Association of Interruptions With an Increased Risk and Severity of Medication Administration Errors

Westbrook, Johanna I.; Woods, Amanda; Rob, Marilyn I.; Dunsmuir, William T. M.; Day, Richard O.

doi:10.1001/archinternmed.2010.65

Cited by 610 publications

(594 citation statements)

References 35 publications

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“…The error severity, which is 2.3% in the absence of interruption, becomes 4.7% in the presence of four interruptions (3). Our results support the results of Westbrook et al (3). This result is also important as it sets a guide for planning the interventions aiming at preventing interruptions as study results on the ratios and reasons of medication errors made by nurses are utterly limited in the literature.…”

Section: Discussionsupporting

confidence: 89%

“…In the study of Biron et al (5), nurses experienced interruption for at least once in more than half of the medications they prepared. In the study of Westbrook et al (3), the ratio of interruptions experienced during the stage of medication administration was reported as 53.1%. In the interventional study of Pape (11), which aimed at preventing interruptions during the medication preparation, the control group experienced 484 interruptions while the group where interventions were applied to prevent interruptions experienced 64 interruptions.…”

Section: Discussionmentioning

confidence: 95%

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Interruptions During Pediatric Medication Preparation and Administration

Özkan¹,

Kocaman²,

Öztürk³

2016

jpr

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 95%

Interruptions During Pediatric Medication Preparation and Administration

Özkan¹,

Kocaman²,

Öztürk³

2016

jpr

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“…Este cenário é incoerente ao recomendado, que deveria ser um ambiente seja reservado, com fluxo restrito de pessoas, tranquilo e sem fonte de interrupção ou distração, como televisão e/ou rádio (17) . Em um estudo realizado em dois hospitais na Austrália, verificou-se que o aumento do número de interrupções foi ligado ao aumento das taxas de erro (18) . Entre os fatores que provocam distrações durante as tarefas de trabalho dos profissionais de enfermagem estão: ausência de planejamento formal da assistência de enfermagem, telefone celular e/ou institucional tocando, sobreposição de diferentes tarefas, mudanças não padronizadas de prescrição médica e interrupções geradas por outros profissionais (19) .…”

Section: Discussionunclassified

Conformidades E Não Conformidades No Preparo E Administração De Antibacterianos

et al. 2016

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RESUMO: Objetivou-se avaliar as conformidades e não conformidades no preparo e administração de antibacterianos. Estudo observacional e transversal, realizado de agosto a dezembro de 2014 em unidades de clínica médica de um hospital-escola em Fortaleza-Ceará. A amostra foi composta por 265 doses de antibacterianos, que tiveram suas etapas de preparo e administração observadas com dois checklist nos três turnos de trabalho. Os dados foram analisados por estatística descritiva e analítica, e todos os procedimentos éticos foram seguidos. Destaca-se que a não conformidade mais frequente em ambas as etapas foi o cumprimento dos preceitos da semiotécnica 265 (100%). A organização foi associada com o erro na escolha do medicamento (p=0,027), e o uso da prescrição e confirmação do nome do paciente não tiveram relação com os erros (p=0,942). Assim, conclui-se que modificações comportamentais no processo de trabalho precisam ser implementadas para reduzir as não conformidades e consequentemente os erros de medicação. DESCRITORES: Antibióticos; Segurança do paciente; Erros de medicação; Enfermagem; Serviços de enfermagem. CONFORMIDADES E NÃO CONFORMIDADES COMPLIANCE AND NON-COMPLIANCE IN THE PREPARATION AND ADMINISTRATION OF ANTIBACTERIAL DRUGSABSTRACT: The present study aimed to assess compliance and non-compliance in the preparation and administration of antibacterial drugs. Observational and cross-sectional study conducted from August to December 2014 in medical wards of a teaching hospital in Fortaleza-Ceará. The sample was composed by 265 doses of antibacterial drugs whose preparation and administration stages were observed during the three work shifts, with two checklists. Data were analyzed using descriptive statistics, and all ethical procedures were fulfilled. The most frequent non-compliance observed in both stages was compliance withthe requirements of the several techniques performed by nursing professionals (semiotechnique), 265 (100%). The hospital organization was associated with error in the choice of the (p=0.027), and the use of prescription and confirmation of patient's identity were not related to the errors (p=0.942). Thus, it is concluded that behavioral changes in the work process should be implemented to reduce non-compliance and, consequently, medication errors. CUMPLIMIENTO Y INCUMPLIMIENTO EN EL PREPARO Y ADMINISTRACCIÓN DE ANTIBACTERIANOS:IMPLICACIONES PARA LA SEGURIDAD DEL PACIENTE RESUMEN: El presente estudio tuvo como objetivo evaluar el cumplimiento y el incumplimiento en la preparación y administración de fármacos antibacterianos. Estudio observacional y transversal realizado entre agosto y diciembre de 2014 en las alas médicas de un hospital universitario en Fortaleza-Ceará. La muestra fue compuesta por 265 dosis de fármacos antibacterianos cuya etapas del preparación y administración fueron observados durante los tres turnos de trabajo, con dos listas de comprobación. Los datos fueron analizados utilizando estadística descriptiva, y se cumplieron todos los procedimientos éticos. El incu...

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“…6 A study conducted by Johanna I. Westbrook at 2010 suggests the administering errors to the patient as 74.4%. In this study, the administering and dispensing errors were found to be 53.24%.…”

Section: Discussionmentioning

confidence: 99%

Nature and Instigation of Medication Errors and Gazed Barriers in Reporting Them - A Prospective Observational Study

Murali¹,

Thamisetty²,

Yalvarthi³

2017

IJOPP

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Introduction:The goal of drug therapy is the improvement of a patient's health related quality of life while minimizing patient risk. But there are inherent risks associated with the therapeutic use of drugs and administration devices. Aim: Present study aims to identify and categorize MEs in the patients who were admitted in the General Medicine, Pediatrics and Surgery Departments in a tertiary care teaching hospital, Tirupati. The study also extended to find out the cause of MEs and the possible barriers for reporting the MEs. Methodology: A specially designed proforma was used for patient data collection & the study was approved by institutional ethics committee. Inclusion criteria includes, patients who were hospitalized for more than three days and who were willing to give informed consent to participate in the study. Results: The prescriptions of the 100 patients included in the study were analyzed for medication errors and 52.7% of prescriptions were presented with medication errors. The persons involved in the medication errors include physician (prescriber), nurse (administrator) and the patients (consumer). The major causes of MEs were found to be excessive work load, lack of knowledge and non-compliance by the patients to the drugs. Conclusion: The establishment of a blame-free, non-punitive environment can promote ME reporting.

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Association of Interruptions With an Increased Risk and Severity of Medication Administration Errors

Abstract: Among nurses at 2 hospitals, the occurrence and frequency of interruptions were significantly associated with the incidence of procedural failures and clinical errors.

Cited by 610 publications

References 35 publications

Interruptions During Pediatric Medication Preparation and Administration

Interruptions During Pediatric Medication Preparation and Administration

Conformidades E Não Conformidades No Preparo E Administração De Antibacterianos

Nature and Instigation of Medication Errors and Gazed Barriers in Reporting Them - A Prospective Observational Study

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