Difference between revisions of "Electronic Medication Administration Record"
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==DEFINITION== | ==DEFINITION== | ||
| − | Technology that automatically documents the administration of medication into certified | + | Technology that automatically documents the administration of medication into certified EMR (electronic medical record) technology using electronic tracking sensors (for example, radio frequency identification (RFID)) or electronically readable tagging such as bar coding). |
A Medication Administration Record or MAR (eMAR for electronic versions) is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical chart. The health care professional signs off on the record at the time that the drug or device is administered. | A Medication Administration Record or MAR (eMAR for electronic versions) is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical chart. The health care professional signs off on the record at the time that the drug or device is administered. | ||
| + | |||
| + | ===RATIONALE=== | ||
| + | |||
| + | The bedside nurse needs a safe method to make sure that medications are administered correctly. Use of a paper MAR could be incomplete, misinterpreted, or even lost. A medication administration record system which fully integrates with a computerized physician order entry (CPOE), and pharmacy systems should increase efficiency while providing a fail-safe system. | ||
| + | |||
| + | eMar speeds up the prescribing process for patients and physicians. It also complies with federal regulations developed as a result of the American Recovery and Reinvestment Act (ARRA) of 2009. U.S. laws mandate that all health care facilities and doctors' offices move from paper medical records to electronic medical records (EMR). eMar is one tool that can help to reduce prescription errors. The bar coding technology used is similar to that seen in supermarkets. Electronic prescription forms such as eMar can save lives and improve quality care for countless patients. They also require less manual data-entry and eliminate the need for paper prescriptions, thus reducing costs. Quality assurance flags and audit tracking tools are in place in eMars so that electronic prescription security is always attained and physician and pharmacy error rates are kept to a minimum. | ||
==CRITERIA== | ==CRITERIA== | ||
| − | According to CMS, Centers for Medicare and Medicaid Services, the recent meaningful use definitions under the American Recovery and Reinvestment Act, eMAR(s) should enable the user to electronically verify the following before administering medication(s): | + | According to CMS, Centers for Medicare and Medicaid Services, the recent meaningful use definitions (October 2012) under the American Recovery and Reinvestment Act, eMAR(s) should enable the user to electronically verify the following before administering medication(s): |
::(A) Right patient. The patient to whom the medication is to be administered matches the medication to be administered. | ::(A) Right patient. The patient to whom the medication is to be administered matches the medication to be administered. | ||
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::(E) Right time. The time that the medication was ordered to be administered compared to the current time. | ::(E) Right time. The time that the medication was ordered to be administered compared to the current time. | ||
| − | == | + | ==EXAMPLE== |
| − | + | ||
| − | + | ||
Doylestown Hospital in Doylestown, Pennsylvania has implemented the Electronic Medication administration Record (eMAR), which is a full integrated system that bring together bluetooth wireless and hand-held scanners to read the bar codes of drugs. This systems tracks the patients drug dosage from the pharmacy to the nursing station and finally to the patient bedside. All patients are given a bar coded wrist band that is used for identification. The nurse scans the wrist band before the medication is given. When the nurse scans the wristband and medication the eMAR will alert the nurse if any allergy or incompatibility. | Doylestown Hospital in Doylestown, Pennsylvania has implemented the Electronic Medication administration Record (eMAR), which is a full integrated system that bring together bluetooth wireless and hand-held scanners to read the bar codes of drugs. This systems tracks the patients drug dosage from the pharmacy to the nursing station and finally to the patient bedside. All patients are given a bar coded wrist band that is used for identification. The nurse scans the wrist band before the medication is given. When the nurse scans the wristband and medication the eMAR will alert the nurse if any allergy or incompatibility. | ||
| Line 33: | Line 37: | ||
==REFERENCES== | ==REFERENCES== | ||
| − | Heath, Hazel (1995). Potter and Perry's Foundations in Nursing Theory and Practice. Elsevier Health Sciences. ISBN 0-7234-2005-X. Retrieved 2008-04-21 | + | #Heath, Hazel (1995). Potter and Perry's Foundations in Nursing Theory and Practice. Elsevier Health Sciences. ISBN 0-7234-2005-X. Retrieved 2008-04-21 |
| − | http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Stage2_HospitalCore_16_ElectronicMedicationAdminRec_eMAR.pdf | + | #http://www.techopedia.com/ |
| − | www.firstdatabank.com | + | #http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Stage2_HospitalCore_16_ElectronicMedicationAdminRec_eMAR.pdf |
| − | www.dh.org | + | #www.firstdatabank.com |
| − | www.bradyid.com | + | #www.dh.org |
| + | #www.bradyid.com | ||
Revision as of 10:29, 10 September 2013
ELECTRONIC MEDICATION ADMINISTRATION RECORD (eMAR)
DEFINITION
Technology that automatically documents the administration of medication into certified EMR (electronic medical record) technology using electronic tracking sensors (for example, radio frequency identification (RFID)) or electronically readable tagging such as bar coding).
