Tag: Medication documentation

In the U.S., medication errors harm at least 1.5 million people annually, and the cost of caring for patients with these errors exceeds $40 billion each year [1.2.3, 1.8.1]. So, what is the main purpose of medication documentation? It is to create an accurate, legal record that ensures patient safety and continuity of care [1.2.1, 1.2.4].

According to numerous nursing and healthcare guidelines, accurate and immediate documentation on the Medication Administration Record (MAR) is mandatory after administering any medication. This includes essential documentation when giving a PRN medication, a process that requires meticulous attention to detail to ensure safety and legal compliance.