scholarly journals The impact of Interruptions on Medication Errors in Hospitals: A Direct Observational Study of Nurses

2020 ◽  
Vol 5 (2) ◽  
Keyword(s):  
Observational Study ◽  
Medication Errors ◽  
Drug Administration ◽  
Sampling Technique ◽  
Medication Administration ◽  
P Value ◽  
Drug Preparation ◽  
Close Monitoring ◽  
Phone Calls ◽  
The Impact

Aim: Aim this study is to observe the existence of interruptions during drug preparation as well as administration including the cause of interruptions, time taken from the primary purpose (drug administration), secondary activities performed and the extent of clinical. Background: Many researches on the frequency of occurrence of medication administration faults or errors have been conducted but only a few have examined the occurrence of drug administration associated variations from safe practice. During the medication administration cycle conducted by staff nurses in hospital surroundings, interruptions are common and have been shown to be correlated with an development in the occurrence and medication administration errors. Methodology: A observational study conducted. Convenient sampling technique used in this study. Inside a large government teaching hospital in Lahore, a suitability sample of six medical unit, surgical unit. Result: A significant association has been found between medication administration and medication preparation errors and interruption like talking with other health care personnel, patients or attendant queries, phone calls (p-value=<0.001). Nearly 96% of the study nurses who were interrupted during medication committed medication errors. During medication administration incidents, close monitoring of nurses culminated in 100 percent recorded medication administration activities. One third of the interruptions were by other nurses trying to share patient and process details, including asking queries, providing orders, recording details and finding support. Clinical and operational problems found in incidents relevant to drug administration. 72 percent of the reported drug incidents have been shown to involve administrative deficiencies. Conclusion: It is confirmed that interruptions sometimes arise and are related to operational deficiencies and clinical errors. There is an immediate need for instructional programs that reflect on the significance of interruptions, their connection with procedure malfunction and clinical negligence.

scholarly journals Implementation of an Automated Dispensing Cabinet System and Its Impact on Drug Administration: Longitudinal Study

10.2196/24542 ◽  
2021 ◽  
Vol 5 (9) ◽  
pp. e24542
Author(s):  
Yi-Chen Wang ◽  
Chin-Yuan Tsan ◽  
Meng-Chun Chen
Keyword(s):  
Longitudinal Study ◽  
Drug Administration ◽  
The United States ◽  
Medication Administration ◽  
University Hospital ◽  
Drug Preparation ◽  
Stock Management ◽  
Preparation Time ◽  
Before And After ◽  
The Impact

Background A technology that has been widely implemented in hospitals in the United States is the automated dispensing cabinet (ADC), which has been shown to reduce nurse drug administration errors and the time nurses spend administering drugs. Objective This study aimed to determine the impact of an ADC system on medication administration by nurses as well as safety before and after ADC implementation. Methods We conducted a 24-month-long longitudinal study at the National Taiwan University Hospital in Taipei, Taiwan. Clinical observations and questionnaires were used to evaluate the time differences in drug preparation, delivery, and returns in the inpatient ward by nurses before and after using the ADC. Drug errors recorded in the Medical Incident Events system were assessed the year before and after ADC implementation. Results The drug preparation time of the wards increased significantly (all P<.005). On average, 2 minutes of preparation time is needed for each patient. Only 1 unit showed an increase in the drug return time, but this was not significant. There were 9 (45%) adverse events during the drug administration phase, and 11 (55%) events occurred during the drug-dispensing phase. Although a decrease in the mean number of events reported was observed during the ADC implementation period, this difference was not significant. As for the questionnaire that were administered to the nurses, the overall mean score was 3.90; the highest score was for the item “I now spend less time waiting for medications that come from the pharmacy than before the ADC was implemented” (score=4.24). The item with the lowest score was “I have to wait in line to get my patient medications” (score=3.32). Conclusions The nurses were generally satisfied with ADC use over the 9 months following complete implementation and integration of the system. It was acknowledged that the ADC offers benefits in terms of pharmaceutical stock management; however, this comes at the cost of increased nursing time. In general, the nurses remained supportive of the benefits for their patients, despite consequences to their workflows. Their acceptance of the ADC system in this study demonstrates this.

scholarly journals Implementation of an Automated Dispensing Cabinet System and Its Impact on Drug Administration: Longitudinal Study (Preprint)

