{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T08:45:22Z","timestamp":1743497122006},"reference-count":22,"publisher":"Georg Thieme Verlag KG","issue":"05","funder":[{"name":"Australian Research Council Linkage Grant","award":["LP120200814"],"award-info":[{"award-number":["LP120200814"]}]},{"name":"National Health and Medical Research Council (NHMRC) Early Career Fellowship","award":["APP1143941"],"award-info":[{"award-number":["APP1143941"]}]},{"name":"NHMRC Partnership Centre for Health System Sustainability","award":["9100002"],"award-info":[{"award-number":["9100002"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Appl Clin Inform"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003Transdermal medication patches have caused serious adverse events in residential aged care facilities (RACFs). Preliminary research suggests that facilities are using a workaround consisting of manually entered reminders in their electronic medication administration records (eMARs) to prompt staff to check and remove patches, because the eMAR does not support these tasks. However, the prevalence and factors associated with use of this workaround among facilities is unknown.<\/jats:p><jats:p>\n          Objectives\u2003The objectives of this study were to (1) examine the frequency and consistency with which manual reminders to check and remove transdermal patches were used in facility eMARs, and (2) identify resident and facility factors associated with reminder use, to inform eMAR redesign.<\/jats:p><jats:p>\n          Methods\u2003This was a retrospective cross-sectional analysis of eMAR data from 66 Australian RACFs including 4,787 permanent residents, aged \u226565 years in January 2017. Prevalence of the use of reminders to check and remove patches, and consistency in their application within facilities were examined. Generalized estimating equations were used to determine factors associated with use of manual reminders.<\/jats:p><jats:p>\n          Results\u2003One in five (n\u2009=\u2009937) residents used a patch, and 83.6% of patches contained opioids, a high-risk medicine. 56.9% of facilities implemented manually entered check patch reminders in the eMAR, and 72.3% implemented remove reminders. The reminders were applied inconsistently, with only half of these facilities having reminders for all residents with patches. Residents in facilities in regional areas were more likely to have a check reminder compared with those in major cities (adjusted odds ratio\u2009=\u20094.72 [95% confidence interval: 1.69\u201313.20]).<\/jats:p><jats:p>\n          Conclusion\u2003Transdermal patches containing high-risk medicines are frequently used in RACFs, but their safe administration is not supported by a widely implemented eMAR. The frequent, but inconsistent use of a workaround to manually enter reminders indicates an unmet need for new eMAR functionality to improve safety.<\/jats:p>","DOI":"10.1055\/s-0040-1721011","type":"journal-article","created":{"date-parts":[[2020,12,10]],"date-time":"2020-12-10T00:08:34Z","timestamp":1607558914000},"page":"812-820","source":"Crossref","is-referenced-by-count":6,"title":["Unmet Needs for Transdermal Patch Management in Electronic Medication Administration Records: An Analysis of Data from 66 Aged Care Facilities"],"prefix":"10.1055","volume":"11","author":[{"given":"Magdalena Z.","family":"Raban","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa T.","family":"Baysari","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Sydney, Australia"},{"name":"Discipline of Biomedical Informatics and Digital Health, School of Medical Sciences, Charles Perkins Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikaela L.","family":"Jorgensen","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amina","family":"Tariq","sequence":"additional","affiliation":[{"name":"School of Public Health and Social Work, Faculty of Health, Queensland University of Technology, Brisbane, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew","family":"Georgiou","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johanna I.","family":"Westbrook","sequence":"additional","affiliation":[{"name":"Centre for Health Systems and Safety Research, Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences, Macquarie University, New South Wales, Sydney, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,12,9]]},"reference":[{"issue":"02","key":"ref1","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1111\/jgs.14683","article-title":"Systematic review of the prevalence of medication errors resulting in hospitalization and death of nursing home residents","volume":"65","author":"N Ferrah","year":"2017","journal-title":"J Am Geriatr Soc"},{"issue":"01","key":"ref3","doi-asserted-by":"crossref","first-page":"69","DOI":"10.1080\/13814788.2017.1288211","article-title":"Prevalence of inappropriate medication use in residential long-term care facilities for the elderly: A systematic review","volume":"23","author":"H Storms","year":"2017","journal-title":"Eur J Gen Pract"},{"issue":"09","key":"ref4","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1136\/bmjqs-2015-004589","article-title":"Underlying risk factors for prescribing errors in long-term aged care: a qualitative study","volume":"25","author":"A Tariq","year":"2016","journal-title":"BMJ Qual Saf"},{"issue":"01","key":"ref5","doi-asserted-by":"crossref","first-page":"11","DOI":"10.1177\/2042098610381418","article-title":"Medication safety in residential aged-care facilities: a perspective","volume":"1","author":"N M Wilson","year":"2010","journal-title":"Ther Adv Drug Saf"},{"issue":"03","key":"ref6","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1111\/j.1472-8206.2007.00473.x","article-title":"Clinical pharmacology in the geriatric patient","volume":"21","author":"S N Hilmer","year":"2007","journal-title":"Fundam Clin Pharmacol"},{"issue":"08","key":"ref7","doi-asserted-by":"crossref","first-page":"1101","DOI":"10.1517\/14740338.2014.926888","article-title":"A systematic review of medication administration errors with transdermal patches","volume":"13","author":"A Lampert","year":"2014","journal-title":"Expert Opin Drug Saf"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"30","DOI":"10.2174\/157488612800492717","article-title":"A fatal outcome after unintentional overdosing of rivastigmine patches","volume":"7","author":"H L\u00f6vborg","year":"2012","journal-title":"Curr Drug 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Care"},{"issue":"07","key":"ref14","doi-asserted-by":"crossref","first-page":"1029","DOI":"10.1002\/gps.5105","article-title":"Antidementia medication use by aged care facility residents with dementia","volume":"34","author":"K E Lind","year":"2019","journal-title":"Int J Geriatr Psychiatry"},{"key":"ref15","first-page":"1178632919852111","article-title":"Anti-osteoporosis medication use in a high fracture-risk population: contemporary trends in Australian residential aged care facilities","volume":"12","author":"K E Lind","year":"2019","journal-title":"Health Serv Insights"},{"issue":"11","key":"ref16","doi-asserted-by":"crossref","first-page":"1480","DOI":"10.1002\/pds.4866","article-title":"NSAID use among residents in 68 residential aged care facilities 2014 to 2017: an analysis of duration, concomitant medication use, and high-risk conditions","volume":"28","author":"K E Lind","year":"2019","journal-title":"Pharmacoepidemiol Drug 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Res"},{"issue":"01","key":"ref24","doi-asserted-by":"crossref","first-page":"2","DOI":"10.1097\/01.HMR.0000304495.95522.ca","article-title":"Work-arounds in health care settings: Literature review and research agenda","volume":"33","author":"J RB Halbesleben","year":"2008","journal-title":"Health Care Manage Rev"},{"issue":"06","key":"ref25","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1136\/amiajnl-2013-001745","article-title":"The safety of electronic prescribing: manifestations, mechanisms, and rates of system-related errors associated with two commercial systems in hospitals","volume":"20","author":"J I Westbrook","year":"2013","journal-title":"J Am Med Inform Assoc"},{"issue":"02","key":"ref26","doi-asserted-by":"crossref","first-page":"124","DOI":"10.1097\/HMR.0b013e3181d116c2","article-title":"Rework and workarounds in nurse medication administration process: implications for work processes and patient safety","volume":"35","author":"J R 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