The Medication Bundle

The Problem

Medication safety is a strategic imperative in the organization. Each aspect of the medication-use, cycle-prescribing, dispensing, administration and monitoring is vulnerable to error. Hospitals operate in a transitional environment of paper and electronic records. At AEMC, the pharmacists enter physician orders into a clinical documentation system for online nurse charting. The goal was to eliminate possible errors in medication order entry and standarized the pharmacy process bundle. The rationale was to build safety redundancies throughthe execution of bundles that heighten checkpoints in the medication delivery system, which is often complex and vulnerable to human error.

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