2020 ◽  
Author(s):  
Yi-Chen Wang ◽  
Chin-Yuan Tsan ◽  
Meng-Chun Chen
Keyword(s):  
Longitudinal Study ◽  
Drug Administration ◽  
The United States ◽  
Medication Administration ◽  
University Hospital ◽  
Drug Preparation ◽  
Stock Management ◽  
Preparation Time ◽  
Before And After ◽  
The Impact

BACKGROUND A technology that has been widely implemented in hospitals in the United States is the automated dispensing cabinet (ADC), which has been shown to reduce nurse drug administration errors and the time nurses spend administering drugs. OBJECTIVE This study aimed to determine the impact of an ADC system on medication administration by nurses as well as safety before and after ADC implementation. METHODS We conducted a 24-month-long longitudinal study at the National Taiwan University Hospital in Taipei, Taiwan. Clinical observations and questionnaires were used to evaluate the time differences in drug preparation, delivery, and returns in the inpatient ward by nurses before and after using the ADC. Drug errors recorded in the Medical Incident Events system were assessed the year before and after ADC implementation. RESULTS The drug preparation time of the wards increased significantly (all <i>P</i>&lt;.005). On average, 2 minutes of preparation time is needed for each patient. Only 1 unit showed an increase in the drug return time, but this was not significant. There were 9 (45%) adverse events during the drug administration phase, and 11 (55%) events occurred during the drug-dispensing phase. Although a decrease in the mean number of events reported was observed during the ADC implementation period, this difference was not significant. As for the questionnaire that were administered to the nurses, the overall mean score was 3.90; the highest score was for the item “I now spend less time waiting for medications that come from the pharmacy than before the ADC was implemented” (score=4.24). The item with the lowest score was “I have to wait in line to get my patient medications” (score=3.32). CONCLUSIONS The nurses were generally satisfied with ADC use over the 9 months following complete implementation and integration of the system. It was acknowledged that the ADC offers benefits in terms of pharmaceutical stock management; however, this comes at the cost of increased nursing time. In general, the nurses remained supportive of the benefits for their patients, despite consequences to their workflows. Their acceptance of the ADC system in this study demonstrates this. CLINICALTRIAL

scholarly journals effects of anemia education using web-based she smart to improve knowledge, attitudes, and practice in adolescent girls

2022 ◽  
Vol 5 (1) ◽  
pp. 44-49
Author(s):  
Ernawati Ernawati ◽  
Yusring Sanusi Baso ◽  
Healthy Hidayanty ◽  
Syafruddin Syarif ◽  
Aminuddin Aminuddin ◽  
...  
Keyword(s):  
Adolescent Girls ◽  
Statistical Tests ◽  
Sampling Technique ◽  
P Value ◽  
Growth Disorders ◽  
Normal Numbers ◽  
Web Based ◽  
Before And After ◽  
Smart Education ◽  
The Impact

Anemia is a state of hemoglobin levels in the bloodless than normal numbers according to the sex and age group. The impact of anemia in adolescents is a decrease in achievement and learning spirit and can cause symptoms such as paleness, lethargy, decreased appetite, and growth disorders. Anemia has an impact not only on the health of adolescent girls but can have a long impact on the health of the mother and fetus. You can see the influence of anemia education on knowledge, attitudes, and practice. Uses the Pre-experimental method with the design of one group pretest and posttest. Sampling technique using purposive sampling with the number of 47 adolescent girls. The research was conducted at Senior High School 12 Makassar in September-October 2021. Data analysis using the McNemar test. From the results of statistical tests showed that there was an influence on the use of web-based she smart education model on the use of adolescent girls about anemia with p-value = 0.000 (p<0.05), attitude p-value = 0.016 (p<0.05) and action p-value = 0.001 (p<0.05). Anemia education using web-based she smart can improve knowledge, attitudes, and practice before and after an intervention.

scholarly journals Analysis of Reported E-prescribing Medication Administration Errors at King Saud Medical City, Riyadh: A Cross-Sectional, Retrospective Study

2020 ◽  
pp. 34-45
Author(s):  
Dalal Salem Al- Dossari ◽  
Mohammed Ibrahim Alnami ◽  
Naseem Akhtar Qureshi
Keyword(s):  
Saudi Arabia ◽  
Retrospective Study ◽  
Medication Errors ◽  
Drug Administration ◽  
Medication Administration ◽  
Care Hospital ◽  
Cross Sectional ◽  
Common Error ◽  
Clinical Pharmacists ◽  
Medication Administration Errors

