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Many patients are taking drugs they have been previously prescribed or have obtained over the counter,and inaccurate information on their medication history commonly causes medication errors,which is a serious problem.Various strategies for reducing medication errors use information on medication history obtained immediately after admission.Such information must be accurate and is an important means of preventing errors when prescribing new medications.With this in mind,we developed a computerized medication documentation system for generating medication orders that considers both drugs prescribed after admission and those that the patient has already been taking.A drug name search system using threecharacter agreement that is substantially the same as that used for prescription order entry systems was included to ensure accurate entry of the names of drugs prescribed before admission.After the drug name search system was introduced,errors in new prescriptions,such as wrong strength,quantity,or dosage form,were reduced from 6.3% to 2.4%.Prescriptions for wrong drugs decreased from 1.5% to 0.8%.With our system,a physician signs every prescription form to confirm the final medication order.Our medication documentation system will be useful for providing accurate medication histories to nurses and physicians,and for preventing medication errors due unclear medication orders regarding drug name,strength,quantity,and formulation.

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Development of a Computerized Medication Documentation System for Accurate Storage and Retrieval of Information on Drugs Prescribed Patients to Patients before Admission