The The effects of Electronic Medication Reconciliation System development in the inpatient department of Krabi Hospital

Abstract

Objective: To study the effect of the development of an electronic medication reconciliation system on medication errors and to study the satisfaction of personnel working in the medication reconciliation system in the inpatient department of Krabi Hospital.

Method: This is a descriptive research study comparing medication error reporting data (ME) during 1 year before and after using the electronic medication reconciliation system (EMR) from May 2022 to April 2024. As for the satisfaction assessment, data were collected using a satisfaction assessment form to survey data from personnel involved in the MR process, including doctors, pharmacists, and ward nurses. Results were analyzed using statistics Chi-square, Fisher’s Exact test, Mann-Whtiney U test and independence t-test.

Results: The rate of Medication Errors (Prescribing Error – Medication Reconciliation Type) in the form system and EMR system was significantly reduced at a statistical level of 0.001 (4.93 and 2.43 times per 1000 bed days, respectively). The C-D level was significantly reduced at a statistical level of 0.05 (0.35 and 0.08 times per 1000 bed days, respectively). When considering the issues of drug use, it was found that the number of reports of inappropriate drug selection (Wrong drug and substitute) of the form system and EMR system was significantly different (p-value 0.005), as was the duplicate drug order (Duplication) (p-value 0.01). In terms of overall satisfaction with the EMR system, it was at a very satisfactory level (=4.20, SD=0.75). The issue with the highest satisfaction was the “Med-reconcile system Currently, it is beneficial to the safety of patients' medicines" (=4.33, SD=0.64)

Conclusion : The development of the electronic medication consistency system in the inpatient department of Krabi Hospital can prevent medication errors with statistical significance. The personnel are satisfied with the benefits to the safety of patients' medicines and the convenience of MR operations. There are suggestions for the medicine system to link the history of medication use between hospitals and increase the speed of recording the coordination of medication lists in the admission process.