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Updated: Jun 12, 2026

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings
06:59

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Published on: November 9, 2016

Medication safety initiative in reducing medication errors.

Elisa E Nguyen1, Phyllis M Connolly, Vivian Wong

  • 1Stanford Hospital and Clinics, Stanford, California 94305, USA. enguyen@stanfordmed.org

Journal of Nursing Care Quality
|June 11, 2010
PubMed
Summary
This summary is machine-generated.

A Medication Pass Time Out initiative significantly reduced medication administration errors and interruptions. This program improved medication safety and accuracy, demonstrating its effectiveness and sustainability in clinical practice.

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Area of Science:

  • Healthcare quality improvement
  • Patient safety research
  • Nursing practice

Background:

  • Medication administration errors pose a significant risk to patient safety.
  • Interruptions during medication passes are a known contributing factor to errors.
  • Standardized protocols are essential for safe medication delivery.

Purpose of the Study:

  • To assess the effectiveness of a Medication Pass Time Out initiative in reducing medication administration errors.
  • To determine the sustainability of the implemented program over time.
  • To evaluate the impact on interruptions during medication administration.

Main Methods:

  • Retrospective descriptive study design.
  • Implementation of a structured Medication Pass Time Out program.
  • Staff and physician education on the new protocol.

Main Results:

  • Interruptions during medication administration decreased from 81% to 0%.
  • Medication doses administered without interruption improved from 81% to 99% at 1 year.
  • Medication doses administered without errors increased from 98% to 100%.

Conclusions:

  • The Medication Pass Time Out initiative was highly effective in reducing medication administration errors and interruptions.
  • The program demonstrated sustainability, maintaining improvements at 6 months and 1 year.
  • Enhanced staff and physician education contributed to the successful implementation and outcomes.