Medication Safety Initiative in Reducing Medication Errors

Nguyen, Elisa; Connolly, Phyllis M.; Wong, Vivian K.

doi:10.1097/ncq.0b013e3181ce3ae4

Cited by 54 publications

(52 citation statements)

References 12 publications

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“…Our results are in accordance with those reported by Hellings et al 14 and the study conducted in Taiwan and China 4 23 28. Meanwhile, a study by Elisa E in a Northern California hospital of the USA showed that the most common causes of medication errors were high workload (25.3%), fatigue or lack of sleep (16.5%) 29. Therefore, it is important for the pharmacy to allocate staff and working hours more adequately to reduce the medication errors and improve patient safety.…”

Section: Discussionsupporting

confidence: 92%

Safety culture in a pharmacy setting using a pharmacy survey on patient safety culture: a cross-sectional study in China

Jia

Zhang

et al. 2014

BMJ Open

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ObjectiveTo explore the attitudes and perceptions of patient safety culture for pharmacy workers in China by using a Pharmacy Survey on Patient Safety Culture (PSOPSC), and to assess the psychometric properties of the translated Chinese language version of the PSOPSC.DesignCross-sectional study.ParticipantsData were obtained from 20 hospital pharmacies in the southwest part of China.MethodsWe performed χ2 test to explore the differences on pharmacy staff in different hospital and qualification levels and countries towards patient safety culture. We also computed descriptive statistics, internal consistency coefficients and intersubscale correlation analysis, and then conducted an exploratory factor analysis. A test–retest was performed to assess reproducibility of the items.ResultsA total of 630 questionnaires were distributed of which 527 were responded to validly (response rate 84%). The positive response rate for each item ranged from 37% to 90%. The positive response rate on three dimensions (‘Teamwork’, ‘Staff Training and Skills’ and ‘Staffing, Work Pressure and Pace’) was higher than that of Agency for Healthcare Research and Quality (AHRQ) data (p<0.05). There was a statistical difference in the perception of patient safety culture at different hospital and qualification levels. The internal consistency of the total survey was comparatively satisfied (Cronbach's α=0.89).ConclusionsThe results demonstrated that among the pharmacy staffs surveyed in China, there was a positive attitude towards patient safety culture in their organisations. Identifying perspectives of patient safety culture from pharmacists in different hospital and qualification levels are important, since this can help support decisions about action to improve safety culture in pharmacy settings. The Chinese translation of the PSOPSC questionnaire (V.2012) applied in our study is acceptable.

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Section: Discussionsupporting

confidence: 92%

Safety culture in a pharmacy setting using a pharmacy survey on patient safety culture: a cross-sectional study in China

Jia

Zhang

et al. 2014

BMJ Open

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“…Eleven papers met the inclusion criteria (figure 1). 22 26 31–39 Of these, two papers by Nguyen et al 35 36 reported results from the same study with the second paper reporting data from a further follow-up period in addition to the original baseline data. Thus only results from the second paper are presented in the results and tables.…”

Section: Resultsmentioning

confidence: 99%

“…Two papers by Kliger et al 33 34 also presented findings on the same project, but with an extended sample and follow-up data, thus both were included as separate studies. Studies by Kliger et al and Nguyen et al 36 were related to the same broader project, the ‘Integrated Nurse Leadership Program’. Online supplementary table S1 reports details of the studies, including setting, interventions implemented, outcomes and methods of measurement.…”

Section: Resultsmentioning

confidence: 99%

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review

2013

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BackgroundMedication administration errors are frequent and lead to patient harm. Interruptions during medication administration have been implicated as a potential contributory factor.ObjectiveTo assess evidence of the effectiveness of interventions aimed at reducing interruptions during medication administration on interruption and medication administration error rates.MethodsIn September 2012 we searched MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane Effective Practice and Organisation of Care Group reviews, Google and Google Scholar, and hand searched references of included articles. Intervention studies reporting quantitative data based on direct observations of at least one outcome (interruptions, or medication administration errors) were included.ResultsTen studies, eight from North America and two from Europe, met the inclusion criteria. Five measured significant changes in interruption rates pre and post interventions. Four found a significant reduction and one an increase. Three studies measured changes in medication administration error rates and showed reductions, but all implemented multiple interventions beyond those targeted at reducing interruptions. No study used a controlled design pre and post. Definitions for key outcome indicators were reported in only four studies. Only one study reported κ scores for inter-rater reliability and none of the multi-ward studies accounted for clustering in their analyses.ConclusionsThere is weak evidence of the effectiveness of interventions to significantly reduce interruption rates and very limited evidence of their effectiveness to reduce medication administration errors. Policy makers should proceed with great caution in implementing such interventions until controlled trials confirm their value. Research is also required to better understand the complex relationship between interruptions and error to support intervention design.

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“…25 In the quality improvement project presented here, the project team implemented a set of evidence-based strategies to limit interruptions during scheduled, peak medication administration times in the progressive cardiac care setting. The project team embedded the interruption strategies into practice guidelines to promote communication, coordination of care, and teamwork during medication administration.…”

Section: Introduction To the Progressive Cardiac Care Quality Improvementioning

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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Medication Safety Initiative in Reducing Medication Errors

Cited by 54 publications

References 12 publications

Safety culture in a pharmacy setting using a pharmacy survey on patient safety culture: a cross-sectional study in China

Safety culture in a pharmacy setting using a pharmacy survey on patient safety culture: a cross-sectional study in China

Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review

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

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