The computerized medication administration record (MAR)

The computerized medication administration record (MAR) was a chart of all of the medications administered to a patient by a hospital. Kate, a programmer/analyst in the Management Information Systems department, led a team to computerize the MAR. The team had been working on the pilot project for a year and hoped for a smooth execution. The computerized MAR was launched and immediately failed. By 10:00 a.m., floor nurses and staff pharmacists complained that the system did not work and was too complicated. After hearing nurses’ complaints, physicians expressed concern about patient safety. At 1:30 p.m., the computer system crashed, and the MAR project was suspended. Kate assembled the project team to study the project failure. Kate will make a presentation to Central Hospital’s management group on the MAR project failure.

  1. What structural change is indicated at Integrated Health?
  2. What caused MAR to fail?
  3. Why are the nurses resisting the MAR project?
  4. What techniques should be used to overcome the barriers to change?
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Sample Answer

Kate’s presentation to Central Hospital’s management group on the MAR project failure should focus on the following key areas:

  • What were the root causes of the project failure?
  • What lessons can be learned from the failure?
  • What recommendations do you have to prevent similar failures from happening in the future?

To identify the root causes of the project failure, Kate and her team can conduct a post-mortem analysis. This will involve reviewing all of the project documentation, interviewing team members and stakeholders, and analyzing data from the system.

Full Answer Section

Some common root causes of project failure include:

  • Poor planning and management: This can include setting unrealistic expectations, failing to identify and mitigate risks, and not communicating effectively with stakeholders.
  • Lack of user involvement: This can lead to a system that is difficult to use and does not meet the needs of the users.
  • Technical problems: This can include software bugs, hardware failures, and network connectivity issues.
  • Insufficient testing: This can lead to a system that is not ready for production use.

Once the root causes of the failure have been identified, Kate and her team can develop recommendations to prevent similar failures from happening in the future. These recommendations may include:

  • Improving the planning and management process: This can involve developing more realistic expectations, conducting more thorough risk assessments, and creating a more effective communication plan.
  • Increasing user involvement in the development process: This can be done by conducting user interviews and usability testing.
  • Thorough testing of the system before it is deployed into production: This should include testing all of the system’s functionality and performance under load.

In addition to the above, Kate should also consider the following in her presentation:

  • The impact of the project failure on patient safety: It is important to acknowledge that the failure of the computerized MAR could have had serious consequences for patient safety. Kate should discuss what steps were taken to mitigate these risks and what lessons can be learned from this experience.
  • The cost of the project failure: The failure of the computerized MAR likely resulted in significant financial losses for Central Hospital. Kate should discuss the costs associated with the failure and what steps can be taken to reduce these costs in the future.

Overall, Kate’s presentation should be honest, transparent, and informative. She should clearly explain the root causes of the project failure, the lessons that have been learned, and the recommendations that have been developed to prevent similar failures from happening in the future.

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