Interruptions and distractions of nurses during medication administration on a medical surgical unit

作者: Darin Ralph. Wines

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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.

参考文章(53)
Tess M Pape, Denise M Guerra, Marguerite Muzquiz, John B Bryant, Michelle Ingram, Bonnie Schranner, Armando Alcala, Johanna Sharp, Dawn Bishop, Estella Carreno, Jesusita Welker, Innovative approaches to reducing nurses' distractions during medication administration. Journal of Continuing Education in Nursing. ,vol. 36, pp. 108- 116 ,(2005) , 10.3928/0022-0124-20050501-08
T Vaughn, M A Blegen, A multisite study of nurse staffing and patient occurrences. Nursing Economics. ,vol. 16, pp. 196- 203 ,(1998)
Eugene C. Nelson, Paul B. Batalden, Marjorie M. Godfrey, Quality by design : a clinical microsystems approach Jossey-Bass. ,(2007)
Pamela Nichols, Tandy‐Sue Copeland, Ian A Craib, Paul Hopkins, David G Bruce, Learning from error: identifying contributory causes of medication errors in an Australian hospital The Medical Journal of Australia. ,vol. 188, pp. 276- 279 ,(2008) , 10.5694/J.1326-5377.2008.TB01619.X
James P. Turley, Juliana J. Brixey, Jiajie Zhang, Todd R. Johnson, Zhihua Tang, David J. Robinson, Interruptions in Workflow for RNs in a Level One Trauma Center american medical informatics association annual symposium. ,vol. 2005, pp. 86- 90 ,(2005)
Enrico W Coiera, Rohan A Jayasuriya, Jennifer Hardy, Aiveen Bannan, Max E C Thorpe, Communication loads on clinical staff in the emergency department. The Medical Journal of Australia. ,vol. 176, pp. 415- 418 ,(2002) , 10.5694/J.1326-5377.2002.TB04482.X
Elizabeth Manias, Mari Botti, Tracey Bucknall, Observation of pain assessment and management − the complexities of clinical practice Journal of Clinical Nursing. ,vol. 11, pp. 724- 733 ,(2002) , 10.1046/J.1365-2702.2002.00691.X
SARA BUCHINI, ROSANNA QUATTRIN, Avoidable interruptions during drug administration in an intensive rehabilitation ward: improvement project Journal of Nursing Management. ,vol. 20, pp. 326- 334 ,(2012) , 10.1111/J.1365-2834.2011.01323.X
M. Lyons, R. Brown, R. Wears, Factors that affect the flow of patients through triage. Emergency Medicine Journal. ,vol. 24, pp. 78- 85 ,(2007) , 10.1136/EMJ.2006.036764
Lisa Mariani Kosits, Katherine Jones, Interruptions Experienced by Registered Nurses Working in the Emergency Department Journal of Emergency Nursing. ,vol. 37, pp. 3- 8 ,(2011) , 10.1016/J.JEN.2009.12.024