alexa Abstract | Ensuring Safe Medication Administration through Direct Observation

Quality in Primary Care
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Research Article Open Access

Abstract

Background and Objectives: A medication administration process was examined within a university affiliated pediatric hospital. Areas for future improvement will be identified in order to enhance medication practices and ensure the safety of patients during a medication administration.

Methods: To evaluate the effectiveness of the medication administration process in regards to patient safety and quality assurance, a direct observation study of inpatient units was conducted. The outcomes of this study address labeling medication, patient identifiers, the Five Rights of medication administration , the use of nursing staff worksheets, double checks , and the presence of distractions and interruptions during the medication administration process.

Results: From the 60 observations, information was collected and then analyzed both quantitatively as well as qualitatively. The numerical outcomes are shown in the following graphs and the data are discussed at length. The data identify areas where improvements can be made to ensure safe medication administration.

Conclusions: This study provides a first step towards making quality changes to ensure the safety of patients during a medication administration. In order to draw more conclusive results, collection of data would need to take place over a prolonged period of time with a sample population proportionate to the institution.

To read the full article Peer-reviewed Article PDF image | Peer-reviewed Full Article image

Author(s): Katelyn YoungKatie Cochran Mei Mei Karen AdkinsBley Scott Ciarkowski Deborah Wagner

Keywords

medication errors, medication administration errors, patient safety, quality assurance, Comprehensive primary care, Innovative primary care, Quality in Primary care, Primary care clinic management, Advanced concepts in primary care

 
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