What is the term for the documentation of medication administration?

The term for the documentation of medication administration is the Medication Administration Record (MAR). This is a crucial component of medication management within healthcare settings. The MAR serves as an official record that outlines which medications were administered, the dosages given, the route of administration, as well as the times and dates of these actions. It ensures accurate tracking of medication received by the patient and is essential for maintaining patient safety, preventing medication errors, and ensuring compliance with medical standards.

The MAR also assists healthcare providers in monitoring the effectiveness of medications, identifying any potential adverse effects, and making necessary adjustments to the treatment plan. This documentation is critical for continuity of care, as it allows various members of the healthcare team to remain informed about the patient's medication history.

In contrast, while medical orders refer to a healthcare provider's instruction for prescribed treatments, they do not serve as a record of administration. Patient care reports generally relate to broader patient care observations and activities rather than focused medication tracking. Medical summaries compile healthcare data but lack the specificity required for monitoring medication administration.