Going blank: factors contributing to interruptions to nurses’ work and related outcomes

Hall, Linda M.; Ferguson-Paré, Mary; Peter, Elizabeth; White, Deborah; Besner, Jeanne; Chisholm, Anne; Ferris, Ella; Fryers, Marla; MacLeod, Martha; Mildon, Barb; Pedersen, Cheryl; Hemingway, Aislinn

doi:10.1111/j.1365-2834.2010.01166.x

Cited by 62 publications

(74 citation statements)

References 26 publications

(32 reference statements)

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“…Variations in the nurse's work environment shaped both the origin of and response to the error and impacted the ability of the nurse to provide high quality care (Steege, Drake, Olivas & Mazza, 2015). The contributions of complex environmental factors that characterize nursing work and lead to failures in delivery of care are well documented in the literature (Sitterding, Ebright, Broome & Patterson, 2014;Foroungi, Weber et al 2013;Hopkinson & Jennings, 2013;Ebright, 2010;Hall et al, 2010;). That nurses participating in this study were able to recall details surrounding an error supports the notion that retrieving details of an event from those involved in the situation is a productive method for learning why things happened the way they did.…”

mentioning

confidence: 99%

Nurses' experiences with errors in nursing

2016

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confidence: 99%

Nurses' experiences with errors in nursing

2016

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“…[6][7][8]11,12 In addition, results of the pilot practice change support earlier reports that the majority of interruptions during medication administration are avoidable and may lead to adverse consequences for patients. 16,31 The greatest impact of implementing the NUPASS guidelines was the significant decrease in avoidable interruptions, particularly those related to phone calls. Successfully decreasing interruptions related to phone calls was highly dependent on teamwork and highlights the important role of support staff in prioritizing and managing phone calls during peak scheduled medication administration times.…”

Section: Discussionmentioning

confidence: 99%

Progressive Care Nurses Improving Patient Safety by Limiting Interruptions During Medication Administration

Flynn

Evanish

Fernald

et al. 2016

Critical Care Nurse

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BACKGROUND Because of the high frequency of interruptions during medication administration, the effectiveness of strategies to limit interruptions during medication administration has been evaluated in numerous quality improvement initiatives in an effort to reduce medication administration errors. OBJECTIVES To evaluate the effectiveness of evidence-based strategies to limit interruptions during scheduled, peak medication administration times in 3 progressive cardiac care units (PCCUs). A secondary aim of the project was to evaluate the impact of limiting interruptions on medication errors. METHODS The percentages of interruptions and medication errors before and after implementation of evidence-based strategies to limit interruptions were measured by using direct observations of nurses on 2 PCCUs. Nurses in a third PCCU served as a comparison group. RESULTS Interruptions (P < .001) and medication errors (P = .02) decreased significantly in 1 PCCU after implementation of evidence-based strategies to limit interruptions. Avoidable interruptions decreased 83% in PCCU1 and 53% in PCCU2 after implementation of the evidence-based strategies. CONCLUSIONS Implementation of evidence-based strategies to limit interruptions in PCCUs decreases avoidable interruptions and promotes patient safety. (Critical Care Nurse. 2016;36[4]:19-35) This article has been designated for CE contact hour(s). The evaluation tests your knowledge of the following objectives: 1. Describe similarities between the principles of the sterile cockpit concept used in the aviation industry and the Nurses Uninterrupted Passing Medications Safely (NUPASS) guidelines to promote safety 2. Discuss the current evidence supporting use of interruption limiting strategies to reduce medication administration errors in the acute care setting 3. Implement evidence-based strategies to limit interruptions during medication administration To complete evaluation for CE contact hour(s) for test #C1642, visit www.ccnonline.org and click the "CE Articles" button. No CE test fee for AACN members. This test expires on August 1, 2019.The American Association of Critical-Care Nurses is an accredited provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation. AACN has been approved as a provider of continuing education in nursing by the State Boards of Registered Nursing of California (#01036) and Louisiana (#LSBN12). N urses play a critical role in promoting patient safety through surveillance and interception of errors that cause patient harm as hospitals and health care systems strive to become high-reliability organizations. APRN, MS, Advocate Christ Medical Center, 4400 W 95th St, Oak Lawn,.To purchase electronic or print reprints, contact the American Association of Critical-Care Nurses, 101 Columbia, Aliso Viejo, CA 92656. Phone, (800) 899-1712 or (949) 362-2050 (ext 532); fax, (949) 362-2049; e-mail, reprints@aacn.org. patient harm, and strategies to reduce interruptions and manage them appropriatel...

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“…McGillis Hall et al (2010) found that nurses identified noise as a frequent distraction during their working day; the critical care unit has a high use of alarms that are vital in alerting staff in changes in patient condition but can also be viewed as a distraction. Health care provided within critical care units commonly involves multiple teams.…”

Section: Is Intensive/critical Care Different?mentioning

confidence: 99%

“…Communication and collaboration is vital for patient safety, however, team members must be aware of the impact of interruptions during medication administration. McGillis et al, (2010) found that the main source of interruptions was attributed to health care providers within the unit.…”

Section: Is Intensive/critical Care Different?mentioning

confidence: 99%

Interruptions and medication administration in critical care

Bower

Jackson

Manning

2015

Nursing in Critical Care

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Aim: To examine the existing literature relating to the impact that interruptions have during medication administration within the paediatric critical care (PCC) setting.Background: Medication administration has inherent risks and errors can have enormous impact on the quality and efficiency of patient care, particularly in relation to experience, outcomes and safety.Nurses are pivotal to the medication administration process and therefore must demonstrate safe and reliable practice. However, interruptions can lead to mistakes and omissions.Search strategy: Key terms identified from background literature were used to search three electronic databases (Medline, CINHAL and BNI). Selected sources were critically appraised using the Critical Appraisal Skills Programme (CASP) Tool. Conclusions: This review summarizes debates within the international arena concerning the impact of interruptions to medication administration. However, conclusions drawn appear applicable in relation to practice, education and future research to other critical care settings.Relevance to clinical practice: Findings infer that no single strategy is likely to improve the negative affect of interruptions without a patient safety-focussed culture. Practice education to improve team building interactions is required that equips nurses with the skills in managing interruptions and delegating high priority secondary tasks.

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Going blank: factors contributing to interruptions to nurses’ work and related outcomes

Abstract: Nurse leaders should examine ways in which nurses' work can benefit from system improvements to reduce interruptions that lead to patient safety issues such as treatment delays and loss of concentration.

Cited by 62 publications

References 26 publications

Nurses' experiences with errors in nursing

Nurses' experiences with errors in nursing

Progressive Care Nurses Improving Patient Safety by Limiting Interruptions During Medication Administration

Interruptions and medication administration in critical care

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