au meds an observation based medication error detection system
TRANSCRIPT
AU MEDSAU MEDS™™
An Observation BasedAn Observation Based
Medication Error Detection SystemMedication Error Detection System
Step 1 – Nurse goes to patient’s room and obtains the Medication Administration Record (MAR)
Step 2 – Nurse goes to medication storage room. AU MEDS observer watches and records notes onto an AU MEDS form.
Step 3 – Nurse selects unit dose medications from storage unit according to
the patient MAR.
Step 4 – Nurse completes medication selection. AU MEDS observer watches and
records notes onto an AU MEDS form.
Step 5 – Nurse greets patient by name and checks wrist band. AU MEDS observer watches
and records notes onto an AU MEDS form.
Step 6 – Nurse administers medication directly to the patient. AU MEDS observer watches and
records notes onto an AU MEDS form.
Step 7 – Nurse completes the administration of medications. AU MEDS observer watches and records notes onto an AU MEDS form.
Step 8 –AU MEDS observer reviews the patient’s MAR and records notes onto an AU
MEDS form.
Step 9 –AU MEDS observer reviews her notes on the AU MEDS form with the nurse.
Step 10 –AU MEDS observer enters her notes from the AU MEDS form into the AU
MEDS software.
0%
20%
40%
60%
80%
100%
120%
1 5 9 13 17 21 25 29 33 37 41 45 49 53 57 61 65 69 73 77 81 85 89 93 97 101
105
109
113
117
121
Accuracy_Rate Target_Accuracy Linear (Accuracy_Rate)
AU MEDS chart created by the AU MEDS software.
2264
385728
256
37117 147
Wrong Time
Unauthorized Drug
Technique Wrong
Route Wrong
Omission
Form Wrong
Extra Dose
Dose Wrong
AU MEDS chart created by the AU MEDS software.
FY 01-04
85.5
91.791
92.693.4
9795.7
91
96.897
94.693.1
94.9
89.3
95
97.8
93.695.3
96.196.6
92.1
90.2
97.2
90.5
96.2
93.8
95.896
93.7
97.2
90.9
9595.196.2
9795.3
98
89.2
80828486889092949698
100Ju
l FY
01
Sept
Nov Ja
n
Mar
May
-Jun Aug Oct
Dec Feb
Apr
Jul-A
ug 0
3
Oct
Dec Feb
Apr
June
Aug Oct
AU MEDS chart created by the AU MEDS software.
85.5
93.494.6
93.194.9
89.3
95
89.2
97
91
96.897.8
9191.7 92.6
9795.7
84
86
88
90
92
94
96
98
100
Jul F
Y01
Au
g
Sep
t
Oct
Nov
Dec
Jan
Feb
Mar
Ap
r
May
-Ju
n
Jul F
Y02
Au
g
Sep
t
Oct
Nov
Dec
#6. Cubie Installation Complete
#5. New Units Added/ TS Drug List Revised
#4. Pharmacy Nurse Reviewed Video
#3. Education per Video
#2. Connect Complete
#1. LPN Role Change
AU MEDS chart created by the AU MEDS software.
86.7
89.4
91.5 91.2
94.495.2
81.9
86
91.792.9 93
94.4
747678808284868890929496
Y X
BaselineFY 97FY 98FY 99FY 2000FY2001
AU MEDS chart created by the AU MEDS software.