Missing medication reports are filed when a nurse cannot locate a medication that should be administered, impacting efficiency and possibly patient safety. At the Veterans Affairs Boston Healthcare System, West Roxbury campus, 2.83% of all administered medications have consistently been associated with missing medication reports. The project team characterized the extent of missing medications, observed medication delivery workflows to identify root causes, and developed recommendations that address new order delivery times, cross-training, and the procedure for filing missing medication reports.

• This report represents the work of one or more WPI undergraduate students submitted to the faculty as evidence of completion of a degree requirement. WPI routinely publishes these reports on its website without editorial or peer review.

Creator

• Corbo, Anthony Marco
• Tabrizi, Keeon B.
• Bishop, Keith M.
• Adams, Kenneth W.

Subject

• Well-Being
• Community
• Health

Publisher

• Worcester Polytechnic Institute

Identifier

• E-project-060310-122231

Keyword

• Medical care
• Workflow
• Organizational effectiveness

Advisor

• Johnson, Sharon
• Bar-On, Isa

Year

• 2010

Center

• Boston, Massachusetts Project Center - IQP

Sponsor

• West Roxbury Veterans Hospital

Date created

• 2010-06-03

Location

• Boston

Resource type

• Interactive Qualifying Project

Rights statement

• In Copyright