The MOWER (middle of the week everyone gets a re-chart) pilot study: reducing in-hospital charting error with a multi-intervention

Autor:	Jannine Bailey, Siri Mårtensson, Bruce McGarity, Tony Floyd, Derek Kay, Bronwyn K. Brew
Jazyk:	angličtina
Rok vydání:	2019
Předmět:	medicine.medical_specialty education Psychological intervention Pilot Projects Intervention Health informatics Medical Records Health administration 03 medical and health sciences 0302 clinical medicine Chart Intervention (counseling) medicine Medical Staff Hospital Humans Medication Errors Medical errors 030212 general & internal medicine Medical prescription Inpatients business.industry 030503 health policy & services Health Policy Nursing research Public health lcsh:Public aspects of medicine Australia lcsh:RA1-1270 Prescriptions Medication charts Physical therapy 0305 other medical science business Research Article
Zdroj:	BMC Health Services Research, Vol 19, Iss 1, Pp 1-7 (2019) BMC Health Services Research
ISSN:	1472-6963
DOI:	10.1186/s12913-019-4230-y
Popis:	Background Medication charting errors occur often and can be harmful for patients. Interventions to improve charting errors have demonstrated some success particularly if the intervention uses multiple approaches including an education component. The aim of this pilot study was to determine whether a multi-faceted intervention, including education of junior doctors and weekday re-charting could reduce in-hospital charting error. Methods Medication charts (n = 579) of all patients admitted to the medical ward of a medium sized regionally-based hospital in Australia over nine months (baseline and during intervention) were inspected for errors. The intervention ran for three months and involved implementation of a National Inpatient Medication Chart targeted error tool with eight targeted charting requirements which was used for visual reminders in the ward and training of junior doctors. In addition, mid-weekly re-charting (MOWER) was performed by a senior and junior doctor team. Results The mean number of charting requirement errors significantly reduced during the intervention by 26% from 4.6 ± 1.3 to 3.4 ± 1.7 per chart (p
Databáze:	OpenAIRE
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