Nurses struggle to document and escalate missed medications from previous shifts without cluttering the EHR and risking personal liability.
Current EHR systems do not provide a clear, non-punitive way to acknowledge missed doses from prior shifts, escalate them to providers, and resolve overdue alerts without manual, time-consuming workarounds that may expose nurses to liability.
Workarounds Described
- charting 'Not given previous shift' instead of a standardized documentation workflow
- charting 'MD notified' manually when escalation is needed, taking extra time and risking difficult conversations
Implied Software Gaps
- Standardized, legally-sound documentation template for missed medication doses from prior shifts
- Automated provider notification when a missed medication is identified by the oncoming nurse
MedPass Bridge
A clinical communication and documentation module that integrates with existing EHRs to streamline management of overdue medications. It provides a standardized, legally-vetted template for documenting missed doses from previous shifts, automatically notifies the responsible provider, and clears the overdue alert once acknowledged, reducing clutter and protecting the documenting nurse from liability.
- One-click 'Not Given by Previous Shift' documentation with auto-flag for provider review
- Integrated secure messaging to notify prescriber and charge nurse of missed doses
- Audit trail clearly assigning responsibility to the original nurse and action taken by covering nurse
- Dashboard for nurse managers to track patterns of missed medications and resolution status
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