An Analysis of Missing Medication Documentation, Processes, and Procedures at the Veterans Hospital (VA Boston Healthcare System - West Roxbury Campus) Public
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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.
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