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Medication Error Analyzer (Five Rights)
For attorneys, legal nurse consultants and pharmacists reviewing a suspected medication error.
Paste the medication orders, MAR or eMAR excerpts, pharmacy dispensing records and nursing notes from the chart (up to 40,000 characters). The analyzer lines up, for each medication, what was ordered against what was documented as given and scores the five rights: right patient, right drug, right dose, right route, right time. Each right is marked ok only when the text shows a match, issue only when the text itself shows a discrepancy, and unknown whenever the record does not say. Issues are typed (omitted dose, late dose, wrong dose, duplicate, wrong route, no order, allergy conflict, monitoring gap) and quoted. Medications on the ISMP high-alert list are flagged for closer review. No dosing advice is given and nothing is invented: every date, dose and quote comes from your text.
The record was long and the analysis stopped before the end. Run the later dates as a separate excerpt.
Summary
Allergies and high-alert medications
Medications
Flags
Timeline
Gaps in the record
How to use the result
- Read unknown as a request, not a clearance. Most rights come back unknown on an excerpt because the MAR page, the order sheet or the allergy record is not in what you pasted. Each unknown names the document that would resolve it.
- Pair every issue with its two quotes. A wrong-dose or wrong-route issue is only as strong as the order text and the administration text side by side. Pull both pages before the issue goes into a chronology.
- Treat blank MAR cells carefully. A blank may be an omitted dose, a dose documented on another sheet, a held dose with the reason charted elsewhere, or an eMAR entry that was later edited. The eMAR audit trail (user, timestamp, original value, edited value) settles it.
- High-alert flags are about review priority, not fault. Anticoagulants, insulin, opioids, concentrated electrolytes and the other ISMP classes usually carry facility policies on double checks, independent verification, pump programming and monitoring. Request the policy that was in force and compare it to what was documented.
- Have a pharmacist or physician expert address whether any dose, route or timing deviation was clinically significant. This tool reports what the record says and does not say; it does not opine on harm.
- Verify every quote against the page it came from before it goes into a demand letter, expert packet or deposition outline.
What to request next
- Complete MAR / eMAR for the full admission, every medication, every scheduled and PRN entry
- eMAR audit trail: user IDs, timestamps, late entries, edits and deletions, with the original values
- Physician order audit trail (CPOE log): who entered, verified, modified or discontinued each order and when
- Pharmacy dispensing log and verification records; automated dispensing cabinet (Pyxis / Omnicell) transaction reports
- Allergy documentation: admission assessment, allergy band / armband records, EHR allergy list with entry dates
- Infusion pump logs and smart-pump library data for every IV medication in question
- Barcode medication administration (BCMA) scan records and override reports
- Monitoring data tied to the order: vital-sign flow sheets, glucose logs, INR / drug levels, sedation and pain scores
- Facility policies on the medication class (high-alert, independent double check, PRN administration, late-dose definitions)
- Incident / occurrence reports and the pharmacy medication-error report for the event
Need this across the whole chart?
MedLegal AI's Records Analyzer and Timeline Builder read the complete record (thousands of pages), pin every finding to a Bates page and build the chronology for the demand or expert packet. Free account to start.