作者: Darin Ralph. Wines
DOI:
关键词:
摘要: Medication error is one of the most common preventable problems in United States medical system today (IOM, 2006). In 2006 Institute Medicine recommended there should be “research effort aimed at learning more about preventing medication errors” (p. 3). One way to achieve this goal better understand what contributes errors during administration. Many administration are a direct result “imperfections work system, assignation, staff understanding and working conditions” (Buchini & Quattrin, 2012, p. 327). Research shows identification interruptions or distractions can reduce errors. Understanding create body knowledge for policy future quality improvement. The purpose project was identify interruption trends among nursing personnel on medical-surgical unit hospital Montana. order process surrounding as well timing possible interruptions, descriptive observational design used. Twenty-two nurses surgical were observed 74 passes. Distractions recorded eight different time periods. Findings study did not indicate single variable significantly responsible interruptions. Rather, data identified model which helped explain over 73% it took complete of; face-to-face, issues, other, equipment, pagers all contributed. only contributing equation noise experienced by nurse process. Creating address variables that interfere with could decrease distractions. ultimate standard enhanced efficiency, patient safety.