AIM: To optimise medication administration, prevent medication errors and improve inpatient safety. BACKGROUND: Interventions are needed to reduce medication-related errors and to improve patient safety. METHOD: A five-point management intervention strategy was developed and implemented. A quasi-experimental design was used to examine its effects. RESULTS: Comparing pre-intervention data with post-intervention data, the rate of accurate compliance with medication policies and procedures increased from 86.7% (645/744 doses observed) to 97.5% (725/744). The success rate of medication administration procedures increased from 94.0% (466/496 doses observed) to 96.8% (480/496). Nurse-initiated medication error reports/total medication error reports increased from 77.1% (101/131) to 95.1% (58/61). Rate of inpatient satisfaction with medication increased from 92.1% (3427/3720) to 98.3% (3656/3720). Complaints related to nursing medication administration decreased from 23 to 6 (73.9% reduction). CONCLUSION: The five-point management intervention strategy improved inpatient medication safety: medication errors were reduced, nurses' awareness and skills of medication safety enhanced, inpatient satisfaction improved. However, randomised controlled trials are needed to test its effectiveness. IMPLICATIONS FOR NURSING MANAGEMENT: A systematic approach is vital to address the issues of medication errors and patient safety.
AIM: To optimise medication administration, prevent medication errors and improve inpatient safety. BACKGROUND: Interventions are needed to reduce medication-related errors and to improve patient safety. METHOD: A five-point management intervention strategy was developed and implemented. A quasi-experimental design was used to examine its effects. RESULTS: Comparing pre-intervention data with post-intervention data, the rate of accurate compliance with medication policies and procedures increased from 86.7% (645/744 doses observed) to 97.5% (725/744). The success rate of medication administration procedures increased from 94.0% (466/496 doses observed) to 96.8% (480/496). Nurse-initiated medication error reports/total medication error reports increased from 77.1% (101/131) to 95.1% (58/61). Rate of inpatient satisfaction with medication increased from 92.1% (3427/3720) to 98.3% (3656/3720). Complaints related to nursing medication administration decreased from 23 to 6 (73.9% reduction). CONCLUSION: The five-point management intervention strategy improved inpatient medication safety: medication errors were reduced, nurses' awareness and skills of medication safety enhanced, inpatient satisfaction improved. However, randomised controlled trials are needed to test its effectiveness. IMPLICATIONS FOR NURSING MANAGEMENT: A systematic approach is vital to address the issues of medication errors and patient safety.
Authors: Haresh L Bhatia; Neal R Patel; Catherine H Ivory; Phillip W Stewart; Kim M Unertl; Christoph U Lehmann Journal: Int J Med Inform Date: 2017-11-21 Impact factor: 4.046
Authors: Francisco Miguel Escandell-Rico; Juana Perpiñá-Galvañ; Lucía Pérez-Fernández; Ángela Sanjuán-Quiles; Piedras Albas Gómez-Beltrán; Juan Diego Ramos-Pichardo Journal: Int J Environ Res Public Health Date: 2021-04-02 Impact factor: 3.390