Progressive Care Nurses Improving Patient Safety by Limiting Interruptions During Medication Administration
Progressive Care Nurses Improving Patient Safety by Limiting Interruptions During Medication Administration
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DOI：
10.4037/ccn2016498
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发表时间：
2016-08-01
影响因子：
1.6
通讯作者：
Lefaiver, Cheryl
中科院分区：
文献类型：
--
作者：
Flynn, Fran;Evanish, Julie Q.;Lefaiver, Cheryl
背景由于在给药过程中中断的频率很高，在许多质量改进计划中已经评估了在给药过程中限制中断的策略的有效性，以努力减少给药错误。在3个渐进式心脏监护病房（PCCU）中的药物给药高峰时间。该项目的第二个目的是评估的影响，限制中断用药errors.METHODS的中断和用药错误的百分比之前和之后实施的循证策略，以限制中断测量使用直接观察2 PCCU护士。第三个PCCU的护士作为对照组。结果在实施限制中断的循证策略后，1个PCCU的中断（P < .001）和用药错误（P = .02）显着减少。避免中断减少83%，PCCU1和53%，PCCU2实施后的循证策略。结论实施循证策略，以限制PCCU中断减少可避免的中断，促进患者的安全。
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.