TY  - JOUR
T1  - Introducing an Electronic Medical Record–Driven Evaluation of Medication Orders Performed by Beginner Pharmacy Students
A1  - Giulia R. Conti
A1  - Marco Bellini
A1  - Paolo Lombardo
JF  - Annals of Pharmacy Education, Safety, and Public Health Advocacy
JO  - Ann Pharm Educ Saf Public Health Advocacy
SN  - 3108-4850
Y1  - 2021
VL  - 1
IS  - 1
DO  - 10.51847/V0a9dvru6O
SP  - 69
EP  - 75
N2  - This study aimed to pilot a simulated electronic medical record (EMR) activity that integrates a medication verification task, with the purpose of examining how novice learners interact with the system and assessing their perceptions and self-reported confidence when verifying medication orders. A quasi-experimental design was implemented using the MyDispense simulated EMR platform. Students were presented with five medication orders and were required to choose either “verify” or “reject” for each order. The activity was piloted among 390 second-year pharmacy students from Australia and Malaysia. Data on verification decisions and frequently occurring errors were extracted directly from MyDispense. Learner perceptions and confidence levels were measured through surveys administered before and after the activity. An expert panel subsequently analyzed the findings and proposed recommendations for a scaffolded curriculum.

Across the cases, most students (80.5%–94.4%) correctly identified the appropriate verification decision. Recurrent errors were mainly related to incorrect entries on the issues-for-review form, particularly involving medication duration and clinical indication. When medication orders were designed to be clinically ambiguous yet safe, novice learners tended to reject them rather than verify. A total of 277 preactivity and 261 postactivity survey responses were collected. Perceived confidence increased significantly, with median scores rising from 3 to 4 on a 5-point Likert scale, reflecting improved confidence in EMR-based medication verification. Based on these findings, a scaffolded curriculum aligned with experiential placement milestones was recommended. Although students demonstrated an overall increase in perceived confidence regarding medication verification, the results suggest a need for educators to better prepare learners for clinical documentation and interprofessional communication by promoting the recording of interventions and active engagement with prescribing teams beyond the electronic verification workflow.
UR  - https://smerpub.com/article/introducing-an-electronic-medical-recorddriven-evaluation-of-medication-orders-performed-by-beginne-zrp7n6ztncezany
ER  -