Thomas Lily, Donohue-Porter Patricia, Stein Fishbein Joanna
Northwell Health, New Hyde Park, New York (Dr Thomas); Adelphi University College of Nursing and Public Health, Garden City, New York (Dr Donohue-Porter); and Feinstein Institute for Medical Research, Northwell Health, Manhasset, New York (Ms Fishbein).
J Nurs Care Qual. 2017 Oct/Dec;32(4):309-317. doi: 10.1097/NCQ.0000000000000256.
Medication administration errors are difficult to intercept since they occur at the end of the process. The study describes interruptions, distractions, and cognitive load experienced by registered nurses during medication administration and explores their impact on procedure failures and medication administration errors. The focus of this study was unique as it investigated how known individual and environmental factors interacted and culminated in errors.
给药错误很难被拦截，因为它们发生在流程的最后阶段。该研究描述了注册护士在给药过程中所经历的干扰、分心和认知负荷，并探讨了它们对操作失误和给药错误的影响。这项研究的重点很独特，因为它调查了已知的个体因素和环境因素是如何相互作用并最终导致错误的。
