Faculty Advisor

Bar-On, Isa

Faculty Advisor

Johnson, Sharon

Abstract

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.

Publisher

Worcester Polytechnic Institute

Date Accepted

June 2010

Project Type

Interactive Qualifying Project

Accessibility

Unrestricted

Advisor Department

Mechanical Engineering

Advisor Department

Business

Share

COinS