Use of Simulation to Measure the Effects of Just-in-Time Information to Prevent Nursing Medication Errors

Abstract

Introduction: Medication administration error (MAE) is the improper dispensing of medication. It is a significant contributor to the occurrence of medical errors. A novel systems thinking approach using a pediatric simulation and student nurses were used to evaluate the benefit of applying just-in-time information (JITI) to reduce medication errors. Just-intime information applies highly focused information delivered when needed. Methods: A smart device app was developed to provide JITI medication administration information. The effect JITI had on MAE occurrence was assessed via a controlled study. The study population included 38 teams having 2 to 3 senior nursing students on each team. The teams were separated into a control and 2 intervention groups to complete a medication administration simulation. Results: The intervention groups (100%, N = 10) that made significant use of the JITI app demonstrated improved performance for medication administration over the control group. Familiarity with the app was pivotal to how frequently it was used and to the success of the groups in administering medications. Although those with access to the app having limited training successfully executed the simulation 27.3% (n = 11) of the time, those with extended training had a success rate of 77.8% (n = 9). Conclusions: Providing JITI significantly reduced the occurrence of MAEs for these student nurses. Familiarity with the app, including extended training opportunities, contributed significantly to student success.

Realistic simulation in the preparation and administration of medications: a systematic review

“…The most frequent simulations are performed in high-fidelity laboratories (58%), using mannequins, labels, equipment and an environment prepared to get as close as possible to real care (Minor et al, 2019;Lane;Roberts, 2021;Kothari et al, 2021;O' Leary et al, 2013;Damhoff et al, 2014;Hayes et al, 2015;Keating et al, 2021;Raurell-Torredà et al, 2021;Russ et al, 2014;Hawley et al, 2019;Dudas;Barone, 2015;Stevens et al, 2015;Wyatt et al, 2020;Siebert et al, 2021;Adapa et al, 2012;booth et al, 2018;Breitkreuz et al, 2016;Estock et al, 2018;Enriquez et al, 2017;Prakash et al, 2014;Pinkney et al, 2014;VYAS et al, 2012;MERRY et al, 2017;GARCIA et al 2017;Metzger et al, 2015;Khan et al, 2016;Cooke et al, 2017;Pinkney et al, 2019;Frenzel et al, 2020;Hebbar et al, 2018;Cotteret et al, 2019;Porter et al, 2014;Wang et al, 2017;Booth et al, 2017;Lobos et al, 2019;Thibault et al, 2019;Crimmins et al, 2018;Berg et al, 2021).…”

A Novel Just-In-Time-Online-Training for Nasopharyngeal Swab Specimen Collection During the COVID-19 Pandemic

“…Previous studies have reported successful training outcomes using Just-In-Time training for skill refresh to perform a procedure resulting in improved procedural confidence, performance, patient satisfaction, and clinical outcomes [6,[9][10][11][12]. A recent study suggests the use of Just-In-Time training improved HCPs' competencies (knowledge) to respond during the COVID-19 pandemic [13].…”

“…We used the basic principles of Just-in-Time training to develop this novel delivery method that is JITOT [6]. Educators and curriculum developers may find some of the following tips helpful in setting up JITOT: Our training evaluation indicated that more than 90% of the respondents (n=29) either agreed or strongly agreed regarding the value of the training content to their job, received new information, clarified their current information, used appropriate delivery method of the training, and will use the concepts they learned at their job.…”

“…We used the basic principles of Just-in-Time training to develop this novel delivery method that is JITOT [ 6 ]. Educators and curriculum developers may find some of the following tips helpful in setting up JITOT:…”

“…We used the basic principles of Just-In-Time training theory to develop this training that includes delivering the right information at the right time using the correct method [ 6 ].…”