| Autor: |
Smith, Orla, Santiago, Cecilia, Butorac, Elizabeth, Bell, Kathryn, Diston, Maria Teresa, Lewis, Ellen, Meleca, Norine, Mustard, Mary, Poon, Lisa, Savedra, Prafulla, Wannamaker, Karen, Wilson, Gail |
| Předmět: |
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| Zdroj: |
Canadian Journal of Critical Care Nursing; Summer2016, Vol. 27 Issue 2, p42-43, 2p |
| Abstrakt: |
Medication errors are common in the Intensive Care Unit (ICU) and can result in adverse events. Computer-based systems may reduce errors. Nurses' experiences with medication systems are important to understand. We surveyed ICU nurses in a large, academic, urban hospital before and after introducing an e-system using the Medication Administration System - N urses' Assessment of Satisfaction scale. Each item was scored on six-point scale (strongly agree - strongly disagree) with higher scores indicating greater satisfaction. Overall satisfaction was reported on a 0 - 10 scale (0 = completely dissatisfied; 10 = completely satisfied). Three hundred and twenty-eight surveys were distributed. Response rate was 37% (n=120) before and 35% (n = l 15) after. Overall satisfaction was significant with the new system (6.2 versus 7.0, p <0.01). There were also significantly higher scores on all items related to safety (p<0.05) and two of six items related to access [access to systems that support medication administration (4.4 versus 4.9, p<0.01) and availability of information to manage bad reactions (3.1 versus 3.8, p<0.01)]. Nurses reported the system was effective in reducing and preventing medication errors (3.2 versus 4.5, pcO.OOl). However, there was no difference in perceptions of system efficiency (4.2 versus 4.4, p=0.25) or the proportion who agreed the system was user-friendly (68 versus 71%, p=0.70). At both time points, a large proportion of nurses (45 versus 49%, p=0.25) agreed they stashed medication for patient care. The introduction of an e-medication system was associated with ICU nurses' perceptions of greater safety and increased overall satisfaction with medication processes. Nurses did not perceive the e-system as more efficient or user-friendly than the paper-based system. [ABSTRACT FROM AUTHOR] |
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