CE Test

Use of Electronic Medication Administration Records to Reduce

Perceived Stress and Risk of Medication Errors in Nursing Homes
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CE TEST QUESTIONS
PURPOSE: To present a study of the effect of an electronic medication administration 10. At the intervention nursing home, the perceived risk of making errors
record (eMAR) system on nursing home staff perceptions of stress and risk of med- during drug administration was statistically significantly reduced from
ication errors. baseline to follow-up for all of the following errors except
a. a drug being given at the wrong time.
LEARNING OBJECTIVES: After completing this continuing education activity, you b. errors due to inaccurate medication administration records.
should be able to: c. not giving a signed-off dose.
1. Cite literature regarding medication errors and the effects of using eMARs. 11. Regarding participants’ perceptions of the medication administration
2. Describe the Swedish eMAR system (the Medication and Care Support System [MCSS]) and process in general, which of the following statements is accurate?
issues with medication administration in Swedish nursing homes. a. Perception improved from baseline at the control nursing home.
b. Perception improved from baseline at the intervention nursing home.
3. Explain the study and evaluate the impact of the use of the MCSS on perceived stress and risk c. At baseline, the impression was better at the intervention nursing home.
of medication errors. 12. One study that showed an improvement in perceived overall nurse
1. In the south of Sweden, approximately 10% of the reported medication errors satisfaction after the introduction of an eMAR system at an inpatient setting
that led to injuries or the risk of severe injuries were due to problems with also indicated that the eMAR could increase
a. heavy nursing workloads. c. use of technology. a. perceived safety of the process for patients.
b. paper administration records. b. the time it takes to administer medications.
c. stress on nursing staff.
2. The purpose of this study was to investigate the impact of the MCSS eMAR
system on 13. In the study that investigated 156 medication administration
a. staff productivity. c. perceived stress. activities in an acute care setting, what was the result of eMAR
b. nurse satisfaction. implementation?
a. Medication errors were more than halved.
3. Participants in this study included all of the following except b. Job satisfaction increased significantly.
a. registered nurses. c. nurses’ aides.
c. Documentation accuracy improved by more than 70%.
b. assistant nurses.
14. As cited in the article, the errors thought to be most likely to be improved
4. In Sweden, where this study took place, actual drug administration is done by by eMARs and quality improvement efforts relate to
a. registered nurses. a. administering a medication to the wrong patient.
b. assistant nurses and nurses’ aides. b. missing medications.
c. medication technicians. c. administering the wrong dose.
5. The top management level of the MCSS is mainly used for 15. The authors note that 1 of the main concerns regarding the medication
a. monitoring adverse drug effects. administration process, which also appears to be 1 of the areas most
b. pharmacy inventory control. receptive to change, is
c. organizational follow-up of medication administration. a. signing off the medications.
b. errors due to lack of communication.
6. The management level of the MCSS has tools for
c. timeliness of medication administration.
a. instructing personnel. c. medication reminders.
b. strategic use. 16. One of the main support functions of the MCSS is to signal when
a. a dose is overdue.
7. Which MCSS level is used for planning and evaluating the administration b. a drug-drug interaction may occur.
of residents’ medication on a daily basis? c. the patient has an allergy.
a. top management c. operational
17. Which of the following was a limitation of this study, as identified by
b. management
the authors?
8. Which MCSS level has tools with applications for use on smart phones a. researcher bias
or iPads? b. low response rate
a. top management c. operational c. questionnaire was not tested
b. management 18. This study demonstrated that utilization of an eMAR resulted in
9. During the study, what total percentage of medication administrations in significantly reduced perceived risk of medication errors due to
the intervention nursing home were signed off, as recorded by the MCSS? a. lack of pharmacologic knowledge.
a. 76% c. 98% b. interruptions and distractions.
b. 87% c. communication problems.

330 CIN: Computers, Informatics, Nursing July 2016

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