Medication Safety: A Need to Relook at Double-Checking Medicines?
| Autor: | Kim Hua Lee, Gemma Diente Peralta, Gek Phin Chua, John Heng Chi Lim |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Quality management
Cytotoxic drug lcsh:RC254-282 quality improvement Likert scale 03 medical and health sciences Patient safety 0302 clinical medicine patient safety medicine staff satisfaction Accountability cytotoxic drug lcsh:RT1-120 lcsh:Nursing 030504 nursing Oncology (nursing) business.industry medication safety lcsh:Neoplasms. Tumors. Oncology. Including cancer and carcinogens medicine.disease Staff satisfaction double checking empowerment Oncology Work (electrical) 030220 oncology & carcinogenesis Original Article Medical emergency 0305 other medical science business |
| Zdroj: | Asia-Pacific Journal of Oncology Nursing, Vol 6, Iss 3, Pp 246-252 (2019) Asia-Pacific Journal of Oncology Nursing |
| ISSN: | 2347-5625 |
| DOI: | 10.4103/apjon.apjon_2_19 |
| Popis: | Objective: To present a structured evaluation process that provides evidence that the single-checking (SC) system is not only a viable option in reducing medication errors, but also has the added advantage of increasing staff satisfaction. Methods: The structured evaluation involved one work improvement process and conducting a survey establishing registered nurses’ (RNs’) attitude toward SC of medicines. The survey questionnaire included 12 questions with a 5-point Likert scale. Results: In spite of the increased number of patients, the number of medication errors actually reduced (P < 0.001; two-sample test of proportions) with the implementation of SC of medication for competent and experienced staff. A survey was conducted to establish RNs’ attitudes toward SC of medicines 3 years post SC implementation. RNs viewed the single-nurse checking protocol positively. In particular, the nurses considered single-nurse checking as an encouragement to update their drug knowledge and as a time-saving measure, enhancing the quality of patient care. Nonetheless, they also expressed concerns on single-nurse checking. Conclusions: The findings provide evidence that SC system is a viable way to reducing medication errors and also confer the added advantage of staff satisfaction. Assuring quality and safety involves the need to challenge the status quo based on revealed evidence. |
| Databáze: | OpenAIRE |
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