Characteristics of interruptions during medication administration: An integrative review of direct observational studies

Schroers, Ginger

doi:10.1111/jocn.14587

Cited by 33 publications

(34 citation statements)

References 38 publications

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“…31 A recent review of interruptions in the context of nursing medication administration in hospital settings concluded that interruptions are likely to occur at least once during nursing medication administration processes in hospital settings. 33 These authors recommended that individuals and organisations adopt interruption management strategies to decrease prescribing errors and increase task efficiency.…”

Section: Figurementioning

confidence: 99%

Pharmacist‐led, video‐stimulated feedback to reduce prescribing errors in doctors‐in‐training: A mixed methods evaluation

Parker

Farrell

Bethune

et al. 2019

Brit J Clinical Pharma

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AimsTo develop and evaluate a feasible, authentic pharmacist‐led prescribing feedback intervention for doctors‐in‐training, to reduce prescribing errors.MethodsThis was a mixed methods study. Sixteen postgraduate doctors‐in training, rotating though the surgical assessment unit of 1 UK hospital, were filmed taking a medication history with a patient and prescribing medications. Each doctor reviewed their video footage and made plans to improve their prescribing, supported by feedback from a pharmacist. Quantitative data in the form of prescribing error prevalence data were collected on 1 day per week before, during and after the intervention period (between November 2015 and March 2017). Qualitative data in the form of individual semi‐structured interviews were collected with a subset of participants, to evaluate their experience. Quantitative data were analysed using a statistical process chart and qualitative data were transcribed and analysed thematically.ResultsDuring the data collection period, 923 patient drug charts were reviewed by pharmacists who identified 1219 prescribing errors overall. Implementation of this feedback approach was associated with a statistically significant reduction in the mean number of prescribing errors, from 19.0/d to 11.7/d (estimated to equate to 38% reduction; P < .0001). Pharmacist‐led video‐stimulated prescribing feedback was feasible and positively received by participants, who appreciated the reinforcement of good practice as well as the opportunity to reflect on and improve practice.ConclusionsFeedback to doctors‐in‐training tends to be infrequent and often negative, but this feasible feedback strategy significantly reduced prescribing errors and was well received by the target audience as a supportive developmental approach.

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Section: Figurementioning

confidence: 99%

Pharmacist‐led, video‐stimulated feedback to reduce prescribing errors in doctors‐in‐training: A mixed methods evaluation

Parker

Farrell

Bethune

et al. 2019

Brit J Clinical Pharma

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show abstract

“…While existing research establishes the link of interruptions encountered by nurses with subsequent MAEs (Tong et al, ), further research is required to establish this link specifically to interruptions experienced by nurses in pediatric units. As MAEs pose a serious threat to the safety of patients (Schroers, ), appropriate interventions are urgently required to decrease interruptions and thus reduce the MAE rate.…”

Section: Discussionmentioning

confidence: 99%

“…Hence, pediatric patients are considered to be an at‐risk group in terms of medication administration (Özkan et al, ). The consequences of MAEs are including great emotional costs to error‐maker, and patients and family members lose trust in the healthcare system (Institute for Safe Medication Practices (ISMP), ; Schroers, ). While there are no studies available estimating the economic cost of MAEs in pediatric units, it is estimated that MAEs result in 21 billion dollars annually across all healthcare settings (da Silva, & Krishnamurthy, ).…”

Section: Introductionmentioning

confidence: 99%

“…Nurses are primarily responsible for preparing and giving medication to patients, this process is always called as medication administration (Potter, Perry, Stockert, & Hall, 2017;Schroers, 2018). Interruptions during medication administration experienced by nurses can lead to causing medical administration error (MAEs; Özkan, Kocaman, & Öztürk, 2016;Schroers, 2018). Nurses have been observed to be frequently interrupted during medication administration (Schroers, 2018;Westbrook, Woods, Rob, Dunsmuir, & Day, 2010).…”

Section: Introductionmentioning

confidence: 99%

“…Interruptions during medication administration experienced by nurses can lead to causing medical administration error (MAEs; Özkan, Kocaman, & Öztürk, 2016;Schroers, 2018). Nurses have been observed to be frequently interrupted during medication administration (Schroers, 2018;Westbrook, Woods, Rob, Dunsmuir, & Day, 2010). Interruptions have been found to be associated with an increase in the frequency and severity of MAEs (Westbrook et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

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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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Work interruptions and missed nursing care: A necessary evil or an opportunity? The role of nurses’ sense of controllability

2021

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Work interruptions (WIs)-breaks in the sequence of task performance of a human activity, causing a temporary pause of task continuity-are common in nurses' work environment and considered to contribute significantly to nurses' errors, delays and omissions of tasks (Getnet & Bifftu, 2017;Johnson et al., 2017;Schutijser et al., 2019). Recently, the nursing literature has demonstrated growing interest in the phenomenon of missed nursing care (MNC), defined as any omission, delay or failure to complete necessary patient care (Kalisch et al., 2009(Kalisch et al., , 2013. This concept has, on other occasions, been termed care left undone (Jones et al., 2015) or implicit care rationing (Schubert et al., 2013). Although both WIs and MNC refer to the delay or omission of tasks/care, they have been studied in parallel, and no study to date has explored their joint mechanism.Thus, the current study suggests illuminating the role of WI in MNC.Specifically, the study aims to understand those WIs that are more associated with MNC compared with those that are not. | Background | Missed nursing careMNC usually occurs because of time scarcity and resource shortages that lead to harmful consequences for patients, nurses and

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Characteristics of interruptions during medication administration: An integrative review of direct observational studies

Cited by 33 publications

References 38 publications

Pharmacist‐led, video‐stimulated feedback to reduce prescribing errors in doctors‐in‐training: A mixed methods evaluation

Pharmacist‐led, video‐stimulated feedback to reduce prescribing errors in doctors‐in‐training: A mixed methods evaluation

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

Work interruptions and missed nursing care: A necessary evil or an opportunity? The role of nurses’ sense of controllability

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