Environmental Factors Contributing to Medication Errors in Intensive Care Units

Kaboodmehri, Roya; Hasavari, Farideh; Adib, M; Mohammadi, Tahere Khaleghdoost; Leili, Ehsan Kazemnejhad

doi:10.32598/jhnm.29.2.57

Cited by 6 publications

(3 citation statements)

References 25 publications

(33 reference statements)

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“…Patients who have access to positive visual and sensory stimuli, such as views of nature and artwork or access to quiet spaces, may require fewer pain medications and also sleep better (25,26). Poor lighting, high noise levels, and inappropriate room temperature have been linked to increased medical errors among staff (27,28). Job stress has also been linked to poor sleep quality among nurses (29), which may affect their performance.…”

Section: Health and Safety For Patients And Staffmentioning

confidence: 99%

Advancing human health, safety, and well-being with healthy buildings

Marberry¹,

Guenther²,

Berry³

2022

J Hosp Manag Health Policy

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In 2010, a coalition of major U.S. health systems formed the Healthier Hospitals Initiative. Their aim was to improve sustainability and safety across the healthcare sector. Today, thousands of other health systems and hospitals have joined the effort by implementing sustainable operating practices, greening their supply chain, reducing their waste footprint, increasing their resiliency in the face of weather events driven by climate change, and pursuing sustainable building design and decarbonization. Despite this progress, many health systems lag in combining environmentally sustainable building design with what's known as "well building design" to create buildings that harm neither person or the planet. Hospitals and health systems can and must become better stewards of human health inside their buildings-and outside of them. This article briefly outlines the history and evolution of what are often called "healthy buildings," as well as the research-informed building-design interventions and operational protocols and policies that advance human health and well-being. A synthesis of best practices, it

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Section: Health and Safety For Patients And Staffmentioning

confidence: 99%

Advancing human health, safety, and well-being with healthy buildings

Marberry¹,

Guenther²,

Berry³

2022

J Hosp Manag Health Policy

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“…Khalili et al reported the causes of failure as the lack of knowledge, attention, motivation, and time [27]. Salavati et al and Kaboodmehri et al stated that considering the emergency nurses' working conditions, including the workload level and the number of treated patients, could be effective in preventing clinical errors [30,31]. One of the suggested solutions to reduce clinical errors is to educate staff and raise their awareness about treatment principles and their proper implementation.…”

Section: Ventilator Malfunction 80mentioning

confidence: 99%

Risk Assessment of Clinical Care in Emergency Departments ByHealth Failure Modes and Effects Analysis

Moradi

Sigaroudi

Pourshaikhian

et al. 2020

J. Holist. Nurs. Midwifery

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This study aimed to investigate the failures of clinical care in emergency departments using the Healthcare Failure Modes and Effects Analysis (HFMEA). Materials and Methods: This was an analytical and cross-sectional study. The required data were collected qualitatively and quantitatively using focus group discussions in emergency departments. The study population consisted of all emergency department nurses. Study samples were selected by purposive sampling technique. By the HFMEA method, Risk Priority Number (RPN) was calculated to reach failure modes and those with RPN >216 were identified as the most frequent and risky errors. Results: A total number of 67 failure modes were identified for 26 clinical care processes.The errors with the highest RPN were "the lack of oxygenation during airway suctioning" and "the lack of airway suctioning during ventilator weaning process"; they related to the respiratory system care with RPN=336. The error with the lowest RPN was "the lack of signing verbal orders by two nurses"; related to the general practice with RPN=8. Conclusion: Investigating the causes and effects of these errors, controlling, and suggesting measures indicate the high efficiency of the HFMEA method. It also suggested the preventability of these errors by increasing the knowledge and awareness of the training staff by providing training courses.

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“…Moreover, some contributing factors are related to operators, such as nurses, and their working conditions [ 20 ], organizational climate, occupational characteristics, the physical aspects of the work environment (poor lighting, poor thermal and acoustic aspects), and a high number of patients [ 21 ]. Therefore, in considering these factors, it is useful to describe and identify all the available strategies to improve the safety of patients [ 22 ]. Despite the large body of evidence and multiple reviews available on this topic, to our knowledge, no umbrella review has been conducted to summarize them, especially for the ICU setting.…”

Section: Introductionmentioning

confidence: 99%

Medication Errors in Intensive Care Units: An Umbrella Review of Control Measures

et al. 2022

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Medication errors are defined as “any preventable event that may cause or lead to inappropriate medication use or patient harm while the medication is in the control of the health care professional, patient, or consumer.” Such errors account for 30 to 50 percent of all errors in health care. The literature is replete with systematic reviews of medication errors, with a considerable number of studies focusing on systems and strategies to prevent errors in intensive care units, where these errors occur more frequently; however, to date, there appears to be no study that encapsulates and analyzes the various strategies. The aim of this study is to identify the main strategies and interventions for preventing medication errors in intensive care units through an umbrella review. The search was conducted on the following databases: PubMed, CINAHL, PsycInfo, Embase, and Scopus; it was completed in November 2020. Seven systematic reviews were included in this review, with a total of 47 studies selected. All reviews aimed to evaluate the effectiveness of a single intervention or a combination of interventions and strategies to prevent and reduce medication errors. Analysis of the results that emerged identified two macro-areas for the prevention of medication errors: systems and processes. In addition, the findings highlight the importance of adopting an integrated system of interventions in order to protect the system from harm and contain the negative consequences of errors.

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Environmental Factors Contributing to Medication Errors in Intensive Care Units

Cited by 6 publications

References 25 publications

Advancing human health, safety, and well-being with healthy buildings

Advancing human health, safety, and well-being with healthy buildings

Risk Assessment of Clinical Care in Emergency Departments ByHealth Failure Modes and Effects Analysis

Medication Errors in Intensive Care Units: An Umbrella Review of Control Measures

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