The MOWER (middle of the week everyone gets a re-chart) pilot study: reducing in-hospital charting error with a multi-intervention

Medication charting errors occur often and can be harmful for patients. Interventions to improve charting errors have demonstrated some success particularly if the intervention uses multiple approaches including an education component. The aim of this pilot study was to determine whether a multi-fac...

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Bibliographic Details
Published in:BMC health services research 2019-06, Vol.19 (1), p.397-397, Article 397
Main Authors: Floyd, Tony, Mårtensson, Siri, Bailey, Jannine, Kay, Derek, McGarity, Bruce, Brew, Bronwyn K
Format: Article
Language:English
Subjects:
Education
Generic drugs
Hospital patients
Inpatients
Intervention
Management
Medical errors
Medical records
Medication charts
Medication errors
Medicin och hälsovetenskap
Physicians
Prescriptions
Prevention
Sustainable development
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Summary:Medication charting errors occur often and can be harmful for patients. Interventions to improve charting errors have demonstrated some success particularly if the intervention uses multiple approaches including an education component. The aim of this pilot study was to determine whether a multi-faceted intervention, including education of junior doctors and weekday re-charting could reduce in-hospital charting error. Medication charts (n = 579) of all patients admitted to the medical ward of a medium sized regionally-based hospital in Australia over nine months (baseline and during intervention) were inspected for errors. The intervention ran for three months and involved implementation of a National Inpatient Medication Chart targeted error tool with eight targeted charting requirements which was used for visual reminders in the ward and training of junior doctors. In addition, mid-weekly re-charting (MOWER) was performed by a senior and junior doctor team. The mean number of charting requirement errors significantly reduced during the intervention by 26% from 4.6 ± 1.3 to 3.4 ± 1.7 per chart (p 
ISSN:1472-6963
1472-6963
DOI:10.1186/s12913-019-4230-y