Nurses' role in medication safety

被引:84
作者
Choo, Janet [1 ,2 ]
Hutchinson, Alison [3 ,4 ]
Bucknall, Tracey [3 ,4 ]
机构
[1] Changi Gen Hosp, Singapore, Singapore
[2] Univ Melbourne, Melbourne, Vic 3010, Australia
[3] Deakin Univ, Malvern, Vic, Australia
[4] Cabrini Hlth, Cabrini Deakin Ctr Nursing Res, Malvern, Vic, Australia
关键词
decision making; information technology; medication administration; medication error; medication safety; nursing; ADVERSE EVENTS; HEALTH-CARE; ERRORS; PERCEPTIONS; SYSTEMS; BARRIERS;
D O I
10.1111/j.1365-2834.2010.01164.x
中图分类号
C93 [管理学];
学科分类号
12 ; 1201 ; 1202 ; 120202 ;
摘要
Aim To explore the nurse's role in the process of medication management and identify the challenges associated with safe medication management in contemporary clinical practice. Background Medication errors have been a long-standing factor affecting consumer safety. The nursing profession has been identified as essential to the promotion of patient safety. Evaluation A review of literature on medication errors and the use of electronic prescribing in medication errors. Key issues Medication management requires a multidisciplinary approach and interdisciplinary communication is essential to reduce medication errors. Information technologies can help to reduce some medication errors through eradication of transcription and dosing errors. Nurses must play a major role in the design of computerized medication systems to ensure a smooth transition to such as system. Conclusion The nurses' roles in medication management cannot be over-emphasized. This is particularly true when designing a computerized medication system. Implication for nursing management The adoption of safety measures during decision making that parallel those of the aviation industry safety procedures can provide some strategies to prevent medication error. Innovations in information technology offer potential mechanisms to avert adverse events in medication management for nurses.
引用
收藏
页码:853 / 861
页数:9
相关论文
共 56 条
[1]  
[Anonymous], 1999, ERR IS HUM BUILD SAF
[2]  
[Anonymous], 1994, Human Factors in Simple and Complex Systems
[3]  
[Anonymous], ISMP SURV HELPS DEF
[4]   Reporting and preventing medical mishaps: lessons from non-medical near miss reporting systems [J].
Barach, P ;
Small, SD .
BMJ-BRITISH MEDICAL JOURNAL, 2000, 320 (7237) :759-763
[5]   RELATIONSHIP BETWEEN MEDICATION ERRORS AND ADVERSE DRUG EVENTS [J].
BATES, DW ;
BOYLE, DL ;
VLIET, MVV ;
SCHNEIDER, J ;
LEAPE, L .
JOURNAL OF GENERAL INTERNAL MEDICINE, 1995, 10 (04) :199-205
[6]   Untitled [J].
Bucknall, Tracey ;
Hutchinson, Alison M. .
WORLDVIEWS ON EVIDENCE-BASED NURSING, 2006, 3 (04) :137-138
[7]  
COUSINS DD, 1998, MED USE SYSTEMS APPR
[8]   Medication preparation and administration: Analysis of inquiries and information by the nursing team [J].
da Silva, Daniela Odnicki ;
Grou, Cris Renata ;
Miass, Adriana Inocenti ;
De Bortoli Cassiani, Silvia Helena .
REVISTA LATINO-AMERICANA DE ENFERMAGEM, 2007, 15 (05) :1010-1017
[9]   IS THERE A CURE FOR DRUG ERRORS - BETTER SYSTEMS SHOULD BE ADOPTED TO IDENTIFY AND ELIMINATE ERRORS [J].
FERNER, RE .
BMJ-BRITISH MEDICAL JOURNAL, 1995, 311 (7003) :463-464
[10]  
Freidson E., 1988, PROFESSION MED STUDY