| Medication Administration Time Study (MATS): nursing staff performance of medication administration. | |
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MedLine Citation:
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PMID: 19423985 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: The aim of this study was to develop and test a method for assessing nursing effort and workflow in the medication administration process. BACKGROUND: Thousands of patients die each year from medication errors, and hospitals strive for error reduction. Bar-coding medication administration systems have been proposed as a solution; however, many hospitals lack the necessary pre-implementation workflow process data on medication administration processes to evaluate the effectiveness of their current systems. METHOD: A descriptive observation study of 151 nurses during 980 unique medication observations in medical-surgical units at a rural hospital, an urban community hospital, and an academic medical center was conducted. RESULTS: Nurses averaged more than 15 minutes on each medication pass and were at risk of an interruption or distraction with every medication pass. CONCLUSION: System challenges faced by nurses during the medication administration process lead to threats to patient safety, work-arounds, workflow inefficiencies, and distractions during a time when focus is most needed to prevent error. |
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Authors:
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Erika Sharpnack Elganzouri; Cynthia A Standish; Ida Androwich |
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Publication Detail:
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Type: Comparative Study; Evaluation Studies; Journal Article |
Journal Detail:
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Title: The Journal of nursing administration Volume: 39 ISSN: 1539-0721 ISO Abbreviation: J Nurs Adm Publication Date: 2009 May |
Date Detail:
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Created Date: 2009-05-08 Completed Date: 2009-05-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1263116 Medline TA: J Nurs Adm Country: United States |
Other Details:
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Languages: eng Pagination: 204-10 Citation Subset: AIM; IM; N |
Affiliation:
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Northwestern Memorial Hospital, 251 East Huron Street, Chicago, IL 60611, USA. esharpna@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Academic Medical Centers Documentation Drug Therapy / nursing* Efficiency, Organizational Employee Performance Appraisal Hospitals, Community Hospitals, Rural Hospitals, Urban Humans Medical Order Entry Systems / organization & administration Medical Records Systems, Computerized / organization & administration Medication Errors / nursing, prevention & control, statistics & numerical data Medication Systems, Hospital / organization & administration* Nurse's Role* Nursing Administration Research Nursing Staff, Hospital / organization & administration* Safety Management Systems Analysis Time and Motion Studies Workload |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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