Interruptions of nurses' activities and patient safety: an integrative literature review

Monteiro, Cintia; Avelar, Ariane Ferreira Machado; Peterlini, Maria Angélica Sorgini

doi:10.1590/0104-1169.0251.2539

Cited by 60 publications

(101 citation statements)

References 37 publications

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“…Interruptions are understood as the suspension of one activity to perform another, and may be a type of intrusion, distraction, pause and discrepancy. The researchers realized that the interruptions had an impact on the cognitive process, causing loss of concentration and affecting performance of activities by increasing the risk of errors, especially in the administration of medicine (16) . Another study sought to identify the association between the allocation of nursing staff and the occurrence of adverse events and incidents.…”

Section: Discussionmentioning

confidence: 99%

Slips, lapses and mistakes inthe use of equipment by nurses in an intensive care unit

Ribeiro

Silva

Ferreira

et al. 2016

Rev. esc. enferm. USP

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Objective:To identify the occurrence of errors in the use of equipment by nurses working in intensive care and analyzing them in the framework of James Reason's theory of human error. Method: Qualitative field study in the intensive care unit of a federal hospital in the city of Rio de Janeiro. Observation and interviews were conducted with eight nurses, from March to December 2014. Content analysis was used for the interviews, as well as the description of the scenes observed. Results: Lapses of memory and attention were identified in the handling of infusion pumps, as well as planning failures during the programming of monitors. Conclusion: Errors cause adverse events that compromise patient safety. The authors propose creation of an instrument for daily checking of equipment, with checks throughout the work process in the programming of infusion pumps and monitors, in order to reduce failures and memory lapses.

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Section: Discussionmentioning

confidence: 99%

Slips, lapses and mistakes inthe use of equipment by nurses in an intensive care unit

Ribeiro

Silva

Ferreira

et al. 2016

Rev. esc. enferm. USP

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“…Tablets, syrup). The form of the medication though must be right for the route of administration [24]. 2.7 Right documentation: When a nurse administers a medication, he or she must document in the medication administration chart.…”

Section: Right Drugmentioning

confidence: 99%

Nursing Innovations: Medication Administration Errors and Safety

Mohmmed¹,

El-sol²

2017

IOSR JNHS

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“…This study was adapted Donabedian's three‐dimensional model for measuring the quality of care (Donabedian, ), incorporating the study findings by Monteiro, Avelar, and Pedreira () about interruptions of nurses' activities and patient safety. Hence, this study reconstructed a new theoretical framework of interruptions, including Characteristics, Outcome, and Intervention (COI) model for measuring interruptions of nurses.…”

Section: Introductionmentioning

confidence: 99%

Interruptions experienced by nurses during pediatric medication administration in China: An observational study

Jun-wen

Qiaoling

Wang

et al. 2019

Specialist Pediatric Nursing

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Purpose The objectives of this study were to describe (a) the frequency of interruptions experienced by a pediatric nurse per hour, (b) the sources of interruptions experienced by a pediatric nurse, and (c) the interruption outcomes during pediatric medication administration. Design and Methods This design of this study was a cross‐sectional observational study. A convenience sample of pediatric nurses was used in this study. The interruption observation sheet was used to collect data about the frequency, sources, and outcomes of interruptions. Results There was a total of 43 nurses were observed in more than 180 medication administration rounds. An interruption rate of 94.51% occurred during pediatric medication administration. The frequency of interruptions was three or more times (51.04%). The most common source of interruption was attributed to the working environment (32.37%). The second most frequent reason for interruption came from personnel, such as caregivers (24.48%), followed by physicians (10.79%), and other nursing staff (9.54%). The third most common source of interruption was communication issues, including patient interviews, patient reports, and case discussion (8.71%). Six errors (2.49%) were reported out of 241 interruptions as a result of interruptions. In specific, causes of errors during pediatric medication administration were due to wrong medication dose. Practice Implications This study provides important information on interruptions experienced by pediatric nurses during medication administration in Chinese hospital settings and found that interruptions frequently occur in pediatric units.

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Interruptions of nurses' activities and patient safety: an integrative literature review

Cited by 60 publications

References 37 publications

Slips, lapses and mistakes inthe use of equipment by nurses in an intensive care unit

Slips, lapses and mistakes inthe use of equipment by nurses in an intensive care unit

Nursing Innovations: Medication Administration Errors and Safety

Interruptions experienced by nurses during pediatric medication administration in China: An observational study

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