Guided Notes

Medication Management: eRx, eMAR & Barcode Scanning

The closed-loop medication process — prescribing, pharmacy verification, dispensing, barcode medication administration, e-prescribing (including EPCS) and medication reconciliation.

The closed-loop medication process

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1. Prescribe — provider orders in CPOE (with safety checks). 2. Verify — pharmacist reviews the order (dose, interactions, renal function, formulary). 3. Dispense — automated dispensing cabinets or pharmacy delivery; robots in large hospitals. 4. Administer — nurse scans the patient's wristband and the medication barcode; eMAR documents it. 5. Monitor — effects, labs, vital signs; adjust.

Each step is a chance to catch an error made in an earlier step — 'closing the loop'.