A Medication Administration Record or MAR (eMAR for electronic versions) is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. The MAR is a part of a patient's permanent record on their medical chart. The health care professional signs off on the record at the time that the drug or device is administered.
RATIONALE
The bedside nurse needs a safe method to make sure that medications are administered correctly. Use of a paper MAR could be incomplete, misinterpreted, or even lost. A medication administration record system which fully integrates with a computerized physician order entry (CPOE), and pharmacy systems should increase efficiency while providing a fail-safe system.
eMar speeds up the prescribing process for patients and physicians. It also complies with federal regulations developed as a result of the American Recovery and Reinvestment Act (ARRA) of 2009. U.S. laws mandate that all health care facilities and doctors' offices move from paper medical records to electronic medical records (EMR). eMar is one tool that can help to reduce prescription errors. The bar coding technology used is similar to that seen in supermarkets. Electronic prescription forms such as eMar can save lives and improve quality care for countless patients. They also require less manual data-entry and eliminate the need for paper prescriptions, thus reducing costs. Quality assurance flags and audit tracking tools are in place in eMars so that electronic prescription security is always attained and physician and pharmacy error rates are kept to a minimum.
CRITERIA
According to CMS, Centers for Medicare and Medicaid Services, the recent meaningful use definitions (October 2012) under the American Recovery and Reinvestment Act, eMAR(s) should enable the user to electronically verify the following before administering medication(s):
- (A) Right patient. The patient to whom the medication is to be administered matches the medication to be administered.
- (B) Right medication. The medication to be administered matches the medication ordered for the patient.
- (C) Right dose. The dose of the medication to be administered matches the dose of the medication ordered for the patient.
- (D) Right route. The route of medication delivery matches the route specified in the medication order.
- (E) Right time. The time that the medication was ordered to be administered compared to the current time.
EXAMPLE
Doylestown Hospital in Doylestown, Pennsylvania has implemented the Electronic Medication administration Record (eMAR), which is a full integrated system that bring together bluetooth wireless and hand-held scanners to read the bar codes of drugs. This systems tracks the patients drug dosage from the pharmacy to the nursing station and finally to the patient bedside. All patients are given a bar coded wrist band that is used for identification. The nurse scans the wrist band before the medication is given. When the nurse scans the wristband and medication the eMAR will alert the nurse if any allergy or incompatibility.
The Medication Administration Process:
. Physician writes the order then is sent the pharmacy . Pharmacist enters information into Meditech . Pharmacy bar code medication and is given to patients floor . Nurse review patients medication list . eMAR alerts nurses on next dosage and complication
REFERENCES
- Heath, Hazel (1995). Potter and Perry's Foundations in Nursing Theory and Practice. Elsevier Health Sciences. ISBN 0-7234-2005-X. Retrieved 2008-04-21
- http://www.techopedia.com/
- http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Stage2_HospitalCore_16_ElectronicMedicationAdminRec_eMAR.pdf
- www.firstdatabank.com
- www.dh.org
- www.bradyid.com
