Transcript AU MEDS

AU MEDS
™
An Observation Based
Medication 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.
120%
100%
80%
60%
40%
20%
Accuracy_Rate
Target_Accuracy
Linear (Accuracy_Rate)
AU MEDS chart created by the AU MEDS software.
121
117
113
109
105
101
97
93
89
85
81
77
73
69
65
61
57
53
49
45
41
37
33
29
25
21
17
13
9
5
1
0%
117
37
147
256
Wrong Time
28
57
38
Unauthorized Drug
Technique Wrong
Route Wrong
Omission
Form Wrong
Extra Dose
Dose Wrong
2264
AU MEDS chart created by the AU MEDS software.
FY 01-04
97
95.7
93.4
92.6
91.7
91
97.8
96.897
91
89.2
96.196.6
95.3
94.6 94.9 95
93.6
93.1
92.1
97.2
96.2 95.896
93.8
98
97
96.2
95.3
95.1
95
93.7
90.9
90.2 90.5
89.3
97.2
AU MEDS chart created by the AU MEDS software.
Oct
Aug
June
Apr
Feb
Dec
Oct
Jul-Aug 03
Apr
Feb
Dec
Oct
Aug
May-Jun
Mar
Jan
Nov
Sept
85.5
Jul FY01
100
98
96
94
92
90
88
86
84
82
80
#1. LPN Role Change
#2. Connect Complete
#3. Education per Video
#4. Pharmacy Nurse Reviewed Video
#5. New Units Added/
TS Drug List Revised
#6. Cubie Installation Complete
100
98
96
94
97
95.7
97.8
97
95
94.9
94.6
93.4
91.7
93.1
92.6
91
91
89.3
89.2
Dec
Nov
Oct
Sept
Aug
Jul FY02
May-Jun
Apr
Mar
Feb
Jan
Dec
Nov
Oct
Sept
Aug
85.5
Jul FY01
92
90
88
86
84
96.8
AU MEDS chart created by the AU MEDS software.
96
94
92
90
88
86
84
82
80
78
76
74
94.4
95.2
92.9 93
91.7
91.5 91.2
94.4
89.4
86.7
Baseline
FY 97
FY 98
FY 99
FY 2000
FY2001
86
81.9
Y
X
AU MEDS chart created by the AU MEDS software.