Background: Drug prescription error is a medication error that most frequently happens in healthcare organizations and adversely affects the healthcare consumers. Most medication errors (MEs) but not all are captured and corrected before reaching the patient by designed system controls. Medication administration errors (MAEs) mostly are made by nurses but frequently reported by clinical pharmacists in hospitals in Saudi Arabia. Objective: This study aimed to analyze exclusively the voluntarily reported drug administration errors in a tertiary care hospital in Riyadh city. Methods: This cross-sectional, retrospective study evaluated consecutively collected medication administration report forms over a period of one year from January 1, 2015 to December 31, 2015. Results: The number of MAEs occurring during stage of drug administration constituted 7.1% (n=971) of total medication errors (n=13677). The maximum number of MEs (n=6838, 50%) and MAEs (n=455, 46.9%) occurred during the 4th quarter of the year 2015. The most common MAE happened to be category C (n=888, 91.5%) which means error occurred, reached the patient but without causing any harm. Concerning MAE types, the most common error included wrong frequency (40%) followed by wrong drug (17%), wrong time of administration (16%) and wrong rate of infusion (10%). Nurses made the most of the errors (92.2%) while the clinical pharmacists reported the most MAEs (75.5%). High alert medications (HAM) errors constituted 32.3% (n=314) of MAEs (n=971) and most common HAM errors included the wrong route of administration of Lanus Insulin (15%) followed by Insulin Aspart (15%), Enoxaparin (13%) and Insulin Protamine-Nvomix (12%). Look-alike and sound-alike (LASA) errors constituted 55.2% of MAEs (971/536) and most common LASA drugs identified were Gentamycin (13%), Insulin Mixtard (11%), NPH Insulin (8%) Intralipid vial (8%) and Insulin regular (6%). Conclusion: This retrospective study provides some important tentative pharmacovigilance insights into MAEs, which are partially comparable with current international trends in drug administration errors. Further studies on MAEs are warranted not only in the Kingdom of Saudi Arabia but also other Gulf countries.

scholarly journals Assessment of major requirements for accessing credit among paddy farmers in Jigawa state, Nigeria

Food Research ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 74-79
Author(s):  
M.I. Datti ◽  
R. Said ◽  
N.W. Ismail ◽  
A. Abd. Rahman
Keyword(s):  
Sampling Technique ◽  
Farm Size ◽  
P Value ◽  
Marginal Effect ◽  
Access To Credit ◽  
Interest Charge ◽  
Paddy Farmers ◽  
Multistage Sampling ◽  
The Impact

This paper examined major credit requirements of financial institutions in providing credit to paddy farmers of Jigawa state, Nigeria. Data were collected in 2019 from three selected paddy farming local government areas of the state. A total of 120 respondents were randomly selected through a multistage sampling technique, and a questionnaire. The binary logit model and the marginal effect were applied in the analysis. The results indicated that paddy farmers' educational level, family size, and guarantor requirements were statistically significant on access to credit, with their P-value signifies 0.041, 0.060, and 0.000, respectively. While, farm size, administrative process, collateral requirement, interest charge, and principal repayment duration were insignificant on accessing credit. Failure to address these problems may continue to worsen the Nigerian government's effort on food self-sufficient and poverty alleviation. The study suggests similar research to consider more years to see the impact in the long term. The study further recommends credit providers to modify the guarantor requirement and to delegate a staff who can translate and guide the applicants on how to fill the credit application forms

scholarly journals NURSES’ COMPLIANCE IN APPLYING INDEPENDENT DOUBLE CHECK IN DRUG ADMINISTRATION

2021 ◽  
Vol 8 (2) ◽  
pp. 120
Author(s):  
Selvi Kadang ◽  
Putri Natalia Sitanggang ◽  
Rachel Pratylia Sanjun ◽  
Yenni Ferawati Sitanggang ◽  
Erivita Sakti
Keyword(s):  
Medication Errors ◽  
Drug Administration ◽  
Quantitative Method ◽  
Private Hospital ◽  
Univariate Analysis ◽  
Medication Administration ◽  
Analysis Method ◽  
Factors Associated ◽  
Safety Studies ◽  
The Relationship

