, SC, and PO medication to the patient by the nurse.
This study found that the magnitude of MAEs was 56.4 %, and documentation error followed by technique error was the most common types of medication administration errors.
