Clinical relevance of and risk factors associated with medication administration time errors.
Purpose. The clinical relevance of and risk factors associated with errors related to medication administration time were studied. Methods. In this explorative study, 66 medication administration rounds were studied on two wards (surgery and neurology) of a hospital. Data on medication errors were c...
| Publicado en: | American Journal of Health-System Pharmacy Vol. 70; no. 12; pp. 1052 - 1057 |
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| Autores principales: | , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Oxford University Press / USA
6/15/2013
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=104190313&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 104190313 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10792082 1X3 jtl: American Journal of Health-System Pharmacy issn: 10792082 maglogo: N pubinfo: dt: 6/15/2013 vid: 70 iid: 12 pid: 622 pub: Oxford University Press / USA artinfo: ui: 104190313 88906815 10.2146/ajhp120247 NLM23719883 104190313 ppf: 1052 ppct: 5 formats: fmt: @attributes: type: P tig: atl: Clinical relevance of and risk factors associated with medication administration time errors. aug: au: Teunissen, Rick Bos, Jacqueline Pot, Hans Pluim, Marien Kramers, Cornelis affil: Junior Researcher, Canisius-Wilhelmina Ziekenhuis, Nijmegen, Netherlands sug: subj: Medication Errors Risk Factors Time Factors Drug Administration Human Exploratory Research Cross Sectional Studies Netherlands Academic Medical Centers Male Female Descriptive Statistics Middle Age Aged Aged, 80 and Over Multivariate Analysis Data Analysis Software Data Collection Methods Middle Aged: 45-64 years Aged: 65+ years Aged, 80 & over Male Female ab: Purpose. The clinical relevance of and risk factors associated with errors related to medication administration time were studied. Methods. In this explorative study, 66 medication administration rounds were studied on two wards (surgery and neurology) of a hospital. Data on medication errors were collected using the blister collection method. The emptied packaging material of medication was collected after each round and compared with each patient's medication orders. Administration time errors were defined as medication administration (actual intake) occurring more than one hour before or after the prescribed time. Generalized estimating equations analysis was performed to study the correlation between medication administration errors and risk factors. Results. Data from 129 patients were included in the study. Among these 129 patients, 2874 opportunities for error were recorded. The majority of opportunities for error occurred during the 7 a.m. round. Within the 2874 opportunities for errors, 10 administration time errors occurred for medications that might interact with food or another medication. Time of administration (noon and 3 p.m.), route of administration (injection or infusion), and frequency of administration (if necessary) had significant protective effects against the occurrence of administration time errors. The rectal route of administration was associated with a significant increase in the frequency of administration time errors compared with the oral route. A clinically relevant administration time error occurred in 2 cases (0.07%). Conclusion. Analysis of medication administration rounds found time errors to be the most common medication error. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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