Nurses' perceptions of how physical environment affects medication errors in acute care settings
Nurses' perceptions of how physical environment affects medication errors in acute care settings
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DOI：
10.1016/j.apnr.2009.08.005
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发表时间：
2011-11-01
影响因子：
2.2
通讯作者：
Valente, Maria
中科院分区：
文献类型：
--
作者：
Mahmood, Atiya;Chaudhury, Habib;Valente, Maria
护士在医院环境中执行的工作在身体和心理上都是紧张的，有可能产生倦怠和压力。这个问题由于护理单位拥挤和设计不良的工作空间而变得更加复杂，这可能导致医疗错误，包括用药错误。本文是基于一项研究，探讨了护士的感知如何在医院的物理环境影响用药错误。文献表明，减少工作人员的压力，可以通过物理环境的考虑，如改善空气质量，声学和照明。然而，没有实证研究专门探讨物理环境和用药错误之间的关系。在这项研究中，进行了一项横断面调查，护理人员（N = 84）在美国太平洋西北地区的四家医院。调查内容包括护理单元设计、药物室配置、感知错误发生率和不良事件。受访者指出，有几个物理环境因素是潜在的问题，在护理站地区，并可能导致药物，文件，和其他类型的护理错误。这些因素包括图表和文件区空间不足、到病房的步行距离过长、病人监护机会不足/护理单元所有部分的能见度不足、药物室面积小、医疗用品的组织不当、护理单元噪音水平高、照明不足以及护理站缺乏隐私。作为管理人员在急性护理设施考虑战略的组织和工作人员的干预措施，以减少用药错误，重要的是要考虑物理环境因素，有一个全面的了解这个问题。(C)2011 Elsevier Inc. All rights reserved.
The work that nurses perform in hospital environments is physically and psychologically intense, with the potential for burnout and stress. This issue is compounded by crowded and poorly designed work spaces in nursing units that can contribute to medical mistakes, including medication errors. This article is based on a study that examined the nurses' perception of how the physical environment in hospitals affects medication errors. Literature suggests that reduction of staff stress can be achieved through physical environmental considerations, such as improved air quality, acoustics, and lighting. However, there is no empirical study specifically exploring the relationship between aspects of the physical environment and medication errors. In this study, a cross-sectional survey was conducted with nursing staff (N = 84) in four hospitals in the Pacific Northwest region of the United States. The survey included questions on nursing unit design, medication room configurations, perceived incidence of errors, and adverse events. Respondents noted several physical environmental factors that are potentially problematic in the nursing station area and can lead to medication, documentation, and other types of nursing errors. These factors include inadequate space in charting and documentation area, lengthy walking distances to patient rooms, insufficient patient surveillance opportunity/lack of visibility to all parts of the nursing unit, small size of the medication room, inappropriate organization of medical supplies, high noise levels in nursing unit, poor lighting, and lack of privacy in the nursing stations. As administrators in acute care facilities consider strategies for organizational and staff interventions to reduce medication errors, it is important to consider physical environmental factors to have a comprehensive understanding of the issue. (C) 2011 Elsevier Inc. All rights reserved.