Independent Double Check (IDC) is a strategy that plays a key role in medication safety. Studies have shown that its use can detect up to 95% of medication errors reducing incidents related to drug administration. Despite this benefit, not all nurses have implemented it. This study aims to describe nurses’ compliance in applying IDC at a private hospital in West Indonesia. The study used the descriptive quantitative method and purposive sampling was utilized in choosing 52 respondents. Data were collected from the respondents working in two inpatient wards where the highest number of medication errors occurred. A checklist was used to observe the nurses administer medications to patients in three occasions. The analysis of data employed univariate analysis method. The results showed that 35 (67.3%) of the respondents implemented IDC before medication administration, while 17 (32.7%) did not implement it. However, those who implemented IDC did not contribute to the reduction of medication errors in these wards. The authors recommend that further studies be conducted to investigate the factors associated with nurses’ compliance and non-compliance in applying IDC, and the relationship between nurses’ compliance to IDC and incidents of medication errors.

scholarly journals HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM

2019 ◽  
Vol 1 (2) ◽  
pp. 54-57
Author(s):  
Yunita Syahputri Damanik ◽  
Efrata Sembiring
Keyword(s):  
Sampling Technique ◽  
Iodized Salt ◽  
P Value ◽  
Chi Square ◽  
Food Ingredients ◽  
Health And Nutrition ◽  
Knowledge Variable ◽  
Chi Square Test ◽  
The Impact

HUBUNGAN PENGETAHUAN DAN SIKAP IBU RUMAH TANGGA DENGAN PENGGUNAAN GARAM BERYODIUM AbstractIn Indonesia IDD (Iodine Deficiency Disorder) is one of the serious public health problems because of the impact it has on the survival and quality of human resources. A long-term sustainable effort is by iodizing salt, which is adding iodine to food ingredients. The aim of this program is that 90% or more households consume iodized salt according to the requirements, which is 30-80 parts permillion (ppm). The aim of this research was to determine the relationship between knowledge and attitudes of the housewives with the use of iodized salt in Delitua Timur, Deli Serdang. The sampling technique in this research was non probability sampling using a purposive method of 96 people. The analysis carried out using the chi-square test. The results of the research on 96 respondents for the knowledge variable obtained a p-value of 1,000 where p > 0.05 which means there was  not relationship between knowledge and the use of iodized salt. And for attitude variables obtained p-value 0.010 which means there was a relationship between attitudes and use of iodized salt in Delitua Timur, Deli Serdang. The suggested for this research to the society to increase their knowledge and positive attitude to use of iodized salt in an effort to improve health and nutrition.

scholarly journals HUBUNGAN LAMA HARI RAWAT DENGAN TANDA DAN GEJALA SERTA KEMAMPUAN PASIEN DALAM MENGONTROL HALUSINASI

2019 ◽  
Vol 6 (2) ◽  
pp. 106
Author(s):  
Prastiwi Puji Rahayu ◽  
Retno Utami
Keyword(s):  
Mental Hospital ◽  
Sampling Technique ◽  
Signs And Symptoms ◽  
Statistical Test ◽  
P Value ◽  
The Family ◽  
Before And After ◽  
Hospital Boards ◽  
The Impact

