Evidence Briefings on Interventions to Improve Medication Safety
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hospital4-7. However a large study in two Australian teaching hospitals found that interruptions to nurses during medication administration were significantly associated with more medication errors and more severe errors7. Interruptions have been identified as a risk factor for task errors in other industries as well8-12. An example is the aviation industry which implemented the “sterile cockpit” as standard operating practice to remove nonessential conversations during safety critical tasks13 such as taking off and landing. This same concept has been applied in different hospitals in the form of ‘no interruption zones’ for the preparation of medications and the use of ‘do not disturb’ vests for the administration of medications14-18. The effectiveness of such interventions to reduce interruptions during medication preparation and administration in hospitals was assessed in a recent systematic review19 and the results are summarised here.
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Evidence Briefings on Interventions to Improve Medication Safety
The use of automated dispensing systems (ADS), also known as automated dispensing cabinets (ADC), unit-based cabinets (UBC), automated dispensing devices (ADD), automated distribution cabinets and automated dispensing machines (ADM), in hospitals is increasing. In 2011, 40% of US hospital pharmacies had a decentralised inpatient medication distribution system and 89% of those used ADS 1. There ...
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medication discontinuities. Following on from these perceived benefits are possible improvements in the efficiency of the medication administration process and better medication management for patients. eMARs are populated with electronic medication orders generally entered by doctors (often in conjunction with an electronic prescribing system), but also in some instances by pharmacists, pharma...
متن کاملEvidence Briefings on Interventions to Improve Medication Safety
(eMAR) and if a mismatch is detected, the nurse is alerted, typically via a visual or auditory warning on the computer screen. BCMA is believed to enable the verification of the 5 rights of medication management (and so prevent wrong-patient, wrong-dose, wrong-time, wrong-drug and wrong-route errors) 2. The system also ensures accurate and complete documentation of the medication administration...
متن کاملEvidence Briefings on Interventions to Improve Medication Safety
(eMAR) and if a mismatch is detected, the nurse is alerted, typically via a visual or auditory warning on the computer screen. BCMA is believed to enable the verification of the 5 rights of medication management (and so prevent wrong-patient, wrong-dose, wrong-time, wrong-drug and wrong-route errors) 2. The system also ensures accurate and complete documentation of the medication administration...
متن کاملEffectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review.
BACKGROUND There is growing international interest in involving patients in interventions to promote and support them in securing their own safety. This paper reports a systematic review of evaluations of the effectiveness of interventions that have been used with the explicit intention of promoting patient involvement in patient safety in healthcare. METHODS The authors searched Cochrane Dat...
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