Please use this identifier to cite or link to this item: https://ahro.austin.org.au/austinjspui/handle/1/28520
Title: Medication not accounted for in hospital electronic medication administration records: a retrospective observational study.
Austin Authors: Walker, Kimberly;Harding, Andrew M ;Tran, Julina;Wembridge, Paul;Garrett, Kent ;MacMillan, Kent;Rofe, Olivia;Jones, Nicholas ;Taylor, David McD 
Affiliation: Western Health, Melbourne, VIC, Australia..
Austin Health
Eastern Health, Melbourne, VIC, Australia..
Peninsula Health, Melbourne, VIC, Australia..
Issue Date: 21-Mar-2022
Date: 2021
Publication information: The Medical Journal of Australia 2022; 216(5): 248-254
Abstract: To determine the nature, extent, and cost of discrepancies between the quantities of medications supplied to medical departments and administered to patients in public hospitals. Multicentre, retrospective observational study; analysis of electronic pharmacy drug management system (medication supply) and medication administration data for twenty frequently used medications. Medical, surgical, and emergency department (ED) wards in each of four public hospitals in Melbourne, Victoria, during the 2019 calendar year. Discrepancy between the quantity of medication supplied and administered to patients (as proportion of medication supplied), overall and by hospital and ward type; direct cost to the hospitals of the discrepancies. The overall discrepancy rate (all medications, hospitals, ward types) was 19.2% (95% CI, 19.0-19.4%); overall rates by hospital ranged from 5.8% (95% CI, 5.7-5.9%) to 26.7% (95% CI, 26.6-26.9%). The discrepancies were largest for medications useful for self-treatment: oral antibiotics (eg, phenoxymethylpenicillin 250 mg capsule, 86.8%; 95% CI, 83.1-89.9%) and gastrointestinal medications (eg, ondansetron 4 mg tablet, 53.3%; 95% CI, 52.9-53.7%). Discrepancies were larger for oral than equivalent (or similar) parenteral formulations; they were generally low for controlled medications (temazepam, diazepam, oxycodone). Overall discrepancies were larger for EDs (32.3%; 95% CI, 32.2-32.5%) than for admitted patient wards, but differed between EDs (range: 25.7%; 95% CI, 25.5-26.0% to 39.5%; 95% CI, 39.2-39.7%). The estimated direct cost to hospitals of the discrepancies for the selected medications was $27 800. Substantial quantities of medications supplied to hospital wards and EDs are not accounted for in electronic administration records.
URI: https://ahro.austin.org.au/austinjspui/handle/1/28520
DOI: 10.5694/mja2.51370
ORCID: https://orcid.org/0000-0003-3992-7316
https://orcid.org/0000-0002-4613-902X
https://orcid.org/0000-0002-8986-9997
Journal: The Medical Journal of Australia
PubMed URL: 34970740
PubMed URL: https://pubmed.ncbi.nlm.nih.gov/34970740/
Type: Journal Article
Appears in Collections:Journal articles

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