Abstract
BackgroundTraditional implementations of electronic medication management (EMM) systems have involved two common formats – a ‘big bang’ approach on the day of go-live, or a phased ward-by-ward approach over months.ObjectiveTo...
Highlights
The transition from a paper-based medication prescribing and administration model to an electronic system represents a major change initiative for an organisation
The advantage of allowing electronic medical record (EMR) to be embedded in a hospital prior to electronic medication management (EMM) improves digital literacy and reduces the risks associated with EMR adoption alongside EMM, when the latter is eventually implemented
At go-live, 79% of doctors, 68% of nurses/midwives and 90% of pharmacists were trained in the EMM system
Summary
The transition from a paper-based medication prescribing and administration model to an electronic system represents a major change initiative for an organisation. This transition requires a whole-of-hospital change management approach, factoring current organisational culture and pre-existing models for change initiatives, while maintaining patient safety as a paramount consideration. Objective To describe the patient-centric roll-out, a novel implementation model in converting from paper to EMM. Method This model iteratively converted a large tertiary teaching hospital to electronic from paper medication charts, commencing the roll-out in the emergency department (ED). Conclusions The patient-centric roll-out model represents an innovative and safe approach with a single medication chart reducing transcription and improved medication safety for the patient and the organisation
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