The Effect of Pharmacy – Nursing Communication on Medication Administration Record (MAR) Accuracy: A Case Study of Medical Military Hospital

Background: Evaluation of Medication Administration Record (MAR) accuracy is a growing concern for hospital administration, pharmacy directors, nursing, and other health care provider. The independent variable included: 1-drug information communication, 2-prescribed order and 3- pharmacy system. One of the tools for evaluation is to generate a survey to end user and measure their feedback. Objectives: This survey evaluates factor that affect accuracy of Medication Administration Record (MAR) from nursing perception as they are the closest health practitioner to admitted patient in wards and they are the responsible for medication administration. Methods: This project employed a survey research design that acquired demographic and descriptive data. The survey contained 26 items including 20 scaled and six demographic items. Aspects assessed by this questioner included drug information communication, prescribed order and pharmacy system. 169 inpatient nurse practitioners, licensed practical nurses, and registered nurses who were employed at the hospital in the spring of 2016 were eligible to participate in the study. The a priori level of significance for all analysis was two tailed at 0.05. Results: A total of 162 surveys were returned for a response rate of 96%. Most of our sample female (86%) while male represent (14%). The registered nurse represent (94.4%). There is no significant relationship between drug information communication and prescribed order with MAR accuracy. But there is significant relation between pharmacy system and MAR accuracy. Conclusion: The data gleaned from the survey were evaluated in order to make recommendations to the PSMMC Director of Pharmacy. Implement effective pharmacy-nursing communication in Inpatient nurse station, create regular in service by pharmacist for nursing community, work on efficient medication delivery system (e.g. pneumatic system), start and implementation of electronic prescriptions, develop and improve pharmacy system.