Elganzouri Erika Sharpnack, Standish Cynthia A, Androwich Ida
Northwestern Memorial Hospital, 251 East Huron Street, Chicago, IL 60611, USA.
J Nurs Adm. 2009 May;39(5):204-10. doi: 10.1097/NNA.0b013e3181a23d6d.
The aim of this study was to develop and test a method for assessing nursing effort and workflow in the medication administration process.
Thousands of patients die each year from medication errors, and hospitals strive for error reduction. Bar-coding medication administration systems have been proposed as a solution; however, many hospitals lack the necessary pre-implementation workflow process data on medication administration processes to evaluate the effectiveness of their current systems.
A descriptive observation study of 151 nurses during 980 unique medication observations in medical-surgical units at a rural hospital, an urban community hospital, and an academic medical center was conducted.
Nurses averaged more than 15 minutes on each medication pass and were at risk of an interruption or distraction with every medication pass.
System challenges faced by nurses during the medication administration process lead to threats to patient safety, work-arounds, workflow inefficiencies, and distractions during a time when focus is most needed to prevent error.
本研究的目的是开发并测试一种评估药物管理过程中护理工作强度和工作流程的方法。
每年有成千上万的患者死于用药错误，医院一直在努力减少此类错误。条形码药物管理系统已被提议作为一种解决方案；然而，许多医院缺乏实施前关于药物管理流程的必要工作流过程数据，以评估其现有系统的有效性。
在一家乡村医院、一家城市社区医院和一家学术医疗中心的内科-外科病房，对151名护士进行了980次独特的药物观察，开展了一项描述性观察研究。
护士每次给药平均耗时超过15分钟，且每次给药都有被打断或分心的风险。
护士在药物管理过程中面临的系统挑战，会对患者安全构成威胁，导致采用变通方法、工作流程效率低下，并在最需要集中精力预防错误的时候造成分心。
