Author:
Vogelsmeier Amy,Jacobs Alan,Owen Carly,Mosa Abu Saleh Mohammad,Subramanian Ram
Abstract
A controlled pilot study was performed to evaluate implementation of a medication identification device intended to reduce errors in nursing homes. Naïve observation was used for data collection of medication errors on an intervention unit using the device and a control unit, along with field notes describing observation details. Ten staff were observed administering medications to 70 residents over the study time-frame. Of the 9,099 medication administrations observed (
n
= 4,588 intervention;
n
= 4,511 control), 1,068 (12%) errors were identified. The intervention unit had fewer non-time errors versus the control unit, including dose (
n
= 21 vs.
n
= 59;
p
< 0.01), drug (
n
= 4 vs.
n
= 21;
p
<0.01), route (
n
= 0 vs.
n
= 4;
p
< 0.01), and given without order (
n
= 1 vs.
n
= 8;
p
< 0.01). However, time errors were higher on the intervention unit and were often due to late start and interruptions. Non-time errors were due to reliance on memory and nursing judgment. A combination of technology and staff dedicated solely to medication administration likely affected error rate differences. [
Journal of Gerontological Nursing, 48
(4), 5–11.]
Subject
Gerontology,General Nursing
Cited by
2 articles.
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