Patricia L. Trbovich

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OBJECTIVE The goal of this study was to assess the nature and frequency of interruptions during medication administration and the interruptions' effects on task efficiency to guide healthcare managers/executives in improving patient safety and staff productivity. BACKGROUND Interruptions have been identified as causal factors in medication administration(More)
BACKGROUND Nurses are frequently interrupted during medication verification and administration; however, few interventions exist to mitigate resulting errors, and the impact of these interventions on medication safety is poorly understood. OBJECTIVE The study objectives were to (A) assess the effects of interruptions on medication verification and(More)
Interruptions are causal factors in medication errors. Although researchers have assessed the nature and frequency of interruptions during medication administration, there has been little focus on understanding their effects during medication ordering. The goal of this research was to examine the nature, frequency, and impact of interruptions on(More)
OBJECTIVE Assess the impact of infusion pump technologies (traditional pump vs smart pump vs smart pump with barcode) on nurses' ability to safely administer intravenous medications. DESIGN Experimental study with a repeated measures design. SETTING High-fidelity simulated inpatient unit. RESULTS The nurses remedied 60% of "wrong drug" errors. This(More)
OBJECTIVE To determine what components of a checklist contribute to effective detection of medication errors at the bedside. DESIGN High-fidelity simulation study of outpatient chemotherapy administration. SETTING Usability laboratory. PARTICIPANTS Nurses from an outpatient chemotherapy unit, who used two different checklists to identify four(More)
Healthcare is a complex system that involves high risk to patients, clinicians, manufacturers, and other stakeholders. Clinicians process inordinate amounts of data and synthesize these inputs to make critical decisions that affect patient health and safety. The unprecedented advancement in medical technology during the past half-century has contributed(More)
PURPOSE Intensive care unit (ICU) nurses get interrupted frequently. Although interruptions take cognitive resources from a primary task and may hinder performance, they may also convey critical information. Effective management of interruptions in ICUs requires the understanding of interruption characteristics, the context in which interruption happens,(More)
INTRODUCTION Errors in trauma resuscitation are common and have been attributed to breakdowns in the coordination of system elements (eg, tools/technology, physical environment and layout, individual skills/knowledge, team interaction). These breakdowns are triggered by unique circumstances and may go unrecognised by trauma team members or hospital(More)
BACKGROUND In a previous study, we observed that the majority of interruptions experienced by nurses in a cardiovascular intensive care unit (CVICU) carried information directly related to their patient or other aspects of work affecting other patients or indirectly affecting their patient. Further, the proportion of interruptions with personal content was(More)