Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.

@article{Hayes2015MedicationEI,
  title={Medication errors in hospitals: a literature review of disruptions to nursing practice during medication administration.},
  author={Carolyn Hayes and Debra Jackson and Patricia M. Davidson and Tamara Power},
  journal={Journal of clinical nursing},
  year={2015},
  volume={24 21-22},
  pages={
          3063-76
        }
}
AIMS AND OBJECTIVES The purpose of this review was to explore what is known about interruptions and distractions on medication administration in the context of undergraduate nurse education. [] Key MethodDESIGN Systematic, critical literature review. METHODS Utilising the electronic databases, of Medline, Scopus, PubMed and CINAHL, and recognised quality assessment guidelines, 19 articles met the inclusion criteria.

Figures and Tables from this paper

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Interrupting medication administration in realistic and safe settings facilitates awareness, allows for students to begin to develop management strategies in relation to interruption and increases their confidence.
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TLDR
Interruptions in the medication process are frequent, interfere in the workload of the nursing team and may reflect on the safety of care.
MEDICATION ERROR OVERVIEW AND PREVENTION STRATEGIES
  • Medicine
    American International Journal of Social Science Research
  • 2021
TLDR
It is critically important to have complete knowledge of the medication use chain and integrate evidence-based strategies, such as medication reconciliation, analysis of medication error, double-check, and avoiding interruption and distraction into practice.
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References

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TLDR
A review of the empirical literature on factors that contribute to medication errors finds consistency between health care professionals as to what constitutes medication error will contribute to increased accuracy and compliance in reporting of medication errors, thereby informing health care policies aimed at reducing the occurrence of medication error.
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TLDR
The nurse's role in the process of medication management is explored and the challenges associated with safe medication management in contemporary clinical practice are identified and nurses' roles cannot be over-emphasized.
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TLDR
Evidence is provided that protocol checklists and signage can be used as reminders to reduce distractions, and are simple, inexpensive tools for medication safety.
Are interventions to reduce interruptions and errors during medication administration effective?: a systematic review
TLDR
Evidence of the effectiveness of interventions aimed at reducing interruptions during medication administration on interruption and medication administration error rates is weak and policy makers should proceed with great caution until controlled trials confirm their value.
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TLDR
It is described that medication administration entailed a complex mixture of varied and often competing demands that temporally structured the nurses’ entire workday and called into question the current emphasis on reducing interruptions as a tactic to decrease medication errors.
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TLDR
Among nurses at 2 hospitals, the occurrence and frequency of interruptions were significantly associated with the incidence of procedural failures and clinical errors and was associated with higher procedural failure rates.
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Enhancing patient safety: the importance of direct supervision for avoiding medication errors and near misses by undergraduate nursing students.
TLDR
In-depth semi-structured interviews were conducted with undergraduate nursing students based in a university in Queensland to explore their experiences of administering medication in the clinical setting, finding medication errors by nursing students have the potential to impact significantly on patient safety, quality of health care, and on nursing students' perceptions of their professional competence.
Factors contributing to incidents in medicine administration. Part 2.
TLDR
These nurses' views confirmed that factors identified in the literature as contributing to medication incidents were problematic for them too, and suggested ways of reducing errors were 'protected' medicine rounds, unique or distinct packaging of medications and regular revision sessions on mathematical calculations.
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