Dampak adanya halusinasi dapat mengakibatkan seseorang mengalami ketidakmampuan untuk berkomunikasi atau mengenali realitas yang menimbulkan kesukaran dalam kemampuan seseorang untuk berperan sebagaimana mestinya dalam kehidupan sehari-hari. Dampak bagi keluarga halusinasi sulit diterima oleh masyarakat, individu dan dipandang negatif oleh lingkungan.Mengetahui hubungan lama hari rawat dengan tanda dan gejala serta kemampuan pasien dalam mengontrol halusinasi di RSJ Grhasia Yogyakarta. Penelitian ini menggunakan menggunakan Desain penelitian studi korelasional (Corrrelation study). Penelitian ini menggunakan teknik total sampling, Sampel yang digunakan dalam penelitian ini berjumlah 45 pasien halusinasi yang ada diruang inap Rumah Sakit Jiwa Grhasia Yogyakarta. Metode analisis yang digunakan adalah uji statistik menggunakan kendal Tau. Hasil penelitian ini menunjukkan bahwa berdasarkan lama hari rawat pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan  paling banyak lebih dari 30 hari sebanyak 42 responden, tanda dan gejala pasien halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak kategori kurang sebanyak 30 responden, dan kemampuan pasien dalam mengontrol halusinasi Di RSJ Grhasia Yogyakarta didapatkan paling banyak  kategori cukup sebanyak 27 responden.Tidak ada  hubungan lama hari rawat dengan tanda dan gejala dilihat dari nilai p-value sebesar 0,170<0,05, dan terdapat hubungan lama hari rawat dengan kontrol halusinasi dilihat dari nilai p-value sebesar 0,030<0,05 dengan nilai keeratan hubungan 0,325 dalam kategori rendah. Bagi pimpinan RS agar memberikan pengembangan pelayanan kesehatan pada pasien dalam meningkatkan kualitas pelayanan, khususnya dalam lama hari rawat dengan tanda dan gejala kemampuan pasien dalam mengontrol halusinasi. Alahkah baiknya ada perbandingan antara tanda dan gejala sebelum di teliti dan sesudah di teliti. Kata kunci: Lama hari rawat, tanda dan gejala, kemampuan mengontrol halusinasi THE CORRELATION BETWEEN INPATIENT DURATION, AND SIGNS, SYMPTHOMS AND PATIENT’S ABILITY TO CONTROL HALLUCINATIONS ABSTRACTHallucinations can cause disability to communicate or recognize the reality that creates difficulties to act properly in everyday life. The impact of hallucinations on the family is hard to accept by society and individuals, and it is viewed as negative thing by the environment. The study aims to identify the correlation between inpatient duration and signs, symptoms and patient's ability to control the hallucinations at Grhasia Mental Hospital of Yogyakarta. This study used correlational study design. This study used total sampling technique. The samples were 45 hallucination patients at impatient wards at Grhasia Mental Hospital of Yogyakarta. The analytical method used statistical test using Tau constraints. The results of this study indicated that based on the hallucination of inpatient duration at Grhasia Mental Hospital of Yogyakarta, there were 42 respondents who had 30 days of inpatient duration; there were 30 respondents of hallucination patients at Grhasia Mental Hospital of Yogyakarta who have signs and symptoms in low category; there were 27 respondents at Grhasia Mental Hospital of Yogyakarta who had the ability in controlling hallucinations in moderate category. There was not any correlation between inpatient duration and signs and symptoms that can be seen from the p-value of 0.170 <0.05, and there was correlation between the inpatient duration and the control of hallucinations that can be seen from the p-value of 0.030 <0.05 with the closeness value 0.325 in low category. Hospital boards are suggested to provide the development of health services to patients in improving the quality of care, especially about inpatient duration and signs and symptoms of the patient's ability to control hallucinations. Is it better to have a comparison between the signs and symptoms before and after being studied. Keywords: Inpatient Duration, signs and symptoms, ability to control hallucinations

scholarly journals EFFECT OF NEW INFORMATION FROM RIGHTS ISSUE ANNOUNCEMENT ON SHARE PRICES OF FIRM’S LISTED ON THE NAIROBI SECURITY EXCHANGE

2017 ◽  
Vol 1 (3) ◽  
pp. 54
Author(s):  
Batista J. Mariko ◽  
Theuri J. M
Keyword(s):  
Stock Returns ◽  
Secondary Data ◽  
Sampling Technique ◽  
Target Population ◽  
P Value ◽  
Unique Contribution ◽  
Share Prices ◽  
New Information ◽  
Rights Issue ◽  
The Impact

Purpose: The purpose of this study was to establish the effect of new information from rights issue announcement on share prices of firm’s listed on the Nairobi Security Exchange.Methodology: The study was carried out using descriptive research design. The target population consisted all companies listed on the NSE, and had previously done a rights issue. Convenient sampling technique was used to identify firms that had rights issue in the period under study.  Secondary data was collected using a schedule developed by the researcher. Data analysis was done using events study methodology and regression modelling.Results: Based on the findings the study found that mean share prices before and after the rights issue announcement was statistically insignificant as indicated by the t-test (t= -0.435 and p-value = 0.663).Unique contribution to theory, practice and policy: Based on the findings the study recommends that further studies to be done on the impact of bonus issues, IPOs, and the global economic crisis (2008-2009) on stock returns of companies listed at the NSE.

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