A hospital is considering changing its documentation system to reduce the number of medication errors. Which system should the hospital investigate?
1. Problem, intervention, evaluation (PIE) system
2. Electronic medical record
3. Problem-oriented medical record
4. Narrative system
2
Rationale 1: The PIE system consists of a list of the patient's problems, interventions taken to alleviate the problems, and evaluation of the patient's response to the interventions. This system does not have the specific benefit of reducing medication errors.
Rationale 2: The electronic medical record decreases errors and allows for the reconciliation of the patient's medications on admission, daily, and on discharge.
Rationale 3: The five components of the problem-oriented medical record are baseline data, a problem list, a plan of care for each problem, multidisciplinary progress notes, and a discharge summary. This system does not have the specific benefit of reducing medication errors.
Rationale 4: Narrative documentation does not have the specific benefit of reducing medication errors.
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